Is solid organ donation by living donors ethical? The case of kidney donation

被引：0

作者：

Potts, Michael ^{[1
]}

Evans, David W. ^{[2
,3
,4
]}

机构：

[1] Methodist Univ, Fayetteville, NC 28311 USA

[2] Univ Cambridge, Queens Coll, Cambridge, England

[3] Addenbrookes Hosp, Cambridge, England

[4] Papworth Hosp, Cambridge, England

来源：

ORGAN TRANSPLANTATION: ETHICAL, LEGAL AND PSYCHOSOCIAL ASPECTS - TOWARDS A COMMON EUROPEAN POLICY | 2008年

关键词：

NEPHRECTOMY; COMPLICATIONS; RISK; HYPERTENSION; EXPERIENCE;

D O I：

暂无

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

In this paper, we argue that living kidney donation involves a violation of the principle of non-maleficence, to "do no harm." It is, therefore, morally wrong for physicians, surgeons, and other medical professionals to be involved in such a practice. Using kidney donation as an example, we discuss recent literature on both short-term and long-term risks to the kidney donor and argue that such risks make the practice of living donor nephrectomy unethical. By extension, the even more risky donation of other solid organs during life is also unethical.

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页码：377 / +

页数：2

相关论文

共 17 条

[1] Meta-analysis: Risk for hypertension in living kidney donors [J].

Boudville, Neil ;

Prasad, G. V. Ramesh ;

Knoll, Greg ;

Muirhead, Norman ;

Thiessen-Philbrook, Heather ;

Yang, Robert C. ;

Rosas-Arellano, M. Patricia ;

Housawi, Abdulrahman ;

Garg, Amit X. .

ANNALS OF INTERNAL MEDICINE, 2006, 145 (03) :185-196

[2] Essay - History of transplantation [J].

Calne, Roy .

LANCET, 2006, 368 :S51-S52

[3] Fatal and nonfatal hemorrhagic complications of living kidney donation [J].

Friedman, AL ;

Peters, TG ;

Jones, KW ;

Boulware, LE ;

Ratner, LE .

ANNALS OF SURGERY, 2006, 243 (01) :126-130

[4]

Gutkind Lee., 1988, Many Sleepless Nights

[5] The risk of living kidney donation [J].

Hartmann, A ;

Fauchald, P ;

Westlie, L ;

Brekke, IB ;

Holdaas, H .

NEPHROLOGY DIALYSIS TRANSPLANTATION, 2003, 18 (05) :871-873

[6] Laparoscopic donor nephrectomy: The University of Maryland 6-year experience [J].

Jacobs, SC ;

Cho, E ;

Foster, C ;

Liao, P ;

Bartlett, ST .

JOURNAL OF UROLOGY, 2004, 171 (01) :47-51

[7] Complications and risks of living donor nephrectomy [J].

Johnson, EM ;

Remucal, MJ ;

Gillingham, KJ ;

Dahms, RA ;

Najarian, JS ;

Matas, AJ .

TRANSPLANTATION, 1997, 64 (08) :1124-1128

[8] Proposed classification of complications after live donor nephrectomy [J].

Kocak, B ;

Koffron, AJ ;

Baker, TB ;

Salvalaggio, PRO ;

Kaufman, DB ;

Fryer, JP ;

Abecassis, MM ;

Stuart, FP ;

Leventhal, JR .

UROLOGY, 2006, 67 (05) :927-931

[9] Comparison of laparoscopic and mini incision open donor nephrectomy: single blind, randomised controlled clinical trial [J].

Kok, Niels F. M. ;

Lind, May Y. ;

Hansson, Birgitta M. E. ;

Pilzecker, Desiree ;

zur Borg, Irigrid R. A. M. Mertens ;

Knipscheer, Ben C. ;

Hazebroek, Eric J. ;

Dooper, Ine M. ;

Weimar, Willem ;

Hop, Wim C. J. ;

Adang, Eddy M. M. ;

van der Wilt, Gert Jan ;

Bonjer, Hendrik J. ;

van der Vliet, Jordanus A. ;

IJzermans, Jan N. M. .

BRITISH MEDICAL JOURNAL, 2006, 333 (7561) :221-224

[10] Laparoscopic donor nephrectomy 1997 to 2003: Lessons learned with 500 cases at a single institution [J].

Leventhal, JR ;

Kocak, B ;

Salvalaggio, PRO ;

Koffron, AJ ;

Baker, TB ;

Kaufman, DB ;

Fryer, JP ;

Abecassis, MM ;

Stuart, FP .

SURGERY, 2004, 136 (04) :881-888