Liver Transplant Center

Liver Transplant Center
Liver Transplant Center was established in 2004, since then more than 1500 Liver Transplant surgeries have been performed and 100 or more Liver Transplants are performed every year. Liver transplant surgery is not just an operation. A multidisciplinary perspective covering all processes before and after transplantation is extremely important. In addition to the expertise of the transport team, high-quality laboratories, operating rooms, pre and post operative care and intensive care units and imaging services are required.

According to the data reported to the Ministry of Health every year, Group Florence Nightingale Hospitals Liver Transplantation Center, provides a healthy life to 95% and more of its patients and is an internationally recognized center with 25 years of experience. . Yıldıray Yuzer ranks first in success in living-to-living liver transplantation with successful liver transplant surgeries.

At Group Florence Nightingale Hospitals Liver Transplant Center, our team takes care of you to get the most accurate care and treatment before, during and after the transplant. Our goal is to provide a quality service focused on you and your family's needs.

Our experts in all these areas interact as a team for your health and care, your test results are available quickly, appointments are scheduled in coordination, and the transplant care team works together to determine what works best for you.

Liver Transplant Process 

These words may have worried you when your doctor told you that you cannot live with your old liver and that you should spend your life with a new liver from now on. However, the best known treatment in the world for patients with liver failure is a liver transplantation.

Every day, many people around the world get the chance to live after a liver transplantation and return to their healthy and active lives. The success of liver transplantation has increased rapidly in recent years.

It is possible to say that the survival rate and quality of life of the patients have increased with the development of surgical techniques and new medications.

After you or your child have been told by the doctors that a liver transplantation is required, you have two choices: cadaver liver transplantation or living donor liver transplantation.

Liver Transplant From a Cadaver

If the parents of someone who develops brain death due to a brain hemorrhage,a brain tumor, a hearth attack or after a traffic accident, donate their organs.

Examinations should show that the donor patient does not have any infectious disease, cancer or liver disease. The liver, which has been removed under appropriate conditions and protected in special protection fluids, should be transplanted the latest within 24 hours after being taken from the deceased.

Unfortunately, there are long waiting lists, as cadaver organ donation is extremely low in our country.
If you are on the cadaver organ waiting list, you should not leave your phone out of sight (preferably a mobile phone), you should be reachable  24 hours.

In addition, a list of people who will donate blood for surgery should be with you at all times.

Living donor liver transplant

The part taken from relatives of people with liver disease and in need of organ transplantation is another form of liver transplantation surgery. 

Parents, siblings, spouses, or other relatives must volunteer to give a part of their liver. Many tests are given to this volunteer person. All tests performed should show that it is okay for the person to give a part of their liver. These tests are in two directions:

First, all body systems such as the heart, lungs, digestive system and mental health are examined in detail in the donor in order to prevent any damage to the organ donor .

Latter; examinations of the liver. We can call these examinations the map of the liver, all structural features of the liver, arteries, veins and bile ducts are examined.

If all examinations indicate suitability , then it is decided that there is no damage for the donor. It is usually necessary to take the left lateral side of the donor's liver for young children, and the right side of the donor's liver for adult or older patients.

Liver transplant surgery procedure: liver transplant from cadaver

The principles of cadaver-liver transplantation surgical procedures dates back to 25-30 years ago. Surgical procedures performed over the years have been improved thoroughly, thus increasing success rates and decreasing complication rates.

Liver transplantation is still a very difficult operation and takes an average of  6 to 12 hours.

The entire diseased liver is removed and an healthy liver is placed in its place. Although it seems simple, this surgery can cause a lot of hemorrhaging , and usually requires 1 or 2 surgeons, 3 surgical assistants, 3 nurses and 2 anesthesiologists, assistant nurses and technicians.

The sick liver is cut from four main blood vessels and the tube called the bile duct, which carries bile produced in the liver to the intestines. The new liver is then put in place and the major blood vessels and bile duct are reattached to complete the surgery.

Liver transplant surgery procedure: living donor liver transplant

In recent years, living donor liver transplantation has been used and has become widespread in the last 10 years. In this surgery, two teams usually work together at the same time,  one removing the liver and the other attaching the liver. The liver part taken from the volunteer liver donor relative is placed in the place of the patient's liver, which is removed by protecting the main abdominal vein of the recipient.

Surgical procedure is much more difficult than cadaver surgeries and requires a larger team. At least 2 surgeons, 4 surgical assistants, 3 nurses, 2 anesthesiologists, 2 anesthesia assistants, 4 anesthesia nurses and technicians work during the operation.

It also requires the suturing of a very small  artery by a micro surgeons and ultrasound observation by a specialist radiologists during surgery.
Liver surgery with a living donor takes between 8 and 16 hours. Donor surgery duration is 4-6 hours.

Even at the last stage, the surgery may be canceled or postponed due to the incompatibility of the donor organ or other complications.

Liver transplant surgery procedure: T-Tube insertion and bile drainage

Bile, is a secretion produced by the liver that is transported from the liver to the intestines via the bile duct. Bile is involved in breaking down fats and removing waste materials from the body.

After liver transplant surgery, your surgeon may find it necessary to connect a small tube called a t-tube to the bile duct. The t-tube allows bile to drain into a small bag outside your body. In this way, the amount of bile can be measured.

The t-tube can remain attached to the biliary bladder for 7 to 10 days or longer.

If no stricture or bile leakage is observed in the T-Tube x-ray taken on the tenth day, the t-tube is tied or closed.

In order for the wound to heal and special tests to be done, it may usually stay in place for 3 to 6 months, sometimes longer.
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