Level A Evidence
6 Treatment Options Available

Liver Transplant

Adult and pediatric liver transplantation including living donor procedures

Liver transplantation is the definitive treatment for end-stage liver disease and selected liver cancers. Chinese liver transplant centers perform thousands of procedures annually using both deceased donor organs and living donor grafts. Advanced techniques including split-liver transplantation and living donor right/left lobe transplantation are well-established. Chinese surgeons have extensive experience with high-complexity cases including re-transplants and combined procedures.

JCI Accredited
90%+ 1-Year Survival
Living & Deceased Donor

Condition Overview

Conditions We Treat

Cirrhosis (all causes)Hepatocellular Carcinoma (within criteria)Acute Liver FailureLiving Donor Liver Transplant (LDLT)Deceased Donor Liver Transplant (DDLT)Split Liver TransplantPediatric Liver Transplant

Core Technologies

Living donor hepatectomy • Piggyback technique • Venovenous bypass • Split liver transplantation • Ex-vivo resection • Machine perfusion • ALPPS procedure for marginal candidates

适宜人群

  • •End-stage liver disease (MELD >15)
  • •Hepatocellular carcinoma within Milan criteria
  • •Acute liver failure with poor prognosis
  • •Certain metabolic liver diseases
  • •Biliary atresia (pediatric)
  • •No active extrahepatic malignancy

Assessment includes MELD score, tumor status (if applicable), and comprehensive medical evaluation

建议在本地考虑

  • •Complex re-transplants with portal thrombosis
  • •Patients requiring combined liver-kidney transplant
  • •Those with extensive portal vein thrombosis needing complex reconstruction
  • •Very high MELD scores requiring urgent transplantation

Evidence: 1-year survival rates of 85-90% for both deceased and living donor liver transplants. Living donor outcomes comparable to deceased donor in experienced centers. Chinese centers report outcomes consistent with international standards.

Treatment Options

Living Donor Liver Transplant (LDLT)

手术
适合：Compatible living donor (usually right lobe from adult)
技术：Right or left hepatectomy from donor, implantation in recipient
优势：Scheduled surgery, optimal organ quality, shorter wait
Donor surgery 6-8 hrs, recipient 8-12 hrsFrom $50,000
Extensive experience in major centers

Deceased Donor Liver Transplant

手术
适合：No living donor, on waiting list
技术：Whole organ deceased donor liver transplant
优势：Full-size liver, single operation
Surgery 6-10 hours, ICU stay 3-7 daysFrom $60,000
Standard procedure with good outcomes

Split Liver Transplant

手术
适合：Pediatric recipient or small adult
技术：Deceased donor liver split between two recipients
优势：Expands organ pool, helps pediatric patients
Similar to standard transplantFrom $60,000
Specialized technique available

Domino Liver Transplant

手术
适合：Familial amyloid polyneuropathy patients (specialized)
技术：FAP liver transplanted to another patient
优势：Resource utilization for specialized cases
Extended surgical timeFrom $70,000
Limited specialized availability

Pre-Transplant Downstaging

药物
适合：HCC beyond Milan criteria
技术：TACE, RFA, or systemic therapy to reduce tumor burden
优势：Makes transplant possible for larger tumors
Months of treatment before transplantFrom $10,000 additional
Common bridging strategy

Bridging Therapy for HCC

药物
适合：HCC patients awaiting transplant
技术：TACE, ablation, or SBRT to prevent progression
优势：Maintains transplant eligibility
Every 3-6 months while waitingFrom $5,000
Standard of care

费用对比

Liver Transplant (Deceased or Living Donor, Including 1-Year Follow-up)

US Transplant Center$750,000
UK NHS/Private$200,000
MediLink China$70,000

Save 91% vs US • Includes: surgery, donor evaluation (if applicable), hospital stay, ICU care, initial immunosuppression, 1-year follow-up.

计算费用

治疗流程

1
Evaluation & Listing• 1-3 weeks
  • Comprehensive hepatology evaluation
  • Tumor assessment (if HCC)
  • Cardiac and pulmonary clearance
  • Psychosocial evaluation
  • MELD score calculation
2
Transplant Surgery• Week of surgery
  • Pre-operative optimization
  • Liver transplant surgery (6-12 hours)
  • ICU monitoring and ventilation
  • Immunosuppression initiation
  • Complication monitoring
3
Recovery & Monitoring• Months 1-6
  • Frequent blood monitoring
  • Immunosuppression titration
  • Vascular and biliary imaging
  • Infection prophylaxis
  • Gradual return to activities

Clinical Outcomes

1-Year Survival
85-90%
deceased donor
1-Year Survival
85-90%
living donor
5-Year Survival
70-75%
overall
Technical Success
>95%
graft function

常见问题

What are the risks for living liver donors?
Living liver donation carries significant risks including bile leak, infection, and rare mortality (<0.5%). Donors undergo extensive evaluation to ensure safety. The liver regenerates to 80-90% of original size within 2-3 months.
Can liver cancer be treated with transplant?
Yes, for hepatocellular carcinoma within Milan criteria (single tumor <5cm or 3 tumors <3cm each) without vascular invasion. Beyond these criteria, downstaging may make transplant possible.
How long does the liver regenerate after living donation?
The donor's liver regenerates to 80-90% of its original volume within 2-3 months. The transplanted partial liver in the recipient also grows to adequate size.
What is the post-transplant life expectancy?
With modern immunosuppression, 5-year survival is 70-75%, and many patients live 20+ years. Survival depends on original disease, age, and complications.

Important Information

Organ transplantation involves complex medical, ethical, and legal considerations. China operates a voluntary citizen organ donation system based on deceased donation after death, established in 2015. Eligibility for foreign patients depends on multiple factors including medical urgency, donor availability, and current regulations. Please contact us for current eligibility criteria and program availability.

Learn More About Transplant Options

Get information about transplant evaluation, eligibility, and care pathways.

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