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| Liver Transplantation
in Indraprastha Apollo Hospital |
:: Live Donor Liver Transplant
:: Liver Surgery
:: Pancreatic Surgery
:: Gallbladder/Bile
Duct Surgery
:: Portal Hypertension Surgery
:: Radio Frequency Ablation
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:: Endoscopic Retrograde
:: Magnetic Resonance Cholangiopancreaticography
:: Pancreatic Surgery
& Transplant
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Liver Transplantation : Down the memory lane
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Liver transplantation
is the surgical replacement of a diseased liver with a healthy liver.
The indication for this operation is end-stage liver disease, characterized
by patients suffering from reduced liver function, muscle loss, fatigue,
encephalopathy, signs of portal hypertension (see portal hypertension
surgery), poor blood clotting and jaundice. A variety of liver diseases
can lead to end-stage liver disease. There are generally two main
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categories: those cases
caused by viruses (Hepatitis B and C) and/or alcohol and those caused
by problems concerning the bile ducts (primary biliary cirrhosis and
primary sclerosing cholangitis).
After an evaluation is completed, the patient is placed on the liver
transplant waiting list. In India ORBO (Organ Banking and Retrieval
Organisation) and MOHAN (Multi Organ Harvesting and Networking) promote
organ donation and facilitate distribution of cadaveric livers.
In the case of a cadaveric donor
organ, the transplant center receives a liver offer from ORBO for
a specified patient.
There are different sources of donor livers. Usually the liver is
obtained from a cadaveric donor (a person diagnosed as "brain
dead" but whose other organs and systems are functioning properly).
Due to a continuous shortage of donor livers and the high incidence
of liver disease, the waiting time is increasing every year. Hundreds
of people die each year while waiting for a cadaveric liver to be
offered. Donor livers also can be obtained from a family member or
a friend who donates a portion of his/her liver to the patient (see
living-related donor).
In the case of a cadaveric donor organ, the transplant center receives
a liver offer from ORBO for a specified patient. . The patient is
then notified and admitted to the hospital. While the donor team is
procuring the donor liver, the recipient team begins to prepare the
patient. The diseased liver is removed and the healthy liver is put
in its place. The operation usually takes 6-8 hours. After the operation
the patient begins taking medications to prevent the new liver from
being rejected by the body. Complete recovery may take several weeks.
The quality of life for transplant patients usually improves dramatically
and most lead healthy, normal lives.
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