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Living liver donation
Who can be a Donor?
Facts about liver donation surgery

Living liver donation Introduction
Liver donation is possible from a living donor who is a relative of the recipient who can donate half his/her liver. The donor operation is entirely safe and the half liver quickly regenerates in both the donor and the recipient in a few weeks. In the first few days after operation even when regeneration is not complete, the half liver is enough to maintain normal donor functions due to the immense reserve in the liver.





Who can be a Donor?
  • The person must donate of his/her own free will
  • The person should be between 18-55 years and weigh between 50-85kg
  • The person must be a close relative
  • The donor and recipient blood group must match
  • The donor liver structure / function, as well as the other systems must be normal
  • Half of the donor liver must be enough in volume for the recipient
The suitability in the above respects and some other technical points is determined by the Transplant Team in Pre-transplant donor evaluation which normally takes 2-3 days.
A number of tests, including blood and urine, will be required to verify that a potential donor is entirely healthy and does not show evidence of liver disease or other conditions that may prevent such a donation. A liver specialist, not involved in the care of the patient, is consulted to assess the health and suitability of the potential donor. As with patients undergoing evaluation for a liver transplant, potential donors will be interviewed by a social worker and a psychiatrist. Any medical, social or psychological issues identified may preclude an individual from donating.

If the potential donor successfully passes the initial screening, then he or she will undergo more extensive testing before the transplant surgery is scheduled. A special MRI of the abdomen will be obtained to accurately assess the size of the liver, as well as other aspects of the patient's anatomy. An angiogram (a picture of the blood vessels leading to the liver), and other pre-surgery tests, such as an EKG and chest X-ray, will also be performed

Facts about liver donation surgery
  • Modern liver cutting techniques using CUSA have made it safe and blood less
  • Normal liver has immense reserve - nearly 70% of liver can be safely removed although much less is removed
  • Normal liver grows back very quickly - it can be restored to normal size after removal of half the liver in just 2 weeks


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(Only for international patients seeking treatment in India)
   
Created On: March 4, 2008 Updated On:
Author : Dr. Sarita Kumawat  
 
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