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Healthcare professional holding a 3D model of a liver with gallbladder, symbolizing Liver Transplantation.

Liver Transplantation

A liver transplant is a surgery that removes a liver that no longer functions properly (liver failure) and replaces it with a healthy liver from a deceased donor or a portion of a healthy liver from a living donor.

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A liver transplant is a surgery that removes a liver that no longer functions properly (liver failure) and replaces it with a healthy liver from a deceased donor or a portion of a healthy liver from a living donor.

Symptoms Of Liver Transplantation

Symptoms

Types of conditions

There are 5 main types of Liver Transplantation

Deceased Donor Liver Transplant (DDLT)

Living Donor Liver Transplant (LDLT)

Split Liver Transplantation

Auxiliary Liver Transplantation

Domino Liver Transplantation

Deceased Donor Liver Transplant (DDLT)

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Cost estimation

Learn about the expenses involved in the procedure and what factors affect them.

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The average cost of Liver Transplantation in India is around ₹ 10 lakh to ₹ 40 lakh.

₹ 40 lakh

High Cost

₹ 30 lakh

Average Cost

₹ 10 lakh

Low Cost

The LIST of AVERAGE COST of the Liver Transplantation across TOP 4 cities in India in Indian Rupee (INR) is as follows :

City

Lowest Cost

Average Cost

Highest Cost

Delhi

₹ 10 lakh

₹ 18 lakh

₹ 25 lakh

Mumbai

₹ 10 lakh

₹ 25 lakh

₹ 40 lakh

Chennai

₹ 14 lakh

₹ 20 lakh

₹ 29 lakh

Kolkata

₹ 15 lakh

₹ 25 lakh

₹ 35 lakh

Commonly Asked Questions

Know More about Liver Transplantation

How long can a liver transplant patient live?

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Dr. Naresh Shanmugam

Dr. Naresh Shanmugam

Gastroenterologist

29+ Years Of Experience

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Dr. Senthil Kumar Ganapathi

Dr. Senthil Kumar Ganapathi

Surgical Gastroenterology

10+ Years Of Experience

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Dr. G R Srinivas Rao

Dr. G R Srinivas Rao

Gastroenterologist

34+ Years Of Experience

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On average, most people who receive liver transplants live for more than 10 years. Many may live for up to 20 years or more after the transplant.

What is the age limit for liver donation?

To become a live liver donor, you must: Be a willing adult between age 18 and 60.

Can a son donate a liver to his father?

A living donor for liver transplant is a close family member.They can be spouse, parents, siblings, grandparents, and children of the recipient. Any of these can be a donor as long as they are healthy and pass all their tests and fulfil the requirements of the law

Can a smoker be a living liver donor?

If you're a light smoker, stop smoking at least one month prior to your liver donation surgery. Because smoking can add risks to surgery, people who smoke heavily do not make ideal organ donors.

Can liver be cured without transplant?

It can completely regrow itself even after two-thirds of its mass has been surgically removed. But damage from medications, alcohol abuse or obesity can eventually cause the liver to fail. Currently, the only effective treatment for end-stage liver disease is transplantation.

What happens if a liver transplant is rejected?

Chronic rejection usually leads to the loss of bile ducts (ductopenia). Another liver transplant may be needed.

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Jaundice
Severe fatigue and weakness
Abdominal swelling (ascites)
Easy bruising, bleeding tendencies

Types of condition for liver transplant

  • Cirrhosis: Cirrhosis is a late stage of scarring (fibrosis) of _the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism.
  • Hepatitis B: Chronic hepatitis B infection can cause liver inflammation and scarring, leading to cirrhosis and liver failure.
  • Hepatitis C: Chronic hepatitis C infection is a leading cause of liver cirrhosis and hepatocellular carcinoma.
  • Alcoholic Liver Disease: Chronic alcohol abuse can lead to alcoholic liver disease, characterised by liver inflammation, fatty liver, fibrosis, and cirrhosis.
  • Acute Liver Failure: Acute liver failure is a rapid deterioration of liver function occurring over days to weeks, often resulting from viral hepatitis, drug-induced liver injury, or other causes.

