- Living Liver Transplantation
- Donor Assessment / Procedure
- Checking into hospital
- The Day / After Surgery
How do I get treatment?
For further information and appointments please see the below contact numbers:
For Mr Rob Hutchins:
020 7234 2940
For the following Consultants:
020 7234 2730
Professor Nigel Heaton
Professor Mohamed Rela
Mr Parthi Srinivasan
Mr Andreas A. Prachalias
Dr Phil M. Harrison
Dr Kosh Agarwal and
Dr Michael Heneghan
Liver transplants in London
Living Liver Transplantation at London Bridge Hospital
At the London Liver Centre, we are able to offer Living Donor Liver Transplantation for overseas patients who have no access or entitlement to cadaveric organs or to those patients for whom liver resection or chemotherapy is not an option.
Patients are offered the option of a Liver Transplant only after a full assessment is carried out confirming their suitability to undergo liver transplantation and that the potential donor – who must be a relative – is a healthy individual confirmed as a suitable donor for the recipient.
This Liver Transplant assessment, which is carried out by the Liver team here at London Bridge Hospital, involves a thorough medical, cardiac and hepatological assessment.
Advantages of living donor transplantation:
The main benefit to the recipient of a liver transplant from a living related donor is that there is less chance of the patient dying before a transplant organ becomes available.
- Recipient survival 90%
- Donating part of a liver for transplant is a major procedure for the donor. However, this is a safe operation in experienced centres. Internationally, the reported risk of death of the donor is estimated to be 1 in 300
- Graft survival 85%
- Donor liver function will remain normal after a partial hepatectomy as the volume of liver resected seldom exceeds 30 to 40% of the total volume.
- Complete liver parenchymal regeneration will occur in all cases by twelve to sixteen weeks after partial hepatectomy.
- There may be a psychological benefit to the donor and even if the transplant should fail, the donor may take comfort in the knowledge of having done everything possible to save the recipient.
- It is hoped that the living related transplant can be offered at an earlier stage avoiding the deterioration of the recipient’s clinical condition into end stage liver disease.
Since the donor operative procedure (a partial hepatectomy) can be planned and co-ordinated with that of the recipient, cold storage time of the liver segment is kept to a minimum.
It is thought that better histo compatibility matching may provide an immunologic advantage.
Surgeons can guarantee a healthy liver segment is transplanted because there is a thorough medical investigation of the donor prior to surgery. Haemodynamic instability caused by the death of a cadaveric donor is also avoided.
Legal Requirements for the transplant process can be found under the Assessment/Procedure section.