Compiled by the China Organ Transplantation Development Foundation (COTDF), this book serves as a reference for the field of organ transplantation, synthesizing multi?faceted perspectives and social?significance evidence from China's organ transplantation sector. Its purpose is to foster an accurate and comprehensive societal understanding of organ transplantation, while instituting an annual development report series as a key professional reference in China.

The report examines the reform and development of China's organ transplantation endeavors from multiple dimensions, outlines the supporting framework of the "China model," assesses organ donation willingness nationwide, and formalizes an annual publication mechanism. These efforts are designed to bolster reform initiatives, strengthen public engagement, and facilitate international exchange within China's organ transplantation landscape.

HUANG Jiefu, former President of Sun Yat-sen University of Medical Sciences, former Vice Minister of Health, former Deputy Director of the Central Healthcare Committee (ministerial level). He currently serves as Chairman of the National Organ Donation and Transplantation Committee, Chairman of the China Organ Transplantation Development Foundation, Dean of the Institute for Hospital Management at Tsinghua University, and Professor of Surgery at Peking Union Medical College and Tsinghua University. He has edited 16 surgical monographs, published 607 academic papers, chaired over 80 academic conferences, and received eight national and ministerial-level scientific and technological awards. He has been honored with the National May Day Labor Medal, the National Outstanding Returnee Award, the Bethune Medal from the Ministry of Health. In 2008, he received the Significant Contribution Award from The Transplantation Society (TTS), followed by the WHO World No Tobacco Day Award in 2013. That same year, he was awarded honorary doctoral degrees by the University of Hong Kong and Hong Kong Metropolitan University. In 2015, he received the GUSI International Peace Prize and the Special Contribution Award of the Wu Jieping Medical Award, the most prestigious medical accolade in China. In 2017, he was granted the Major Contribution Award by the Red Cross Society of China.

He is a Fellow of the Royal College of Surgeons of Edinburgh, a Fellow of the Hong Kong Academy of Medicine, a Chinese member of The Transplantation Society, and a Chinese council member of the Asian-Pacific Hepato-Pancreato-Biliary Association. Additionally, he holds visiting or honorary professorships at numerous renowned universities worldwide, including Peking University, Tsinghua University, Sun Yat-sen University, the Chinese University of Hong Kong, Harvard University, Massachusetts Institute of Technology, and the University of Sydney.

Chapter 1 Human Organ Donation in China 102

1.1 Development of policies and regulatory systems 103

1.2 Development of the organizational networks 104

1.3 Registration of human organ donation volunteers 106

1.4 Organ donation in China 109

1.5 Progress of related works 112

1.6 Future outlook 116

Chapter 2 Donated Organ Procurement in China 118

2.1 Development and construction of human donated organ

procurement system 119

2.2 Distribution and construction of OPOs 121

2.3 Organ donation in China 122

2.4 Procurement and utilization of organs 124

2.5 Quality of donor organs 127

2.6 Features and future outlook 129

Chapter 3 Human Organ Allocation and Sharing in China 132

3.1 Distribution of transplant hospitals in China 134

3.2 Overview of human organ donation 135

3.3 Patients waiting for organ transplantation 138

3.4 Policy implementation efficacy in organ allocation and sharing 142

3.5 Features and future outlook 145

Chapter 4 Liver Transplantation in China 147

4.1 Distribution of medical institutions qualified for liver

transplantation 148

4.2 Demographic characteristics of liver transplant recipients 151

4.3 Quality and safety analysis of liver transplantation 151

4.4 Feature and future outlook 155

Chapter 5 Kidney Transplantation in China 157

5.1 Distribution of medical institutions qualified for kidney transplantation 158

5.2 Demographic characteristics of kidney transplant recipients 166

5.3 Quality and safety analysis of kidney transplantation 167

5.4 Features and future outlook 170

Chapter 6 Heart Transplantation in China 174

6.1 Distribution of medical institutions qualified for heart

transplantation 174

6.2 Demographic characteristics of heart transplantation recipients 177

6.3 Quality and safety analysis of heart transplantation 178

6.4 Features and future outlook 181

Chapter 7 Lung Transplantation in China 184

7.1 Distribution of medical institutions qualified for lung

transplantation 185

7.2 Demographic characteristics of lung transplantation recipients 189

7.3 Quality and safety analysis of lung transplantation 191

7.4 Features and future outlook 195

Chapter 8 The Development of Technologies and Innovations for Organ Transplantation in China 198

8.1 Islet transplantation combined with ischemia-free liver

transplantation technology 198

8.2 Influence of sex on outcomes of liver transplantation for

hepatocellular carcinoma: a multicenter cohort study in China 201

8.3 A dynamic perioperative assessment system based on

skeletal muscle status in liver transplantation for

hepatocellular carcinoma 204

8.4 The clinical application of [18F] AlF-NOTA-FAPI-04 PET/CT

in the diagnostic value of liver graft fibrosis after liver

transplantation 206

8.5 Hyperspectral technology for urine analysis in predicting and

identifying kidney transplant rejection 210

8.6 Clinical efficacy analysis of modified pancreatic tail end-to-splenic

arteriovenous shunt: a case study from the China organ

transplantation development report 215

8.7 Donor posterior atrial flap rotation for left atrial cuff

reconstruction in lung transplantation 220

8.8 Mechanisms of pulmonary fibrosis and its lung transplantation

diagnosis and treatment system 224

8.9 Application of donor aortic arch optimization technique in

reconstructing left atrial cuff 227