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Am J Transplant. 2004 Nov;4(11):1737-40.

Ethical issues in split versus whole liver transplantation.

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Department of Surgery, Division of Transplantation, University of California, San Francisco, San Francisco, CA, USA.


Technologic advances in split liver transplantation have resulted in an ethical dilemma. Although splitting a liver maximizes the number of patients receiving an organ transplant, it may increase the morbidity and mortality for the individual patient receiving the split liver. This essay explores the ethical issues involved in the allocation of split livers, and proposes general policy guidelines for the allocation of split versus whole liver transplants.

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