著者

伊藤 壽記

出版者

一般社団法人 日本移植学会

雑誌

移植 (ISSN:05787947)

巻号頁・発行日

vol.50, no.4-5, pp.378-386, 2015-09-10 (Released:2015-10-30)

参考文献数

13

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In terms of absolute shortages of donors, organ transplantation in Japan is in a more serious position than in Europe or the United States. In Japan, a law allowing organ transplantation from brain-dead donors finally came into force in October 1997. The first pancreas transplantation (PTx) was successfully performed at Osaka University Hospital in April 2000. Since then, however, only 86 cases of procurement have occurred over the approximately 13 years after introduction of the law; it was very strict and limited to organ procurement from donors who had provided prior written consent. The law was eventually revised in July 2010 to more closely resemble laws in Europe and the U. S.After this revision, the number of donations has increased approximately seven-fold. The number of such procedures totaled 146 (33.0/year, as of December 31, 2014) after the revision, compared to 64 (4.9/year) before the revision. However, the rate of marginal donors is 67.1%, which is still high.Although the number of donors increased, donor shortages and severe environment surrounding donors still exist in our country. Transplant outcomes, however, are comparable to those in Europe and the U. S.This report examines the present status and problems of PTx in Japan from the perspective of “marginal donors.”