Matevossian E, Kordzaia D, Chkhaidze Z, Khodeli N, Partsakashvili J, Khachiperadze Z, Doll D, Lobzhanidze G
Georgian Med News. 2015 Feb(239):81-9.
The shortage of organ donors along with the increased number of waiting recipients have created the need for new strategies to expand the organ pool from donations after brain death. Organ procurement from brain-dead deceased donors is a complex task. Multiple, complicated operations are performed simultaneously. Very often, this involves numerous physicians and transplant coordinators. An extensive coordination between the thoracic and abdominal surgical teams is crucial for the successful procurement of all suitable organs. The quality of donor organs and the successful recovery therefore depends on a good communication. Organ procurement for transplantation should generally be performed in a calm and dignified atmosphere. The last wishes of the organ donor itself or the relatives must be respected unconditionally. In general, a dignified and respectful treatment of the organ donor is a condition sine qua non for each person involved in the process of organ procurement. The purpose of this article was to focus on the surgical aspects of organ donation after brain death. The proposed recommendations, in cases where they are applicable, are acceptable, however, one should never forget the importance of the ethical side of the issue with respect to the doctor-donating side relationship.
器官捐献者的短缺以及等待器官移植的受者数量的增加，使得需要制定新的策略来扩大脑死亡后器官捐献的器官库。从脑死亡的已故捐献者身上获取器官是一项复杂的任务。需要同时进行多项复杂的手术。这通常涉及众多医生和移植协调员。胸外科和腹部外科团队之间广泛的协调对于成功获取所有合适的器官至关重要。因此，供体器官的质量和成功获取取决于良好的沟通。器官移植的获取通常应在平静和庄严的氛围中进行。必须无条件尊重器官捐献者本人或其亲属的遗愿。一般来说，对器官捐献者进行庄严和尊重的对待是器官获取过程中每个相关人员的必要条件。本文的目的是关注脑死亡后器官捐献的外科方面。所提出的建议在适用的情况下是可以接受的，然而，人们绝不能忘记在医生 - 捐献者关系方面该问题伦理层面的重要性。