Diagnosis

Liver transplantation is usually recommended when the liver has been damaged to the point that it cannot perform its normal functions. This is known as liver failure or end-stage liver disease. The liver can become gradually damaged as a result of illness, infection or alcohol. This damage causes the liver to become scarred, which is known as cirrhosis. Liver cirrhosis can be diagnosed by :

  • Blood tests: Liver tests to show if liver enzymes are higher or lower than usual, CBC to detect signs of infection and anaemia that may be caused by internal bleeding, test for autoimmune conditions or test for viral infections.
  • Imaging tests: Imaging tests can show the size, shape, and texture of the liver and show how much fat is in the liver. Some tests can also measure the stiffness of the liver. Cirrhosis increases liver stiffness. It includes ultrasound, X Ray like CT scan , MRI and elastography.
  • Liver biopsy: A liver biopsy can diagnose cirrhosis when the results of other tests are uncertain. The biopsy may also help the doctor identify the cause of cirrhosis and determine whether there is a need for treatment.

Risk factors

Some of the main problems associated with liver transplants include:

  • The body rejecting the new liver
  • Bleeding (haemorrhage)
  • Bile Leakage
  • The new liver not working within the first few hours (primary non-function), requiring a new transplant to be carried out as soon as possible
  • An increased risk of picking up infections
  • Loss of kidney function
  • Problems with blood flow to and from the liver
  • An increased risk of certain types of cancer – particularly skin cancer.

Preparing for surgery

  • The healthcare provider will explain the procedure to the patient .
  • The patient will be asked to sign a consent form that gives permission to do the surgery. Read the form carefully and ask questions if anything isn't clear.
  • For a planned living transplant, follow any directions you're given for not eating or drinking before the surgery. If the liver is from a donor who has just died, the patient shouldn't eat or drink once they are told a liver is available.
  • The patient may be given medicine to help them relax (a sedative) before the surgery.

Recovery

  • After the surgery the patient may be taken to the recovery room for a few hours before being taken to the intensive care unit (ICU). They'll be closely watched in the ICU for several days.
  • They'll be hooked up to monitors. They'll be shown their heartbeat, blood pressure, other pressure readings, breathing rate, and oxygen level. They'll need to stay in the hospital for 1 to 2 weeks or longer.
  • They'll most likely have a tube in their throat. This is so they can breathe with the help of a ventilator until they can breathe on their own. They may need the breathing tube for a few hours or a few days, depending on their situation.
  • They may have a thin plastic tube inserted through their nose into their stomach to remove air that they swallow. The tube will be taken out when your bowels start working normally again. They won’t be able to eat or drink until the tube is removed.
  • Blood samples will be taken often to check the new liver. They'll also check that the kidneys, lungs, and circulatory system are all working.
  • They may have IV drips to help their blood pressure and heart and to control any problems with bleeding. As your condition gets better, these drips will be slowly decreased and turned off. They may receive antibiotics.
  • Once the breathing and stomach tubes have been removed and they're stable, they may start to drink liquids. They may slowly begin to eat solid foods as directed.
  • Anti Rejection medicines will be closely watched to be sure they are getting the right dose and the right mix of medicines.
  • When the provider feels the patient is ready, they'll be moved from the ICU to a private room. They will slowly be able to move about more as they get out of bed and walk around for longer periods of time. They'll slowly be able to eat more solid foods.
  • The transplant team will teach the patient how to take care of themselves when they go home.

I want to know more about Liver Transplantation in India
What is the cost of Liver Transplantation in India?
Can you help me find a doctor for Liver Transplantation?
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Dr. Mahesh Goenka

Dr. Mahesh Goenka

Gastroenterologist

37+ Years Of Experience

Dr. Prakash K

Dr. Prakash K

Gastrointestinal Surgeon

19+ Years Of Experience

The cost of a liver transplant can range anywhere between 10 - 40 lakhs. This includes the pre-transplant evaluation, the surgery itself and the post-surgery recovery period. There are certain factors that affect the cost of an organ transplant.

  • Organ Recovery and Transport Charges
  • Hospital Infrastructure and Technology
  • Expertise of skilled surgeons, their teams and use of advanced techniques
  • Length of stay in the hospital and category of room opted
  • Any health complications
  • Recovery and Rehabilitation
  • Post-transplant Medication
  • Involves obtaining a liver from a deceased donor who has consented to organ donation.
  • Typically performed for recipients with liver failure due to conditions like cirrhosis, hepatitis, or liver cancer.
  • Donor liver is carefully matched with the recipient based on factors like blood type, body size, and severity of illness.

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Dr. Aruna Bhave

Dr. Aruna Bhave

Medical Gastroenterologist

39+ Years Of Experience

The healthcare provider must be called in case of any of the following signs:
  • Fever. This may be a sign of rejection or infection.
  • Redness, swelling, or bleeding or other drainage from the incision site
  • More pain around the incision site. This may be a sign of infection or rejection.
  • Vomiting or diarrhoea
  • Yellowing of the skin and eyes (jaundice)