We have opened the Tokyo Lung Transplant Program in 2014, which is the only one in the Tokyo metropolitan district. Our program offer both Cadaveric and Living-donor lung transplants. We performed two cases of lung transplantations in 2014 and both recipients are in good condition and enjoy their lives at home. We have performed 4 cases (1 living-donor transplant, 3 cadaveric transplants) up to now.
A lung transplant is the set of the following procedures. Explantation of the diseased lungs and implantation of healthy lung(s). The healthy donated lungs come from either a deceased organ donor (cadaveric transplant), or two healthy donors (living-donor transplant).
Cadaveric lung transplantation
When a lung or a pair of lungs become available, Japan Organ Transplant Network (JOTN) will call our transplant surgeon. Once we feel the organ is in good condition for the transplant, we start the transplant process. Lung transplant procedures varies, depending on the type of diseases, patients’ condition, and so on. Some need to get both right and left donated lungs, while others are fine with one healthy donated lung. We may need to use a heart-lung machine during the surgery. The surgery usually takes more than 8 hours for both lungs to be implanted.
Living-donor lung transplantation
A complete voluntary donation of lung (the part called “a lobe”) from two healthy donors is what makes a living-donor transplant possible. Donor candidates go through various medical assessments to become a donor. Our lung transplant specialists take a consultation from the doctor in charge of your medical care.
Candidacy for lung transplantation
You may be a candidate for a lung transplantation if you are suffered from chronic, end-stage lung disease that is not responding well to other medical therapies.
The candidacy for cadaveric lung transplantation in Japan are the following:
Age of 55 years or younger for double lung transplant, and 60 or younger for single lung transplant.
Those who are expected to recover functionally for their physical and social activities.
- No extra-lung infection
- No Human Immunodeficiency Virus (HIV) infection
- Preserved organ (heart, liver, kidney, etc.) function
- No active cancer
- Nutrition status good for transplant surgery
- No extreme obesity or cachexia
- No alcoholic addiction
- Good physiologic and social status
- Physical and mental supports available from family and/or care givers
- Untreatable coagulopathies
Our lung transplant program include transplant surgeons, pulmonologists, cardiologists, infectious disease doctors, psychiatrists, lung transplant coordinators, physiotherapists that provide broad medical care and support for patients with conditions such as pulmonary hypertension, interstitial lung disease, chronic obstructive lung disease (COPD), and more. Please ask your doctor for consulting us.