活体肝移植的伦理学问题

目前，肝移植已成为治疗终末期肝病的有效手段，活体肝移植术部分解决了供肝短缺的问题，10多年来其发展迅速，并取得了良好的疗效，由于活体肝移植需从活的供体身上切取部分肝脏，且供体多为患者家属，故存在着供体的选择，供体的贡献与代价，患者的家庭，心理，社会等伦理等问题。因此在提高活体肝移植技术水平的同时，必须充分考虑活体肝移植的伦理学问题，遵守伦理原则，使活体肝移植不但能从技术上达到，在伦理学方面也是可行的。

Ethical Issues in Living Related Liver Transplantation

Nowadays liver transplantation has been an effective therapy to terminal liver diseases.In the past 12 years,living related liver transplantation (LRLT) developed rapidly with a favorable curative effect.It alleviated the shortage of cadaveric liver supply.To LRLT,the graft must be acquired from a living donor.The donor and recipient usually come from the same family.Therefore there are some ethical issues in LRLT such as choice of donor,donor's contribution and risk,recipient's family,psychology and society etc.With the development of technique in LRLT,the ethical issues must be considered and some ethical principles must be followed.LRLT is satisfying in surgery and feasible in ethics.