Liver Transplantation Surgery Hospital In Dwarka, Delhi

Liver transplantation is a surgical procedure, which involves replacing a non-functional liver with a healthy liver. Hepato-pancreato-biliary surgery involves a surgical procedure of the liver, gallbladder and pancreas.
Manipal Hospital is the best Liver transplantation and hepato-pancreato-biliary surgery hospital in Dwarka Delhi specialised in the diagnosis and surgical management of an array of disorders related to the pancreas, bile ducts, liver, and gallbladder.

Why Choose Manipal?

Established in November 2019, this centre is well known for liver transplants, and complex liver and pancreatic surgeries comparable to international standards. The Department of Hepato-Pancreatic-Biliary Surgery and Liver Transplant include the latest infrastructure and best equipment and is thus a state-of-the-art facility
 

• Besides, Manipal Hospital’s liver transplant team is experienced in various aspects of a liver transplant, such as deceased donor liver transplantation, living donor liver transplantation, paediatric liver transplant, combined kidney and liver transplant, etc. The team has performed about 2,000 transplants and more than 10,000 complex Gastrointestinal and hepato-pancreato biliary surgeries to date and is supported by a multidisciplinary team to offer you the best possible care.

• We have world-class modular operation theatres where complicated and advanced surgical procedures are performed safely and comfortably. Our department is supported by well-equipped Intensive Care Units and well-qualified consultants to ensure better outcomes.

• Manipal Hospital has the most advanced technology in cancer surgery, including the da-Vinci Robotic system, intraoperative ultrasound (IOUS), cavitron ultrasonic aspirator and dissector (CUSA) for the liver parenchymal transaction, argon plasma coagulator (APC), harmonic scalpel, and ligature. 

• State-of-the-art equipment is also available for preoperative evaluation such as Multidetector computed tomography (MDCT), magnetic resonance imaging (MRI) and positron emission tomography-computed tomography (PET-CT). We are also equipped with Radiofrequency ablation (RFA) and transarterial chemoembolisation (TACE).

Our Key Strengths Include:

• Well-recognised faculty member, trained in the best centres globally.

• One of the best in the country operating rooms and dedicated liver ICU (intensive care unit) of international standards with an experienced critical care team.

• More than 16 years of surgical experience in the team.

• State of art set-up with all modern types of equipment.

Services Available

• Liver Transplant - Transplants performed by our team are the following:

  • Living donor liver transplantation 

  • Cadaveric transplantation 

  • Liver transplantation in children 

  • Split donation Liver transplant

  • Combined Liver and Kidney transplantation

  • Combined Liver and Pancreas transplantation

  • Dual lobe transplantation 

  • Swap transplantation 

  • ABO-incompatible transplant

  • Domino liver transplant.

Other Liver Surgeries (Open, Laparoscopic and Robotic)

• Hepatocellular carcinoma or liver cancer

• Hepatoblastoma

• Hemangioma (non-cancerous lump on the liver, that can cause pain)

• Metastatic tumours

• Benign liver tumours

• Hydatid cysts (a complication of tapeworm infection, causing blister-like growth in the liver)

• An amoebic liver abscess (a complication of amoebic dysentery infection, where the parasite infects the liver) 

• Liver injury

• Hepatolithiasis (gallstones in the biliary ducts of the liver).

Laparoscopic, Robotic Donor Surgery, and Cosmetic Donor Surgery

Laparoscopic and minimally invasive surgery has transformed surgical practice for good, which is true for liver transplant surgery. Benefits of minimally invasive surgery include less pain, minimal scarring, fewer complications and shorter hospital stay among many others. Manipal Hospitals has the best liver transplantation surgeon in Dwarka, Delhi who are well experienced in Robotic and Laparoscopic donor surgery. They have also worked on performing cosmetic donor surgery, small incision donor hepatectomy (SIDH) and hand-assisted laparoscopic donor hepatectomy (HALDH).

Robotic Surgery Has the Following Advantages Over Conventional Minimally Invasive Surgery:

• 3D visualisation

• Instrument dexterity

• Improved ergonomics.

Hepato-pancreaticobiliary (HPB) Surgeries

Manipal Hospitals is the best liver transplant surgery hospital in Dwarka, Delhi having the best hepato-biliary and liver transplant surgeons in Dwarka, Delhi who are well experienced in hepato-pancreato biliary (HPB) surgery, which includes all liver, biliary and pancreatic surgeries and procedures. Procedures are commonly carried out for:

Surgeries for Gallbladder and Bile Duct

Bile is a yellowish-green coloured fluid produced in the liver and stored in the gallbladder; a small pear-shaped organ located beneath the liver. Bile is needed for the digestion of food, especially to break down fats. bile also helps in the elimination of waste products such as bilirubin and excess cholesterol from the body. Bile is released from the gall bladder and carried to the intestine through the bile duct when we eat food. The flow of the bile can be blocked due to the following reasons requiring surgery.

• Gallbladder or bile duct stones

• Gallbladder and bile duct cancer (Hepatectomy/ Whipple’s procedure)

• A choledochal cyst (birth defect of the bile duct)

• Mirrizzi syndrome (obstruction of the bile duct by external compression by gallstones)

• Hemobilia (blood in bile or biliary tract)

• Bile duct injury (Biliary fistula)

• Benign biliary stricture (Primary hepaticojejunostomy/redo hepaticojejunostomy)

• Biliary atresia (obstruction of bile flow in infants)- Kasai portoenterostomy procedure

• Choledocholithiasis (gallstone in the common bile duct).

