Organ Transplantation in The People's Republic of China - Milestones

Milestones

The first living related renal transplant was performed in China in 1972; the first allogeneic bone marrow transplantation was successfully executed in an acute leukaemia patient The first recorded clinical liver transplant from a living donor in China took place in 1995, seven years after the world's first was performed in Sao Paulo, Brazil. Between January 2001 and October 2003, 45 patients received living donor liver transplantation (LDLT) at five different hospitals. In 2002, doctors at Xijing Hospital of the Fourth Military Medical University described three cases of living related liver transplantation. In 2003 a landmark brain-death case involving switched off ventilation came to the attention of the public and made a big impact on medical ethics and legislation. The first successful brain-death organ donation soon followed. From October 2003 to July 2006, 52 LDLT operations were conducted at the West China Hospital, Sichuan University. In October 2004, Peking University People's Hospital Liver Transplantation Center executed two cases of living related liver transplantation involving complex blood vessel anatomy. In 2002, the Chinese media reported surgeon Dr Zheng Wei successfully transplanted a whole ovary at the Zhejiang Medical Science University to a 34-year-old patient, Tang Fangfang, from her sister.

In April 2006, the Xijing military hospital in Xian carried out a face transplant operation covering the cheek, upper lip, and nose of Li Guoxing, who was mauled by an Asiatic black bear while protecting his sheep. However, it was reported on 21 December 2008 that Li Guoxing had died in July in his home village in Yunnan Province. Prior to his death, the Discovery Channel filmed a documentary during which showed he had stopped taking immuno-suppressant drugs in favour of herbal medication. His surgeon, Dr Guo Shuzhong, suggested it to be a contributing factor to his death.

The first successful penis transplant procedure was performed in September 2006, at a military hospital in Guangzhou. The patient, a 44-year-old male, had sustained the loss of most of his penis in an accident. The transplanted penis came from a brain-dead 22-year-old male. Although successful, the patient and his wife suffered psychological trauma as a result of the procedure, and had the surgery reversed fifteen days later. Following this, Jean-Michel Dubernard, famous for performing the world's first face transplant, wrote that the case "raises many questions and has some critics". He alluded to a double standard writing, "I cannot imagine what would have been the reactions of the medical profession, ethics specialists, and the media if a European surgical team had performed the same operation."