First registry report: lung transplantation in Japan: The Japanese Society of Lung and Heart-Lung Transplantation.
A total of 87 lung transplants has been performed for the 9 years since 1998 in Japan. Because of the shortage of brain-dead donors, living-donor lobar lung transplantation accounted for two-thirds of lung transplantation in Japan. The most common indication was primary pulmonary hypertension. The distributions of procedure type and indication were characteristic for Japan. Despite the limited number and the short follow-up period, the survival for Japanese recipients was better than the international average, and the quality of life after lung transplantation was excellent. To increase the number of available pulmonary grafts, we have tried various strategies, such as active use of marginal donors, careful donor management, and development of new preservation solutions, but the shortage of brain-dead donors remains a serious problem. The current transplant laws need to be reconsidered.
Bando
Toru
T
The Japanese Society of Lung and Heart-Lung Transplantation, Utsunomiya, Japan. bando@kuhp.kyoto-u.ac.jp
Date
Hiroshi
H
Minami
Masato
M
Kondo
Takashi
T
Shiraishi
Takeshi
T
Miyoshi
Shinichiro
S
Sekine
Yasuo
Y
Nagayasu
Takeshi
T
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D005260:Female; D033161:Government Regulation; D006801:Humans; D007564:Japan / Q000453:epidemiology; D019520:Living Donors / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data* / Q000600:supply & distribution; D008171:Lung Diseases / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D016040:Lung Transplantation / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D020127:Recovery of Function; D012042:Registries / Q000706:statistics & numerical data*; D012955:Societies, Medical / Q000706:statistics & numerical data; D013997:Time Factors; D014019:Tissue Donors / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data* / Q000600:supply & distribution; D009927:Tissue and Organ Procurement / Q000331:legislation & jurisprudence / Q000458:organization & administration / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014850:Waiting Lists