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Some Ethical and Psychiatric Aspects of Right-Lobe Liver Transplantation in the United States and Japan

Received Dec. 3, 2001; revisions received April 16 and May 10, 2002; accepted May 22, 2002. From the Transplant Unit and the Department of Psychiatry, Massachusetts General Hospital; the Tokyo Institute of Psychiatry; and the Department of Surgery, University of Tokyo Hospital. Address reprint requests to Dr. Surman, Department of Psychiatry, Massachusetts General Hospital, WACC 815, 15 Parkman St., Boston, MA 02114-3117; osurman{at}partners.org (e-mail).

Cadaver sources are insufficient for the increasing demand for liver transplantation. Right-lobe liver transplantation from living donors is fully developed in Japan and has been rapidly increasing in the United States during the past 2 years, although donor risk is greater than in other types of solid organ transplantation. The authors examine the psychiatric and ethical aspects of right-lobe liver transplantation in light of cultural differences between the United States and Japan.

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				O. S. Surman, I. Fukunishi, T. Allen, and M. Hertl Live Organ Donation: Social Context, Clinical Encounter, and the Psychology of Communication Psychosomatics, February 1, 2005; 46(1): 1 - 6. [Abstract] [Full Text] [PDF]

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