Laparoscopic Living Donor Surgery for Liver Transplants:Advantages, process and considerations



There are many fields in medical science. And all have their special requirements and processes. Also they have their own specialists and surgeons to perform them. One of them is Laparoscopic Living Donor Surgery which is a very useful and modern technique in medical science. It is a new way of operating in which a doctor can see without making major incisions and leaving no scope for any kind of infection. It can be performed in many surgeries helping doctors in doing the surgeries and patients in postoperative consequences. 

It is believed that “ It is better to open and see than to wait and see” so believe me this blog can change your POV’s about medical surgeries. Let's learn more about it.

What is laparoscopy?

Laparoscopy also known as keyhole surgery is a medical surgery in which a small camera is attached to the mouth of the cannula which shows footage on a monitor and helps see the internal organs properly to perform a specific surgery.


Sometimes several incisions are made to perform specific surgery .A laparoscope is used in the process and inserted to have a clear view on the monitor. Internal surgeries are great with laparoscopy because of the magnified view of the internal organs. 

Why laparoscopic surgery?

Laparoscopic surgeries has its advantages over traditional surgeries and here we will discuss all of them:


  1. Smaller incisions: As we discussed earlier, a small incision is made because the cannula is very thin and requires a small gap to move in the body.

  2. Reduced scarring: when small incisions are made then their scars are also small whereas in traditional methods result in big scars which are very hard to overcome.

  3. Less blood loss: There is a small gap and it is covered when cannula is in there so it is easier to handle lesser blood loss.

  4. Lesser tissue cutting:Tissue cutting is a major problem patients face in traditional surgeries , because it requires a lot of time to heal tissue and they suffer from extreme pain but in laparoscopy it is solved as it requires very less amount of tissue cutting.

  5. Lesser recovery period: Obviously if there are smaller incisions, lesser tissue cutting, lesser blood loss and reduced scars, then it will result in quick healing. 

  6. Shorter hospital stays: Moreover patients have to stay in the hospital for less time as the recovery period is small in this type of surgery.

  7. Reduced risk of infection: And most importantly infection is the condition which is a big problem for patients, so to reduce it, laparoscopy has its own perks like smaller incisions which makes smaller holes and making it hard for external contaminants to enter inside the body. 

Process of laparoscopy:

There is a very sophisticated process of surgery as it requires very precise knowledge and practice. It has a process from preoperative period to postoperative period. The following steps will give an idea about the whole procedure:

  1. Preoperative period:

In this period, the patient is evaluated on various bases like medical history, physical examination, blood tests, etc to ensure that the patient is suitable for the laparoscopic procedure. And they are asked to give their consent for the operation. After that the patients are said to have a fast to ensure an empty stomach at the time of operation.

  1. Anaesthesia: 

Before starting the operation it is necessary to ensure that the patient should not suffer from any type of pain and doctors can perform the surgery without any disturbance. In most cases, a general anaesthesia is used to get the patient in an unconscious and pain free state.

  1. Trocar insertion: 

After that, incisions are made and the trocars(hollow tubes) are inserted in the abdomen. Trocars allow the surgery equipment to go inside the abdomen to perform the surgery.

  1. Creating space inside: 

Carbon dioxide is released slowly into the abdomen through one of the trocars to make the space between the abdominal wall and organs. This results in a more clear and wide view of the interior.

  1. Insertion of the laparoscope: 

Now the thin tube with a camera and a small light source called laparoscope is inserted through the trocar. It sends the images to a video monitor for the surgeons.

  1. Insertion of the other surgical equipment: 

Now other surgical instruments are inserted through the rest of the trocars to perform the surgery.

  1. Surgery: 

Surgeons now perform the surgical procedure using the laparoscope and other  surgical equipment. 

  1. Finishing: 

After the surgery, the instruments are taken out from the trocars and then the trocars are taken out from the incisions. Incisions are closed by the stitches, staples or adhesive tapes.

  1. Postoperative care:

The most important step for a patient. When the operation is done the patient is monitored closely as they wake up from anaesthesia. Then they stay in the hospital for a while for observation. They are instructed over the food habits, wound care, activities,etc. Medicines are given for pain management.

  1. Recovery: 

Now the patient gets back to home and performs their usual activities. Doctors perform visits to have the follow up and health check.

Laparoscopic has proven a beneficial surgery for most of the cases but it requires a highly skilled set of experts to perform this surgery. So it is advised to always consult an expert doctor or surgeon before opting for the laparoscopic surgery.

Considerations of the Laparoscopic Living Donor Surgery for Liver Transplants:


The process of this surgery is very similar to that of the process we discussed above, but due to a specification of liver transplantation, there are some considerations:


  1. Assess the donor: It is important to assess the donor before the surgery for the medical history and physical examination. It is to ensure that the donor is healthy enough to donate the organ.

  2. Expert team: A team of highly skilled doctors and staff is required to perform the surgery. And the team should be expert in both liver transplant and laparoscopy.

  3. Donor’s safety: Donors are treated with good care and safety.

  4. Postoperative care of the donor.

  5. And other ethical considerations are also taken care of.

Conclusion

In summary it is necessary to take the advice of a laparoscopic doctor. Laparoscopy requires a highly skilled team with modern equipment to perform the surgery. If we talk about the liver transplant, then it is required that the team is required to be expert in liver transplant and laparoscopy. At “Advanced Institute of Liver and Biliary Sciences (AILBS), you can find the best laparoscopic surgeons with a great experience and practice. So if you want a laparoscopic surgery then it is the best place for you to visit and get the treatment.

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