Yokota Hiroyuki
Department of Critical Care & Traumatology, Graduate School of Medicine, Nippon Meidical School, Bunkyo-ku, Tokyo, Japan.
Brain Nerve. 2010 Jun;62(6):565-73.
The revised organ transplantation act will come into effect from July 2010 in Japan. Here, we discuss about problems related to the organ procurement system from the perspective of a donor hospital. Organ procurement poses a heavy burden on the donor hospital, and it is difficult to procure organs from a child. The procedure for organ donation, especially, organ donation upon the diagnosis of brain death, requires considerable time and involves many specialists. For example, the progression from the diagnosis of clinical brain death to the end of organ harvesting takes about more than 45 hours. To reduce the heavy burden on donor hospitals, some type of support system is required such as a system of providing economical assistance and specialists for the diagnosis of brain death. The shipping of organs from a child donor, the regulation of the criteria for the diagnosis children of brain death, and a framework of donor hospitals must be analyzed and standardized. Organ procurement is strictly regulated by legal guidelines; we propose that under the revised legal framework, the procedure of organ procurement be rapid.
修订后的器官移植法将于2010年7月在日本生效。在此，我们从供体医院的角度讨论与器官获取系统相关的问题。器官获取给供体医院带来沉重负担，从儿童身上获取器官也很困难。器官捐赠程序，尤其是脑死亡诊断后的器官捐赠，需要相当长的时间且涉及许多专家。例如，从临床脑死亡诊断到器官摘取结束大约需要超过45小时。为减轻供体医院的沉重负担，需要某种支持系统，如提供经济援助和脑死亡诊断专家的系统。必须对来自儿童供体的器官运输、儿童脑死亡诊断标准的规范以及供体医院的框架进行分析和标准化。器官获取受到法律准则的严格监管；我们建议在修订后的法律框架下，器官获取程序应加快。
