Kim Kil Hwan, Choi YoungRok, Cho Jai Young, Han Ho-Seong, Yoon Yoo-Seok, Hyun In Gun, Han Sunjong, Lee Bo-Ram
Department of Surgery, Seoul National University, College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Department of Surgery, Seoul National University, College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
Transplant Proc. 2019 Jun;51(5):1478-1480. doi: 10.1016/j.transproceed.2019.01.119. Epub 2019 May 2.
Despite the severe shortage of available organs, many are discarded after procurement. This study aims to analyze the current status of discarded organs (retrieved, but not transplanted organs) from deceased donors in Korea.
Deceased donor organ and procurement data were collected from the Korean Network for Organ Sharing and Korea Organ Donation Agency database from 2013 to 2016.
Between 2013 and 2016, a total of 6315 deceased donor organ transplants were performed nationwide. A total of 63 organs were discarded. The most commonly discarded organs were kidney (n = 24), followed by islet cell (n = 23), lung (n = 9), liver (n = 6), and pancreas (n = 1). The most common cause for discarding solid organs was poor organ condition (n = 24). Other reasons included aggravation of donor condition, incidental cancer detection of the donor, and the abscence of matching recipient. Islet cells (n = 23) were not used because of inadequate separation and purification.
To reduce unnecessary graft discard in Korea, systems-based improvements in preprocurement organ evaluation and postprocurement preservation are imperative.
尽管可用器官严重短缺，但许多器官在获取后仍被丢弃。本研究旨在分析韩国已故供体废弃器官（获取但未移植的器官）的现状。
收集2013年至2016年韩国器官共享网络和韩国器官捐赠机构数据库中的已故供体器官及获取数据。
2013年至2016年期间，全国共进行了6315例已故供体器官移植。共有63个器官被丢弃。最常被丢弃的器官是肾脏（n = 24），其次是胰岛细胞（n = 23）、肺（n = 9）、肝脏（n = 6）和胰腺（n = 1）。丢弃实体器官的最常见原因是器官状况不佳（n = 24）。其他原因包括供体状况恶化、供体意外检测出癌症以及缺乏匹配的受者。胰岛细胞（n = 23）未被使用是因为分离和纯化不足。
为减少韩国不必要的移植物丢弃，必须对获取前器官评估和获取后保存进行基于系统的改进。
