Liver Transplant & Surgical Gastroenterology

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What is the Liver Transplantation?

It is an operation in which a deceased Liver is removed & replaced with a healthy liver from a donor.

Who needs a Liver Transplant?

It is a life saving treatment for patients with liver failure, a condition in which the liver is not able to sustain body needs. A patient with either acute or chronic liver failure will benefit from a transplant.

Who can be a Liver Donor?

Liver donation can be from a living donor or a deceased (brain dead, cadaveric) donor.

What is Living Donor Liver Transplant?

If a living person donates a part of his / her liver, it is called living donor liver transplant. Living donor is a family member or close relative of the patient. A living donor should have the following:

• Compatible blood group with recipient

• Family member (first, second or third degree relatives)

• Age 18-50 years

• Should not be overweight

• Donor should be in good overall physical & mental health

• Donor liver should be large enough to provide adequate volume to recipient

Is it safe for a living person to donate a part of liver?

Even though it requires a major operation it is considered safe, because of 2 reasons:

Liver reserve: Even 25% of liver can provide sufficient function for a donor, at end of operation at least 30% is left behind in the person who donates liver..

Regeneration: Capacity of liver to regenerate/ regrow back to its normal size, liver regenerates up to 80-90% within 2-3 months.

Success rate- Success rate of liver transplant is around 95%

Life after transplant - A patient can lead a normal productive life after a liver transplant. He needs lifelong medication & follow-up.

Life after liver donation?

After liver donation, donor leads a normal life. Quality of life is not affected after liver donation. Donors have gone back and joined the army. Even Ladies have given birth to children after donation.

Talk to our transplant coordinator for better assistance.

S.NO Name Designation Department Contact Number
1 Vardan Agarwal Transplant Liver Transplant & Surgical Gastroenterology 7011448980, 9582261502

 

GI SURGERY

Liver, bile duct surgery 

Stones, tumours and cysts are commonly seen in the liver, gall bladder and bile duct. Many of these require surgery for cure. Our team has been performing surgery on these organs for more than a decade.
Because we regularly perform complicated surgery on these organs, especially during liver transplantation, we have a through understanding of the anatomy. As a result the outcome of surgery for these conditions at PSRI is very good.

Pancreatic cancer and spleen surgery


Cancer of the pancreas is an aggressive disease and often has invaded adjacent organs at the time of diagnosis. Our panel of cancer specialists including oncologist and surgeons will help you understand and make decisions regarding treatment- like should chemotherapy be given before surgery? Or will surgery help?.
Our surgeons are experienced in minimally invasive (laparoscopic) surgery, Whipple operation for removal of the cancer bearing portion of the pancreas, even in the difficult situation where arteries and veins have to be divided and rejoined.

Cancer surgery

Our ‘tumour board’ group of experts from surgery and chemotherapy discuss every case to decide on the best course for your disease.
When surgery is required, expertise at laparoscopic surgery makes the process of recovery faster and less painful.

Commonly performed surgeries


Laparoscopic cholecystectomy for stones and cancer of gallbladder
Laparoscopic and thoraccoscopic surgery for oesophageal cancer, achalasia
Laparoscopic surgery for stomach, small intestine, colon and rectal cancer
Hydatid cyst and cancer of liver
Surgery on the spleen and adrenal

Liver cirrhosis & Treatment

Cirrhosis is scarring or damage to the liver, usually permanent. Whatever the reason for the damage, (eg hepatitis B or C, long term alcohol intake, fatty liver, sometimes the reason cannot be identified) the resultant damage results in similar problems to the patient.

Common problems: getting tired easily, swelling of feet, water accumulation in the stomach, jaundice, confusion, coma, vomiting of blood
Your doctor can make a diagnosis based on a few tests


Cirrhosis is largely progressive disease and we do not have medicines to cure cirrhosis. All treatment is directed towards prevention of complications of cirrhosis and managing problems faced by patient. These problems are directly related to the liver being scarred.

Treatment:


In early stages medicines are effective in controlling symptoms. With time, as disease progresses more and more medicines are required for control of symptoms. This is a stage where patients are not able to do daily activities which they previously could.


Patients require hospital admissions, usually repeated admissions for treatment of complications, like removal of fluid or treatment of various stages of drowsiness or coma. In this stage joining a ‘ascites club’ or support group of patients with similar disease can help understand and deal with the problem better. Such groups can be found at PSRI hospital, and can be reached via the liver transplant coordinator at PSRI.


At this stage, a transplant operation should be considered and is both cost effective and curative.