Liver Transplant in Adults

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Liver Transplant in Adults

Treatment Duration

6 Hours

To

7 Hours

Treatment Cost

Rs

To

Rs 2300000

What is Liver Transplant in Adults?

A liver transplant is considered the last resort for liver disease treatment when other non-invasive and invasive methods fail to reduce the symptoms and revive the liver to function adequately. The liver can be donated by a living donor or a deceased donor.

The liver is the largest organ of the human body and is about 3 pounds in weight. It is the only organ in our body that can regenerate. Therefore, the people who donate part of their liver lead a healthy life. 

Indications of Liver Transplant in Adults

A healthy liver is required to maintain life. A severely diseased liver may result in life-threatening complications. Liver transplantation is required in the following cases:

  1. Liver cancer
  2. Alcoholic liver disease is when liver damage due to excessive alcohol
  3. Primary Sclerosing Cholangitis in which bile ducts are scarred and inflamed, resulting in bile flow obstruction
  4. Biliary atresia causes bile to accumulate in the liver and causes liver damage
  5. Non-alcoholic steatohepatitis results in fat accumulation in the liver, which does not allow the cells of the liver to function properly
  6. Metabolic diseases include Wilson’s disease, Alpha1-antitrypsin deficiency, Maple Syrup Urine Disease, and urea cycle deficiency.
  7. Autoimmune hepatitis is when the body's immune system attacks the healthy liver cells and damages them.
  8. Acute hepatic necrosis
  9. Chronic liver failure caused due to liver cirrhosis.

Liver Transplant in Adults Procedure

The doctor will perform the liver transplant in adults using the followings steps:

  1. Firstly, the doctor will make an incision across the stomach to gain access to the diseased liver. 
  2. Then the doctor will cut off the blood vessels near the diseased or unhealthy liver. 
  3. The diseased liver is carefully separated by the surgeon from the nearby organs and structures. 
  4. Once done, the doctor will either remove the part of the liver or the complete liver. 
  5. Then, the doctor replaces the removed liver with the donated liver portion (from the living donor) or the entire liver (from the deceased donor).
  6. Finally, the bile ducts and blood vessels are reattached to the replaced operated liver.
  7. Then, the doctor will place the tube in a mouth for oxygen, in an abdomen for transferring liquid diet or fluids, and in your bladder to drain out urine.
  8. The doctor then closes up the incision through stitches or surgical tapes. 

Before Liver Transplant in Adults

The minimum requirements for a patient to qualify for a liver transplant are:

  1. Advanced liver disease/liver cancer that cannot be treated through treatment other than liver transplant
  2. The patient is healthy enough to bear the mental and physical burden of surgery
  3. The patient ensures to abstain from future drug abuse and alcohol use
  4. There is no other life-threatening disorder that limits the life expectancy of the patient.

The doctor will recommend tests on the recipient and living donor. It is for evaluating the suitability and getting clearance for a liver transplant. Some of the tests that include the Transplant evaluation Process are: 

  1. Blood tests
  2. Imaging studies (X-rays, ultrasound, MRI) 
  3. Pulmonary fitness test
  4. Cardiac test
  5. Multidisciplinary clearance
  6. Social and psychological evaluation to determine if the patient is fit for surgery and can take the stress of surgery.
  7. Dental exams, comprehensive heart and lung tests, and liver biopsy.
  8. Women may undergo mammograms, Pap tests and general gynaecological examinations.

Once you are qualified, the doctor will explain the complete liver transplant procedure in detail to you. The doctor will ask you not to eat or drink anything after midnight before the surgery.

 

On the Day of Liver Transplant in Adults

You may expect the following on the day of surgery:

  1. You should reach the hospital on time. 
  2. The doctor will ask you to sign the consent form that allows the doctors to perform the liver transplant surgery. 
  3. Once done, you need to change into the hospital gown. 
  4. The doctor or nurse will administer anaesthesia and sedative to keep you calm and sleep during the surgery. 
  5. Then, you will be shifted to the operation theatre, where doctors will perform the surgery.

Recovery and Post Op Care after Liver Transplant in Adults

You may expect the following after the surgery:

Recovery in hospital:

  1. It takes almost 6 to 12 hours to complete the surgery. 
  2. The duration of surgery may exceed depending on how complex the surgery is. 
  3. Once the surgery is completed, the staff will shift you to an ICU. 
  4. The patient is prescribed anti-rejection medicine just after the surgery.
  5. Antibiotics, painkillers and other medications are also prescribed during the recovery at the hospital.
  6. The condition and vitals are monitored to watch for any signs of complications. 
  7. The patient is usually discharged 7-10 days after the procedure. 

Recovery at home:

  1. The patient is prescribed antibiotics, painkillers, immand unosuppressants (to prevent the immune system from attacking your new liver).
  2. The doctor reduces the dose and frequency of medications once the patient starts recovering.
  3. The patient is advised to take a healthy diet and practice a healthy lifestyle.
  4. Avoid intake of alcohol to reduce the risk of liver disease recurrence.
  5. The patient will be able to join work three months after the surgery.
  6. Several patients experience a lack of sexual desire before transplant. Such patients may require time to get their libido returned after the surgery.
  7. Start exercising a few days a week during recovery.

