Will you give my kidney back? Organ restitution in living-related kidney transplantation: ethical analyses
Will you give my kidney back? Organ restitution in living-related kidney transplantation: ethical analyses
复制标题
你愿意把肾还给我吗？
DOI：
10.1136/medethics-2019-105507
复制
发表时间：
2019
期刊：
影响因子：
4.1
通讯作者：
Akabayashi A
中科院分区：
文献类型：
--
作者：
Nakazawa E;Yamamoto K;Akabayashi A;Shaw MH;Demme RA;Akabayashi A
在本文中，我们对活体供肾移植进行了思维实验。如果活体肾脏捐赠者在捐赠后因剩余肾脏功能障碍而需要肾脏替代治疗，捐赠者是否可以要求受赠者归还已捐赠的肾脏？我们将这一问题称为器官归还问题，并从伦理的角度对其进行了讨论。活体器官移植是一种指定捐献，具有契约性。首先，假设原始捐赠者(A)希望将已移植到B体内的器官归还，并且原始接受者(B)同意，则根据类似合同的协议，器官归还将是允许的。然而，有必要进行仔细和详细的考虑，以确定这是否没有留下质疑B同意的真实性的余地。其次，如果B提出把器官还给A，那么B的行为就是一种矫枉过正的行为，是值得称赞和功勋的。这样的提议是一个美德问题，而不是义务问题。第三，如果A希望B归还器官，但B不希望/不允许这种情况发生，很可能很难通过侵犯B的身体完整权利来证明将器官归还给A是正当的。但B拒绝归还捐赠的器官不能被认为是值得称赞的，因为B忘记了曾经从A那里得到的巨大善意，而不是把这称为一种义务，我们鼓励B考虑这种道德行为。
In this article, we perform a thought experiment about living donor kidney transplantation. If a living kidney donor becomes in need of renal replacement treatment due to dysfunction of the remaining kidney after donation, can the donor ask the recipient to give back the kidney that had been donated? We call this problem organ restitution and discussed it from the ethical viewpoint. Living organ transplantation is a kind of ‘designated donation’ and subsequently has a contract-like character. First, assuming a case in which original donor (A) wishes the return of the organ which had been transplanted into B, and the original recipient (B) agrees, organ restitution will be permissible based on contract-like agreement. However, careful and detailed consideration is necessary to determine whether this leaves no room to question the authenticity of B’s consent. Second, if B offers to give back the organ to A, then B’s act is a supererogatory act, and is praiseworthy and meritorious. Such an offer is a matter of virtue, not obligation. Third, if A wishes B to return the organ, but B does not wish/allow this to happen, it is likely difficult to justify returning the organ to A by violating B’s right to bodily integrity. But B’s refusal to return the donated organ cannot be deemed praiseworthy, because B forgets the great kindness once received from A. Rather than calling this an obligation, we encourage B to consider such virtuous conduct.
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DOI：
--
发表时间：
2009
期刊：
--
影响因子：
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DOI：
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DOI：
10.1053/j.ajkd.2008.03.037
发表时间：
2008
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
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影响因子：
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作者：
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