Journal
SURGERY TODAY
Volume 34, Issue 7, Pages 565-568Publisher
SPRINGER
DOI: 10.1007/s00595-004-2775-8
Keywords
living-donor lobar lung transplantation; cadaveric lung transplantation; primary pulmonary hypertension; donor shortage
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The first successful living-donor lobar lung transplant (LDLLT) in Japan was performed at Okayama University in October 1998 after a long period of waiting for the legalization of thoracic organ transplantation. By May 2003, a further 41 lung transplants had been performed; 28 from living donors and 13 from cadaveric donors. The indications for a lung transplant are very specialized in Japan, the most common being primary pulmonary hypertension. Although the number of lung transplants is still small, survival in Japan, at 72% after 4 years, is better than the world average. Because the number of available cadaveric donors for lung transplantation is limited, at less than 5 per year, LDLLT is a realistic option for properly selected candidates.
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