First Follow-Up Appointment After Liver Transplant in Adults

You will have your first follow-up with the doctor after a day of discharge. Your liver transplant team will design a regular check-up schedule for you with the doctor. You will have your second follow-up after a week of discharge. The doctor may perform blood tests to assess the recovery on a follow-up visit. 

You can return to the normal routine and work after a few months of liver transplant surgery. However, the recovery duration will vary from person to person and depends on how ill you were before your surgery for a liver transplant.

 

Risks and Complications of Liver Transplant in Adults

The liver is located on the right side of the abdomen below the diaphragm. The liver performs several essential functions. Complications both before and post-surgery can hamper the normal functioning of the liver.

Complications of Delaying Liver Transplant

If a liver transplant gets delayed, it will get damaged to the point where it cannot perform its normal functions properly. It will lead to end-stage liver damage or failure. The stages of liver failure include inflammation, fibrosis, cirrhosis, and end-stage liver failure.  Further, cancer in the liver may also spread to other organs if the cancerous liver is not replaced with a healthy liver. Once the liver fails, it will eventually lead to the death of the person. 

Complications Post Liver Transplant in Adults

You should contact the doctor immediately in case of any complications. Some of the risks or complications associated with liver transplants in adults are:

  1. Rejection of the transplanted liver by your immune system.
  2. Infection at the site of the surgery
  3. Weakening of the immune system due to immunosuppressant drugs leads to infection.
  4. Liver function problems 
  5. Narrowing of the bile ducts
  6. Clots in the hepatic artery (that carries blood from the heart to the liver)
  7. Bleeding
  8. Leakage of the bile
  9. Reaction to anaesthesia
  10. Return of liver diseases such as (hepatitis C, fatty liver, primary sclerosing cholangitis)
  11. Risk of getting a cancer

 

More Treatment options

Expert Doctors for Liver Transplant in Adults

Dr. Ashwani Chopra

Dr. Ashwani Chopra

Medical Gastroenterology, Surgical Gastroenterology
48 years experience
99% Recommended
Dr. Kaushal Madan

Dr. Kaushal Madan

Gastroenterology, Hepatology & Endoscopy
26 years experience
98% Recommended
Dr. Brajendra Prasad Singh

Dr. Brajendra Prasad Singh

Gastroenterology, Hepatology & Endoscopy
23 years experience
96% Recommended
Dr. Deepak Lahoti

Dr. Deepak Lahoti

Gastroenterology, Hepatology & Endoscopy
42 years experience
98% Recommended
Dr. P K Mishra

Dr. P K Mishra

Surgical Gastroenterology
40 years experience
99% Recommended
Dr. P K Mishra

Dr. P K Mishra

Surgical Gastroenterology
40 years experience
99% Recommended
Dr. Abhishek Deo

Dr. Abhishek Deo

Gastroenterology, Hepatology & Endoscopy
27 years experience
96% Recommended
Dr. Ashwini K. Setya

Dr. Ashwini K. Setya

Gastroenterology, Hepatology & Endoscopy
43 years experience
98% Recommended
Dr. Pallavi Garg

Dr. Pallavi Garg

Gastroenterology, Hepatology & Endoscopy
6 years experience
98% Recommended

NABH Accredited Hospitals for Liver Transplant in Adults

Dharamshila Narayana Superspeciality Hospital

Dharamshila Narayana Superspeciality Hospital

Metro Station, Dharamshila Marg 110096
Excellence in General Surgery, Gastrointestinal Surgery
4.9/5
Apollo Spectra Hospital, Karol Bagh

Apollo Spectra Hospital, Karol Bagh

66A, 2, New Rohtak Road 110005
Excellence in Gastrointestinal Surgery
4.8/5
Max Smart Super Speciality Hospital, Saket

Max Smart Super Speciality Hospital, Saket

Press Enclave Marg 110017
Excellence in Gastrointestinal Surgery
4.9/5
Max Hospital, Gurugram

Max Hospital, Gurugram

B Block, Sushant Lok 1 122001
Excellence in Gastrointestinal Surgery
4.5/5
Max Super Speciality Hospital, Shalimar Bagh

Max Super Speciality Hospital, Shalimar Bagh

FC 50, Max Wali Rd, C And D Block 110088
Excellence in Gastrointestinal Surgery
4.8/5
Max Super Speciality Hospital, Vaishali

Max Super Speciality Hospital, Vaishali

W-3, Ashok Marg 201012
Excellence in Gastrointestinal Surgery
4.9/5
Max Super Speciality Hospital, Patparganj

Max Super Speciality Hospital, Patparganj

108A 110092
Excellence in Gastrointestinal Surgery
4.6/5
Max Multi Speciality Centre, Panchsheel Park

Max Multi Speciality Centre, Panchsheel Park

N 110, Block N 110017
Excellence in Gastrointestinal Surgery
4.7/5
Max Institute Of Cancer Care, Lajpat Nagar

Max Institute Of Cancer Care, Lajpat Nagar

2nd, 26A, Ring Rd, Vikram Vihar 110024
Excellence in Gastrointestinal Surgery
4.9/5

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