Elective surgical patients as living organ donors: A clinical and ethical innovation

G. Testa*, P. Angelos, M. Crowley-Matoka, M. Siegler

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


We propose a new model for living organ donation that would invite elective laparoscopic cholecystectomy patients to become volunteer, unrelated living kidney donors. Such donors would be surgical patients first and living donors second, in contrast to the current system, which 'creates' a surgical patient by operating on a healthy individual. Elective surgery patients have accepted the risks of anesthesia and surgery for their own surgical needs but would face additional surgical risks when a donor nephrectomy is combined with their cholecystectomy procedure. Because these two procedures have never been performed together, the precise level of additional risk entailed in such a combined approach is unknown and will require further study. However, considering the large number of elective cholecystectomies performed each year in the United States, if as few as 5% of elective cholecystectomy patients agreed to also serve as living kidney donors, the number of living kidney donors would increase substantially. If this proposal is accepted by a minority of patients and surgeons, and proves safe and effective in a protocol study, it could be applied to other elective abdominal surgery procedures and used to obtain other abdominal donor organs (e.g. liver and intestinal segments) for transplantation.

Original languageEnglish (US)
Pages (from-to)2400-2405
Number of pages6
JournalAmerican Journal of Transplantation
Issue number10
StatePublished - Oct 2009


  • Clinical ethics
  • Living donor kidney transplantation
  • Surgery kidney donation

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation
  • Pharmacology (medical)


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