Surgery: Current Research

ISSN - 2161-1076

Ethical aspects of liver transplantation

International Conference and Exhibition on Surgery, Anesthesia & Trichology

November 26-28, 2012 Hilton San Antonio Airport, USA

Paolo Bruzzone

Accepted Abstracts: Surgery Curr Res

Abstract :

The organizationknownas ELPAT (Ethical, Legal and PsychologicalAspects of OrganTransplantation) coordinated the distribution of an electronicquestionnaireconcerning the definition of extendedcriterialiverdonation (ECD) and the implication for informedconsent of transplantrecipients to Europeanlivertransplant centers. Completedques- tionnaireswere received from 30 centers in 13 countries. Twenty-eight centers accepted ECD liverdonors. The criteria for defining a liverdonoras ECD were: steatosis in 24 centers (85%); age up to 80 years in 23 centers (82%); serumsodiumlevelshigherthan 165 mmol/L in 17 centers (60%); intensive care unit stay with ventilationlongerthan 7 days in 16 centers (57%); serumglutamicoxalo-aci tictransaminaselevelshigherthan 90 U/L in 12 centers (42%); body mass indeces more than 30 in 10 centers (35%); serum glutamicpyruvictransaminase levels higher than 105 U/L in 10 centers (35%); serum bilirubinlevels higher than 3 mg/dL in 10 centers (35%); and othercriteria in 13 centers (46%). Twenty-three centers informed the transplant candidate of the ECD status of the donor: 10 centers (43%) when the patientregistered for transplantation, 3 centers (14%) when an ECD liverbecameavailable, and 10 centers (43%) on bothoccasions. Ten centers required the livertransplant candidate to sign a special consent form.Ten centers informed the potentialrecipient of the donor?s serology. Onlythree centers informed the potential recipient of any high risk behavior of the donor.