Recipient Deaths During Donor Surgery: A New Ethical Problem in Living Donor Liver Transplantation (Ldlt)
Liver Transplantation, Vol. 12, No. 3, pp. 358-360, March 2006
Posted: 18 Apr 2006
LDLT continues to present difficult challenges for the international transplantation community in terms of technical demands, management of complications, and ethical justification of the procedure. Criteria are still not agreed upon for donor selection, recipient selection, the amount of liver to be removed, surgical techniques and timing, and required surgeon and institutional experience. While many have argued that LDLT provides a source of livers for transplantation to a population of patients in desperate need of this life-saving operation, further clarification is needed with regard to the indications and contraindications for donor and recipient selection. In our view, two of the central ethical requirements justifying LDLT are 1) double equipoise considerations in which the risks and benefits for both donors and recipients are taken into account and 2) the ability to reallocate an orphan graft in the tragic circumstances of the intraoperative death of an intended recipient.
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