liver transplant
                     Ambulance | Emergency | Trauma 
R O Y A L  C A R E Ç No 1/520, Care 91434 91434 8 0422 
HNe eOlam Sbu rP,  I TWA L 5 Coim6atore, 641062 2227444
Tamil Nadu, India.
mo ki ng Ii fe belter
General Enquiry & Appointments 
1800 4123 1969 & 0422 4040000
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LIVER 
TRANSPLAN
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N H Y R 0 YA L C A R E
Why Choose Royal Care 
for Liver Our Program Difference
Transplantation?
Royal Care Super Specialty Hospital provides a comprehensive 
liver transplant program designed for both standard and 
complex transplant cases. Our transplant pathway combines 
surgical expertise, critical care, imaging, anesthesia, hepatology, 
pediatric support, and structured postoperative monitoring 
G Comprehensive adult liver transplant care
under one program.
fl' Specialized pediatric liver transplant 
capability
€' Living donor liver transplantation (LDLT)
G Deceased donor liver transplantation (DDLT)
G Split liver transplantation & reduced graft strategies
G Expertise in graft-recipient size mismatch
G Complex venous outftow planning
fl' Structured donor and recipient evaluation
G Multidisciplinary perioperative management
G Long-term follow-up and immunosuppression guidance
5E RV TCE S
Our Liver Transplant Services
Living Donar (LDLT)  Deceased Donor ( DDLT)  Split  Liver Transplant  Reduced Craft Strategy
Living Donor Liver 
Transplantation
(LDLT)
LivTng donor transp TantatTon a TTows eTecteve surgicas t!
Living donor liver transplantation is an important option for pat ients who need ming. enabT!ng opama TpatTent preparal on and reducong r!
timely transplantation and have a suitable healthy donor. It allows earlier surgical sk from extendvd op an waiIT!sts.
planning and may reduce the risk of deterioration while wditing for a deceased
donor organ.
N H 0 M AY BENEK 
TT
I Decompensated chronic liver disease Donor evaTuat\on is conducted TndependentTy with fuTT medTcaT and 
psycnoTog!caT assessment Donor safety and !nTorme d consent are 
I Acute deterioration in cirrhosis
non-negot\abTe pr\or\tTe s.
I Liver cancer within accepted transplant criteria 
I Children requiring timely transplantation
I Patients unlikely to safely wait for deceased 
donor allocation
For cv\Tdryn. a Tell Tatera Tsegment ar monosegment graft from a 
TTving parent donor Ts often the safest and most t\meT y option.
0 UR K 0 C U S TN 
LD LT
Careful donor and recipient evaluation
I Graft selection based on recipient need and body size
7 Planning for venous outflow and inflow adequacy
Reduced graft strategies in selected small-frame 
recipients
7 Adult and pediatric LDLT pathways
F 0 R C H TL D R 
EH
Pediatric Liver Specialized Pediatric 
Transplantation
Liver Transplant Care
Pediatric transplantation requires a distinct expertise — in evaluation, graft selection, surgical technique, 
anesthesia, critical care, metabolic disease management, and long-term follow-up. Our program is 
equipped for the youngest and most complex pediatric recipients.
H E E VAL U AT E & f I AH AGE C HIL D R E 
HH TTH
Biliary atresia & end-stage pediatric liver Pediatric acute liver failure
disease
Neonatal acute liver failure Urea cycle defects
Glycogen storage diseases Cholestatic & metabolic liver disease
Alagille síndrome with vascular complexity Syndromic & congenital liver disorders
C 0 M P L E X CA 5 
E S
Liver Transplantationfor Complex 
Indications
Liver transplantation is not limited to end-stage cirrhosis alone. Many patients 
require transplant evaluation because of specific disease patterns, urgency, or 
complex anatomical and oncological considerations.
