What is Liver Transplant?
Liver Transplant is an operation, usually performed when a liver has been damaged to such an extent that it can no longer function properly. In this procedure, the damaged liver completely removed and is replaced with new healthy liver. Based on the source of liver donation, liver transplantation can be carried out in two ways:
Living donor liver transplant (LDLT) – In this procedure, a portion of the liver (liver graft) is taken from healthy living donor after proper evaluation. Percentage of liver taken depends upon age and weight of the recipient. Up to 70% of liver can be safely removed from the Healthy Donor. Post the Transplant, this partial liver Regenerates in both the patient and donor. Although the process of regeneration takes a few months, 80-90% of regeneration happens within 4-6 weeks post the Transplant. About 70% of transplants performed in India are LDLT.
Deceased Donor (Cadaveric) Liver Transplant (DDLT) – In this procedure, liver is taken from the brain dead donor. Brain death is a clinical scenario in which brain stops functioning and external support (in the form of ventilator) is required to maintain oxygen in the body. Brain death is scientifically similar to actual death. Soon after brain death, organs such as heart, liver etc. continue working for a limited period of time and it is during this time that all the organs can be donated. Majority of the transplants in the West are Deceased Donor Liver Transplants.
In an ideal scenario, there should be healthy mix of DDLT and LDLT to save more lives and to decrease the risk for living donors.
Consult to Dr. Vivek Vij
Who needs a transplant
When the liver fails to perform 80-90% of the liver functions, liver transplantation might be the only cure for liver. Indications of liver transplant are different in adults and pediatric population. There are many reasons, why a patient would need liver transplant.
Complications after Liver Transplant
A liver transplant is a very complex surgery that can lead to numerous complications. Although not every patient experiences these complications, most of them are preventable if patients strictly follow the instructions and regularly visit for follow-ups.
