Updated 2/14/2025

Liver transplant

A liver transplant is a surgical procedure where a diseased liver is replaced with a healthy liver from a donor. This can be a living donor or a deceased donor, depending on availability and suitability.

Purpose

The procedure is performed to treat severe liver diseases, such as cirrhosis or liver cancer, when the liver can no longer function properly. It aims to restore normal liver function and improve the patient's quality of life.

Risks, Benefits, and Alternatives
  • It can significantly improve life expectancy for patients with end-stage liver disease.
  • Many patients experience a better quality of life after the transplant, with improved health and energy levels.
  • A successful transplant can alleviate symptoms like jaundice, fatigue, and abdominal swelling.
Procedure Details

Preparation

  • Patients will undergo a thorough evaluation to determine their eligibility for a transplant.
  • Blood tests and imaging studies will be conducted to assess liver function and overall health.
  • Patients may need to stop certain medications or adjust their diet before the procedure.

Process

  1. The patient is placed under general anesthesia to ensure they are unconscious and pain-free during the surgery.
  2. The surgeon makes an incision in the abdomen to access the liver.
  3. The diseased liver is carefully removed, and the new liver is positioned in place.
  4. Blood vessels and bile ducts are connected to the new liver.
  5. The incision is closed with sutures or staples, and the patient is moved to recovery.

Recovery

  • Patients will stay in the hospital for several days to monitor their recovery and liver function.
  • Regular follow-up appointments will be necessary to check for signs of rejection or complications.
  • Patients will need to take immunosuppressive medications for the rest of their lives to prevent rejection.

Duration

The procedure typically takes 6 to 12 hours.

Anesthesia

General anesthesia is used during the procedure.

Cost Information

The cost of a liver transplant can vary widely, often exceeding $500,000, including surgery and post-operative care. Insurance may cover a significant portion, but patients should check with their provider for specific details.

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