What is Liver Transplant and how is it performed?
Old non-functioning liver is removed and the new donor liver is placed. Donor liver can be complete or partial depending upon the type of donor it is received from. If the liver is from a dead person, it is transplanted as a whole, however if the donor liver is from a family member, only a part of the liver is used. As the liver has the power to generate itself again, both the livers in the donor and the receiver develop to become a whole liver without any difficulty. The major reason behind the liver transplant is the chronic liver disease and liver cancer that lead to liver damage eventually. Know more about the liver diseases, their symptoms and treatment in Delhi by Dr. Sandeep Jha.
Living Donor Liver Transplant (LDLT) – As the name suggests, living donor liver transplant is taken from a living donor who is a family member in most cases. Both portions of the liver grow to its full size within a few months, however the shape of the liver may vary. The living donor liver transplant provides great life expectancy and is the perfect treatment for liver failure as the deceased donors are not always available. Children and younger adults mostly received the living donor liver transplant as their parents are quite likely to get matched. Dr. Sandeep Jha has performed many liver transplants with his talented liver team with successful outcomes.
Deceased Donor Liver Transplant (DDLT) – In this type of liver transplant, the donor of the liver is deceased. The complete liver is taken from the donor after the consent of his/her family. The liver of only the brain-dead patients is viable for transplant. The recipient must receive the liver within 24 hours of the harvesting of the donor liver. Dr. Sandeep Jha’s team keeps its liver transplant patients on the priority list so that they can be called when a donor liver is available. Deceased donor liver transplants are also very successful and the life expectancy of the receiver and the quality of life increases considerably.
Pediatric LDLT – In case of liver failure in children, the mother is the primary donor of liver. These living donor liver transplants are quite successful if the baby is not having any other diseases. Most cases of pediatric liver failure are due to biliary atresia or some genetic hepatic condition. In most pediatric live donor liver transplant cases performed by Dr. Jha, the children as well as the donors are perfectly alright with normal liver function.
ABO-Incompatible LDLT – When the blood group of the donor is different from the blood group of the receiver, then it is known as ABO incompatibility. It used to be impossible to receive the liver from a mismatched donor in the past. However with new advancements in medical science, we are now able to transplant the liver from a different blood group donor if all other criterias match.
Emergency LDLT for Acute Liver Failure(ALF) – Emergency living donor liver transplant in acute liver failure has been proven to be life saving for acute liver failure patients. The living donor must have a good match with the receiver ALF patient. It is the best method to treat acute liver failure with good life expectancy and better quality of life. Dr. Sandeep Jha is an expert in the emergency living donor liver transplant.
Simultaneous Liver-Kidney Transplant – The patients suffering from end stage kidney disease along with cirrhosis of liver can get benefitted from the simultaneous liver-kidney transplant. Commonly known as SLK, it is a boon for patients suffering from both liver and kidney diseases. In this surgery, both the liver and the kidney are transplanted in one surgery. The transplant rejection rate is lower, the expense is lower than the two different surgeries as well as the outcome. Simultaneous liver kidney transplant is a long and major surgery that needs an expert like Dr. Sandeep Jha. Take his opinion by booking an appointment here.
Acute Liver Failure Management – If the acute liver failure is due to any drug or food (mushroom) poisoning, then the medicines are given to reverse the effect of the poisonous substance. Drug is removed from the liver and the healing time is given to the liver to make it function normally. In case, the liver has suffered irreversible damage, then liver transplant is the only option. Meanwhile, the patient is being monitored for liver infections, abnormal bleeding, fluid buildup in the brain and adequate nutrition.
Right/Left Hepatectomy – Hepatectomy is the removal of liver, it can be partial or complete. In the partial hepatectomy or partial resection of the liver, the portion of either the right or the left side is removed. Right or left hepatectomy is the treatment of choice in case of liver cancer, trauma, infection, parasitic cysts in liver or liver tumors. Most liver cancers arise from colorectal cancers. In these surgeries, the patient’s liver is saved and the diseased part is removed. The removal of the diseased part helps in saving the rest of the organs.
Right/Left Trisegmentectomy – Liver trisegmentectomy is a complex procedure performed by only the experienced liver surgeons in Delhi. Dr. Jha is capable and well-skilled in performing this procedure. In the right or left trisegmentectomy, about 3 segments of the liver are removed either from the left or right side, depending upon which one is diseased. The three segments in right trisegmentectomy consists of the right lobe and one segment of the left lobe. The left trisegmentectomy includes the left lobe and one segment of the right lobe. This surgery is a safe and very effective way to ensure good blood supply and viability of the remaining small part of the liver.
ALPPS procedure – ALPPS procedure stands for Associating Liver Partition & Portal Vein Ligation for Staged Hepatectomy. It is performed when the cancer is so spread out that the tumour becomes inoperable. Then ALPPS procedure is then performed to remove some part of the cancer and to promote the growth of the liver so that the whole cancer can be removed later.
Roux-en-y Hepaticojejunostomy – When the bile duct is removed, the liver and jejunum are connected directly to let the bile drip into it. This surgery bypasses the bile duct and the liver gets connected to the middle part of the small intestine directly. This surgery is performed in cases of cancer, gallbladder removal, liver transplant, biliary trauma etc. The patient can resume normal activities earlier but the full recovery requires about 6 weeks or more. Heavy lifting and sports activities are avoided in the meantime.