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Author Spotlight: Advancements and Challenges in Machine Perfusion for Liver Transplantation
Published on: June 14, 2024
Pediatric-adult split liver transplantation: an ethical imperative and systems-based roadmap for global expansion
Tran Cong Duy Long1,2, Huynh Tran Bao Chau3,4, Dat Tien Le1,2
1Department of Hepatobiliary and Pancreatic Surgery, University Medical Center at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Abstract:
This paradox emphasizes the urgent need to re-engineer transplant systems around pediatric-adult split liver transplantation (SLT). Despite being as effective as whole-liver transplants, SLT remains underutilized due to logistical and policy barriers. We believe that expanding SLT is not only clinically acceptable but a just and effective moral necessity. We propose a five-point action plan, including centralized splitting hubs, NMP-enabled transport, and global pilot programs, to transform SLT from an exception into standard practice.
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