Long-term management and outcome of lung transplantation in Japan

: The long-term survival after lung transplantation (LT) is favorable in Japan. However, survivors LT are subject to late complications, including chronic allograft dysfunction (CLAD), malignancy, infection, and kidney disease (CKD) because of the need for lifelong immunosuppression. rates single cadaveric (CLT) living-donor lobar (LDLLT) higher than that bilateral CLT Here, we will describe management complications outcome Attention should be paid not only phenotype CLAD but also difference LDLLT as well timing re-transplantation advanced CLAD, especially CLT. Since post-transplant lymphoproliferative disorder most common malignancy LT, infection monitoring infection-related malignancies appropriate screening keys early diagnosis treatment LT. important, with regard community-acquired pathogens, Aspergillus, cytomegalovirus. When providing care physicians aware CKD renal replacement therapy cases severe CKD. widespread use computed tomography dialysis Japan beneficial similar outcomes LDLLT, compared CLT, might contribute improved Pulmonologists encouraged become further involved