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A liver transplant is a surgical procedure that replaces a liver that is diseased or no longer functions properly with a liver from a deceased donor or a portion of a healthy liver from a living donor. The living donor can be:
Someone who is emotionally related to the recipient such as a good friend, a significant other, or a spouse.
A family member of the recipient, such as a parent, adult child, brother, or sister.
Other biologically related relatives, such as an aunt, uncle, or cousin.
A person who has heard about the transplant candidate’s need.
Altruistic donation or non-directed living-donor. This means that the donor does not know or name the recipient of the donated liver. The match is based on blood type compatibility and medical need. The donor may choose not to know the recipient or may meet if both agree.
When the living donor is a family member, it is called a living related donor liver transplant.
Living related donor liver transplant is usually used as an alternative to waiting for a deceased donor liver or an altruistic donation to become available. A liver transplant from a living donor is possible because the human liver can regenerate and return to its normal size, capacity, and volume within a couple of months after surgical removal of part of the organ. The transplanted liver portion in the recipient will grow and restore normal liver function as well.
Not everyone can be a living related donor. The donor has to be healthy and able to safely undergo major surgery. In addition, the donor’s blood type, age, and organ size are critical considerations in determining whether the recipient and the donor are a match. Extensive health and psychological evaluation are required to make sure that the donor and the recipient are a match, as well as to assess the donor’s mental and physical health.
A liver transplant surgery from a living donor is usually scheduled in advance.
The surgeons will first operate on the donor. The surgery is done under general anesthesia, a portion of the donor's liver is removed through an incision in the abdomen. Both the left and right lobe of the liver can be used for donation. The specific part of the liver donated depends on the donor liver’s size and the recipient’s needs. Around 40% to 70% of the donor’s liver is removed for transplantation.
Once the donor's liver is ready, the surgeons will perform the liver transplant on you (the recipient). During this surgery, an anesthesiologist will give you a general anesthetic. After you are anesthetized, the surgeons will create an incision under the ribs on both sides of your belly and separate the diseased liver from the nearby organs and structures to carefully remove it. Then, the donated liver portion will be placed in your body by connecting the bile ducts and blood vessels to the new liver. The final step is closing the incision with stitches or surgical staples.
After a living related donor liver transplant, you should expect to spend 5 to 10 days in the hospital. Expect to stay in Hong Kong for at least a month after you are discharged from the hospital as you need to attend follow-up checkups. Your liver transplant team will design a checkup schedule for you. Laboratory blood tests are typically obtained twice a week after transplantation and will be reduced gradually. You must attend all of the follow-up checkups and blood tests because your doctor needs to check your condition.
The recovery period depends on the severity of your condition before your liver transplant surgery. In general, the full recovery time until you feel fully healed after your liver transplant surgery can take around six months or more. However, you should be able to return to some of your normal activities, including work (office job) within 2 to 4 months following your surgery. Simple activities of daily living may be resumed within a few weeks.
You will take medication for the rest of your life – the medications are called immunosuppressant (anti-rejection medicines), which works by keeping your immune system from attacking your new liver. They are used to help the transplanted liver survive in your body.
You will take other medications – you may need other types of medications to help reduce the risk of other complications.
Avoid crowds or anyone who has an infection – anti-rejection medicines affect your immune system, increasing your risk of infections. Therefore, you need to avoid contact with anyone who has an infection or crowds for the first few months.
Eat a well-balanced diet –to help you recover and keep your new liver healthy. A dietitian from your transplant team will discuss your nutrition and diet needs. In general, your diet should be low in fat, salt, cholesterol, and sugar. You also need to avoid alcohol.
Exercise regularly – walk as much as you can soon after your transplant. Then, start to incorporate more physical activity into your daily life. Make sure to check in with your transplant team before starting an exercise routine.
The success rate of the liver transplant depends on your specific situation. In general, around 75% of people who have a liver transplant live for at least five years. People who receive a liver from a living related donor usually have longer survival rates than those who receive a deceased donor liver. Also, people who have a living related donor liver transplant seem to experience fewer medical problems.