Liver Cancer (HCC) Budd-Chiari Syndrome Acute Liver Failure Re-Transplantation
Selected patients with hepatoce\TuIar Liver transplantation for Budd-Chiari Rapid assessment and Iisi\ng is Se\ec1ed patients with primary graft 
carcinoma v.'iihin transp!ant criteria with progres sive liver failure essential. Our team inaintains failure or late graft dysfunction may 
may benefit from liver requires carefu! planning given readiness for urgeni transplantation be evaluated for re-transplantation 
transplantation as definitive complex hepatic venous anatomy. in acute liver failure situations. in experienced centers.
oncological treatment.
Complex Vascular & Biliary Marginat Graft Opt mization l'•1achine Perfusion Portal Hypertens ion Surgery
Unusua! portal or hepatic veiJous In care!uII; selecled patients, margina‹ Emerging machine perfusion Surgery 'n the setting of por'ai 
anatomy, biliary atresia in adults, and grafts can òe utilized to expand technology can improve graf‹ hypertens:'on and advanced liver 
prior hepatic surgery require iraiJsplant access — with assessment and viability, disease demands specialized 
special.z ed appropriate perioperative support. particularly for marginal and hepatobiliary surgical experience.
surgic al planning . extended-criteria donor organs.
T H E P R O C E S 5
Your Liver Transplant 3ourney at 
RoyalCare
We aim to make the transplant pathway structured, understandable, and 
coordinated for patients and families.
I nitial Gonsultation Recip ien t Evaluation Donar Evaluation Mult idisciplinary Review
The salient is assessed for TlJis includes liver disease assessmeni, Where living donor transplanJaJioiJ is The ïransplanJ Bearn reviews the 
disease severity, urgency, cardiopulmonary evaluation, infeclion considere‹l, suitable donor assessmenJ patieiJJ's diagnosis, suilability, :iminj, 
traiJsplan' indication, aiJd screeiJing, iJutriJioiJal review, imaging, is done carefully aiJd indepeiJdently. surpical coiJsideraJioiJs, aiJd risk 
immediale risks. and transDlaiJJ fitness assessmenL profile.
Surgical Planning Liver Transplantation IGU & lnpatient Recovery Lang-Term Follow-up
Recipienl anatomy, donor anatomy, The:ransplanl procedure is performed Postoperative care focuses on Patients require continued 
graft sJraJegy, vascular planning, and 'iJh strucJured intraoperaJive and graft function, hemo‹lyiJamic transolanJ clinic folow-up, praft 
perioperaJive risks are assessed in posJoperative moniJoring. supDort, infection prevention, surveillance, 
detail immunosuppressioiJ, and reco ’ery imitunosuppressionmanagement, 
miIeszones. aiJd complication monitoring.
When Should a Patient be 
T E A M A P P R 0 
A C H Referred?
Multidisciplinary Cirrhosis with ascites, recurrent encephalopathy, or variceal
bleeding
Liver Transplant 
Acute liver failure or rapidly worsening jaundice with
Care coagulopathy
Successful liver transplantation depends on coordinated multidisciplinary care. At 
Liver cancer within transplant consideration criteria
Royal Care, transplant management integrates clinical excellence aeros s all 
specialties — especially critical in high-risk recipients, children, and technically 
complex surgical situations Pediatric end-stage liver disease or metabolic liver disease
Liver Transplant Surgery  Hepatology  Pediatric Liver Care
Transplant Anesthesia  Critieal Care  Interventional Radiology O  Clinical decline despite maximal medical management
Budd-Chiari syndrome with worsening liver function
Advaneed Imaging  Endoscopy Support  Nutrition & Rehabilitation
Lang-term Follow-up
REQ E 5 T R EGERR A Ł
Who needs a liver transplant?
Frequentl
fhat is the difference between living donor and deceased donor liver transplantation?
y Asked 
Question Can children undergo liver transplantation at Royal Care?
s When should a patient with cirrhosis be referred?
Common questions from patients and 
families about liver transplantation at 
is liver transp lan t possible for liver cancer?
Royal Care.
Can very small babies undergo liver transplantation?
How long does liver transplant evaluation take?
How do I book a liver transplant consultation?
Book a Liver Transplant 
Evaluation
eooa A coNsuLTATiou R E Q U ERP A C AL L BA CN
CONTACTUS DEPARTI•IENTS
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Medicine
(IV F)
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[email protected]
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