Pancreatic Surgery

The pancreas is a small organ present in the abdomen. It helps in the digestion of food and also helps to regulate blood sugar levels by secreting insulin. Common disorders of the pancreas which require surgery include

• Pancreatic cancer (Whipple’s a procedure/ median pancreatectomy/ bypass procedure)

• Chronic pancreatitis (inflammation of the pancreas)

• Severe acute pancreatitis (necrotizing pancreatitis) – necrosectomy 

• Pancreatic cystic lesions (fluid-filled pockets in the pancreas)

• Pancreatic trauma.

Portal Hypertension and Shunt Procedures for Portal Hypertension

Portal hypertension is a condition characterized by the high pressure of the portal vein that carries blood from the digestive organs to the liver. The most common cause includes liver injury caused by cirrhosis and chronic alcohol abuse. The most common complications of portal hypertension include gastrointestinal bleeding, accumulation of fluid in the abdomen, confusion, forgetfulness and reduced blood cells. Various surgical procedures done in our hospital to reduce portal hypertension include

•  Portosystemic shunt procedures (splenorenal/ portocaval/ mesocaval)

•  Surgery for Extrahepatic portal vein obstruction (EHPVO)

•  Surgery for Non-cirrhotic portal fibrosis (NCPF)

•  Budd Chiari syndrome (occlusion of the hepatic veins)

•  Cirrhosis with bleed

•  Non-liver surgeries in patients with portal hypertension.

Esophageal Surgeries

The tube connecting the throat with the stomach is known as the oesophagus. Various conditions that require surgery are carried out in our department including 

• Oesophagal cancer - Esophagectomy (Transhiatal / Transthoracic) 

• Corrosive stricture (acid/alkali ingestion) – Gastric/ colonic pull up 

• Hiatus hernia (part of the stomach is pushed up into the chest cavity) 

• Esophageal perforations

• Tracheoesophageal fistula (abnormal joining of the oesophagus and the windpipe

• Achalasia (nerve damage of the oesophagus leading to painful swallowing of food and water) 

Gastro-duodenal Surgeries 

Our department also performs surgical procedures for the management of various conditions of the upper gastrointestinal tract including

• Gastric (stomach) cancer 

• Duodenal cancer

• Peptic ulcers (Gastric/ duodenal)

• Gastroduodenal bleeding

• Gastric obstruction

• Duodenal fistula

• Gastro- duodenal perforations.

Colorectal Surgeries

Colorectal surgery is a branch of medical science concerned with the management of various disorders of the rectum, anus and colon. Our department carries out the following procedures:

• Colonic surgeries for both malignant and benign conditions 

• Colon Cancer 

• Ulcerative colitis (Subtotal colectomy/ proctocolectomy/ hand-sewn & stapled pouch procedures)

• Obstruction

• Polyposis Coli (a type of cancer) 

• Bleeding

• Obscure gastrointestinal bleed

• Perforation

• Fistula

• Pouch related complications

• Diverticulitis (infection or inflammation of the intestine)

Appendix

The appendix is a small, tube-shaped structure located at the lower right side of the abdomen. The appendix can become inflamed and swollen and bacterial infection can cause pus to build up inside it, causing severe pain. This requires the surgical removal of the appendix and is an emergency procedure. Our department carries out both Open and Laparoscopic appendectomy surgeries. 

Rectal and Anal Canal Surgeries 

The rectum and the anal canal are the terminal portions of the gastrointestinal tract. Our department carries out various rectal and anal canal surgeries for conditions of

• Cancers- Mesorectal excisions (LAR/ APR/ Sphincter saving operations for rectal cancer)

• Rectovaginal fistula (the rectum and the vagina are connected causing gas or stool to pass through the vagina

• Rectal prolapse (the rectum drops down towards the anus)

• Hemorrhoidectomy (removal of haemorrhoids) – stapled and open procedures

• Complex fistula in the anus.

Laparoscopic and Robotic HPB and Gastrointestinal Surgery 

The progress of minimally invasive surgery has transformed surgical practice in the fields of HPB and gastrointestinal surgery. Robotic surgery versus conventional minimally invasive surgery has several advantages including 3D visualisation, improved ergonomics and instrument dexterity. Advantages of Laparoscopic and robotic surgery over open surgery include minimal scarring, less pain, less blood loss, fewer complications, shorter hospital stay, faster recovery and early return to normal activities. Our team is well experienced in advanced laparoscopic and robotic HPB and Gastrointestinal surgeries.

• We do all complex liver resections (removal of a part or whole liver) with or without vascular resections.

• The surgeons are experts in dealing with cancers of the liver, pancreas and the biliary system, difficult benign diseases like complicated pancreatitis, chronic pancreatitis and benign biliary disease.

• Our team is an expert in performing liver resections, pancreatic resections and biliary surgeries by open, laparoscopic and robotic techniques as per the indications.

• Our team is well experienced in open laparoscopic and robotic gastrointestinal surgeries including esophagectomies, gastro-duodenal surgeries, small bowel surgeries, colonic surgeries, and rectal and anal canal surgeries.