The risks and side effects associated with liver transplant include rejection of the donated liver, bleeding, bile duct complications, failure of donated liver, infection, mental confusion, seizures, and recurrence of liver disease in the transplanted liver.
There are currently no alternatives to a liver transplant. However, the alternative to living related donor liver transplant is to wait for a deceased donor liver or an altruistic donation to become available. Make sure to discuss with your doctor the best option for your case.
Before a living related liver transplant, you may have acute or chronic liver failure, which may be caused by a variety of conditions, or you may have certain cancers that originate in the liver. After the procedure, these conditions may be cured. Your survival rates will be increased significantly after the procedure.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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The former British colony became a special administrative region of China in 1997, when Britain's 99-year lease of the New Territories, north of Hong Kong Island, expired. Hong Kong is governed under the principle of "one country, two systems", under which China has agreed to give the region a high degree of autonomy and to preserve its economic and social systems for 50 years from the date of the handover.
Hong Kong welcomes an ever-increasing number of medical tourists each year, many of which travel for Liver Transplant (Living Related Donor) procedures. Hong Kong is a well-established hub for medical tourism, although it is better known for its quality and cutting-edge procedures than for cost.
Hong Kong is a blend of a dynamic cultural landscape with an astonishing skyline, glamorous shopping, as well as one of the world’s top culinary destinations.
Hong Kong’s weather is influenced by the monsoon subtropical climate. The temperature is mostly mild all year round. May to September are the warmest months with an average temperature of 33 °C while mid-December to February are the coldest months with the temperature falling to 10 °C. Spring starts from March and ends in early May and the weather during this season is pleasant with many sunny days, but you can also have foggy, rainy, and stormy days.
The summer in Hong Kong is hot and humid with a perpetual threat of rain showers, thunderstorms, and sometimes even typhoons. Summer lasts for around four months from May to September. With August as the wettest month in the city.
The best time to visit Hong Kong is in the autumn, starting from October to early December when the days are generally sunny and the temperatures range from 22 °C to 28 °C. Winter is the holiday season in the city and the average temperature is around 16 °C to 18 °C but it can drop under 10 °C.
The main gateway to Hong Kong is the Hong Kong International Airport. The airport is built on reclaimed land on the island of Chek Lap Kok and it serves international destinations to almost every major city in the world, including, Dubai, Amsterdam, Seoul, Canada, Singapore, and Sydney. For affordable travel, budget airlines such as AirAsia, Eastar Jet, and IndiGo are available. There are a wide variety of public transport services to and from the airport. The best options are Airport Express, public buses, and taxis.
To get around Hong Kong, it is best to purchase Tourist Day Tickets which gives you unlimited access to the main MTR and certain Rail lines for HK$65. If you are planning to stay longer in the city, the Octopus Card will be a big help. The card is reusable and can be used for almost every public transportation mode and you can buy the card for HK$150.
One of the fastest and easiest ways to get around the city is by the MTR (Mass Transit Railways) and it is one of the most advanced metro systems on the planet. The MTR operates 11 lines from 06.00 am to 01.00 am. The fare ranges from HK$3.6 to HK$52.6 depending on the distance.
The public bus is a great way to explore Hong Kong, especially the south side of the island and the New Territories. Most buses are double-decker and air-conditioned and it is an affordable way to get around the city and the fares will vary based on the distance traveled. Other public transportation modes such as tram and ferry are also available.
If you need a more flexible way of travel, taxis are easy to find and offer excellent value. There are three types of taxis, the red taxis operate throughout the city except for Lantau Island and the fares start at HK$24. The green taxis only operate in the New Territories and the fares start at HK$20.50. The blue taxis serve Lantau Island and the fares start at HK$19.
Citizens of around 170 countries and territories may visit and stay in Hong Kong without a visa for up to 180 days. Other countries not listed in the visa-free entry such as Albania, Armenia, and Cambodia need to apply and obtain a visa before entering the country. All visitors must have a passport valid for at least one to six months beyond the date of entry to Hong Kong. Visitors can apply for a visa from their nearest Chinese embassy or consulate.
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