Registry of the Japanese society of lung and heart-lung transplantation: The official Japanese lung transplantation report 2012

Takahiro Oto, Yoshinori Okada, Toru Bando, Masato Minami, Takeshi Shiraishi, Takeshi Nagayasu, Masayuki Chida, Meinoshin Okumura, Hiroshi Date, Shinichiro Miyoshi, Takashi Kondo

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The Japanese Organ Transplant Law was amended, and the revised law took effect in July 2010 to overcome extreme donor shortage and to increase the availability of donor organs from brain-dead donors. It is now possible to procure organs from children. The year 2011 was the first year that it was possible to examine the results of this first extensive revision of the Japanese Organ Transplant Law, which took effect in 1997. Currently, seven transplant centers, including Tohoku, Dokkyo, Kyoto, Osaka, Okayama, Fukuoka and Nagasaki Universities, are authorized to perform lung transplantation in Japan, and by the end of 2011, a total of 239 lung transplants had been performed. The number of transplants per year and the ratio of brain-dead donor transplants increased dramatically after the revision of the Japanese Organ Transplant Law. The survival rates for lung transplant recipients registered with the Japanese Society for Lung and Heart-lung Transplantation were 93.3 % at 1 month, 91.5 % at 3 months, 86.3 % at 1 year, 79.0 % at 3 years, and 73.1 % at 5 years. The survival curves for brain-dead donor and living-donor lung transplantation were similar. The survival outcomes for both brain-dead and living-donor lung transplants were better than those reported by the International Society for Heart and Lung Transplantation. However, donor shortage remains a limitation of lung transplantation in Japan. The lung transplant centers in Japan should continue to make a special effort to save critically ill patients waiting for lung transplantation.

Original languageEnglish
Pages (from-to)208-211
Number of pages4
JournalGeneral thoracic and cardiovascular surgery
Volume61
Issue number4
DOIs
Publication statusPublished - 2013 Apr

Keywords

  • Brain-dead donor
  • Japan
  • Living donor
  • Lung transplantation
  • Registry report

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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