{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:21:53Z","timestamp":1787062913791,"version":"build-2736575974"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Transplant."],"abstract":"<jats:p>This paradox emphasizes the urgent need to re-engineer transplant systems around pediatric-adult split liver transplantation (SLT). Despite being as effective as whole-liver transplants, SLT remains underutilized due to logistical and policy barriers. We believe that expanding SLT is not only clinically acceptable but a just and effective moral necessity. We propose a five-point action plan, including centralized splitting hubs, NMP-enabled transport, and global pilot programs, to transform SLT from an exception into standard practice.<\/jats:p>","DOI":"10.3389\/frtra.2025.1709770","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:44:56Z","timestamp":1769150696000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pediatric-adult split liver transplantation: an ethical imperative and systems-based roadmap for global expansion"],"prefix":"10.3389","volume":"4","author":[{"given":"Tran Cong Duy","family":"Long","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, University Medical Center at Ho Chi Minh City","place":["Ho Chi Minh City, Vietnam"]},{"name":"Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City","place":["Ho Chi Minh City, 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