The liver is one of the largest organs of our body, and its weight can vary from 1.4-1.6 Kg in adults. It has a dark red color and a triangular shape. It performs many functions in our body.
The main duties of the liver are:
Our liver, which is important for our body, may lose its functionality and liver failure for some of the following reasons:
Liver transplant surgery is considered in cases where the life expectancy is very short if the transplant cannot be taken under control with any other treatment.
Liver transplant is a surgical procedure performed by replacing a liver that is no longer functioning properly (liver failure) with a liver from a donor who has had a brain death, or by replacing a part of the liver from a living healthy donor.
Liver transplant surgery with a piece of liver to be taken from a live donor is based on volunteering. Whether the donor meets the medical conditions necessary for transplant is definitely checked by specialists. There should be kinship relationship between the recipient and donor up to 4th degree. In cases where there is no kinship until the 4th degree, the approval of the Official Institutions is required.
Liver transplant surgery is an operation in which many doctors attend the surgery. It is performed by a team which has high medical experience. In our country, liver transplant operations are performed at World Standards.
Phase 1: Before Liver Transplant Surgery.
Phase 2: Liver Transplant Surgery
Phase 3: After Liver Transplant Surgery
At the time of the application or referral of a patient for liver transplant the transplant coordinators will collect the patient’s physical information, past medical history and results of any previous diagnostic tests and treatments as well as a description of his or her current condition and legal paperwork. A transplant evaluation will be scheduled for the patient, which will include;
All liver transplants are done in an orthotopic fashion, that is, the native liver is removed and the new liver is placed in the same anatomic location. The transplant operation can be conceptualized as consisting of the hepatectomy (liver removal) phase, the anhepatic (no liver) phase, and the postimplantation phase. The operation is done through an incision in the upper abdomen. The hepatectomy involves division of all ligamentous attachments to the liver, as well as the common bile duct, hepatic artery, hepatic vein and portal vein.
The donor's blood in the liver will be replaced by an ice-cold organ storage solution, until the allograft liver is implanted. Implantation involves connections of the inferior vena cava, portal vein, and hepatic artery. After blood flow is restored to the new liver, the biliary connection is constructed, either to the recipient's own bile duct or to the small intestine. The surgery usually takes between five and six hours, but may be longer or shorter due to the difficulty of the operation.
Life after transplant involves continuous follow-up by a physician as well as certain measures to more easily adapt to daily life. The recipient would need follow-up outpatient visits to ensure his or her general health and the functioning of the transplanted organ. These follow-up visits get less frequent over time and the recipient can reach the transplant center via telephone or internet anytime the patient has a concern or question. The donor would get a
physical examination prior to discharge from the hospital to ensure his or her general health and the functioning of the remaining organ. First follow-up visit would be in 6 months and then annually. Mindful physical activity, healthy and balanced nutrition, general hygiene and preventive measures for infections are important for organ recipients.