Living Donor Liver Transplantation (LDLT)

Living Donor Liver Transplantation (LDLT): общие сведения

Living donor liver transplantation (LDLT) in India is a transplant procedure in which a medically suitable living donor gives part of the liver to an eligible recipient with advanced liver disease, acute liver failure or another accepted transplant indication. The donor’s remaining liver and the transplanted graft can regenerate volume, but donation is major surgery and donor safety must remain independent of the recipient’s need for transplant.

The recipient undergoes comprehensive transplant assessment including liver-disease severity, liver and vascular imaging, heart and lung evaluation, infection screening, nutritional assessment and cancer staging when relevant. The donor requires a separate evaluation of medical fitness, blood-group compatibility, liver anatomy and volume, vascular and biliary anatomy and psychosocial suitability. Both pathways must satisfy applicable Indian transplant law, authorization and documentation requirements.

LDLT requires coordinated transplant surgery, hepatology, anaesthesia, intensive care, radiology and infection-management teams. Recipient care includes lifelong immunosuppression and monitoring for rejection, infection, vascular or biliary complications and graft function. Donors require structured follow-up for liver recovery and complications such as bleeding, bile leak, infection or thrombosis. A potential donor may be declined if donation is not considered sufficiently safe.

The cost of living donor liver transplantation in India depends on recipient and donor evaluation, CT or MRI liver volumetry and vascular mapping, both operations, blood products, ICU and hospital stay, immunosuppressive medicines and treatment of complications. Donor and recipient care should be included separately in the estimate, with long-term recipient medicines and follow-up considered beyond the initial admission.

India has established living-donor liver transplant programmes at tertiary hospitals with dedicated transplant ICUs, hepatology, transplant surgery, interventional radiology and multidisciplinary donor-safety assessment. Medical Help India can connect international patients with a suitable healthcare partner whose transplant team can review recipient and donor records, clarify medical and legal eligibility and provide an individual LDLT treatment and cost pathway.

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