Our Liver Transplant Team: Skill, Synergy & Compassion at Every Step
Liver transplantation is one of the most complex procedures in modern medicine. At our center, itโs powered by a world-class team, cutting-edge innovation, and deep compassion. We offer complete, end-to-end liver transplant careโguided by global expertise and delivered with regional leadership.
Our liver transplant surgeons are at the forefront of the field, backed by years of specialized trainingโincluding advanced training in the United States and paediatric liver transplant specialization in Japan. They bring a high degree of surgical finesse and innovation across the entire spectrum of liver transplantation.
Living Donor Liver Transplantation (LDLT)
Our team has developed a proprietary approach to vascular reconstruction, tailored to optimize graft function and reduce complications. Our outcomes include:
- One of the lowest vascular complication rates in the region.
- Successful LDLT in obese recipients (>100 kg) with excellent long-term results.
- Paediatric LDLT in infants <5 kg, with 100% successโleveraging Japanese microsurgical techniques and AI driven graft selection and implantation, for unique pediatric transplant needs.
- Proficient in extra-anatomic vascular reconstructions for complex anatomical variations.
Deceased Donor Liver Transplantation (DDLT)
Our team brings cutting-edge strategies to enhance graft function and recovery:
- First in the region to perform Hypothermic Oxygenated Perfusion (HOPE) of liver grafts in DDLT.
- Successful use of livers from elderly donors (up to 80 years), with 100% survival at 5 years post-transplant.
- Experts in zero-transfusion liver transplantation, reducing risk and improving recovery.
- Consistently achieve short ICU stays due to meticulous intraoperative techniques and optimized perioperative care.
- Utilize precision-guided immunosuppressive protocols, minimizing toxicity and enhancing graft longevity.
- Domino Liver Transplant
- Combined LiverโKidney Transplant
- ABO-incompatible & Highly Sensitized Transplants
Split-Liver Transplantation
We are leaders in maximizing donor utility through advanced splitting techniques:
- Full split liver transplants for two small adult recipients.
- Standard split procedures for one adult and one pediatric recipient, with favorable graft outcomes.
Complex Liver Resections and Re-Transplantation
Our surgical expertise extends to:
- Challenging re-transplantation scenarios.
- Dual-organ transplantation involving the liver and another organ.
- Advanced oncological resections and transplantation for hepatocellular carcinoma with curative intent.
Hepatologists: Bridging Critical Care and Transplant Expertise
Comprehensive Hepatology Expertise at the Core of Our Liver Transplant Program
Our liver transplant program is anchored by a team of highly trained and dedicated hepatologists, including one of the few ACGME-accredited U.S.-trained transplant hepatologists in the region. With combined specialization in hepatology and critical care medicine (IDCCM), our team is at the forefront of advanced liver care in India.
Pre-Transplant Leadership:
- Comprehensive evaluation for transplant eligibility
- Management of decompensated cirrhosis, refractory ascites, hepatic encephalopathy, and portal hypertension
- Bridging strategies for HCC including TACE, TARE, and systemic therapy coordination
Critical Care Prowess:
- Direct management of acute liver failure (ALF) and acute-on-chronic liver failure (ACLF) in ICU
- Close coordination with transplant surgeons and anesthesiologists to ensure stability before transplant
Advanced Interventions:
- Variceal band ligation, sclerotherapy, and Danis stent placement
- Diagnostic and therapeutic paracentesis, thoracentesis
- Biopsies (liver, graft, lymph node) with precision imaging
- ERCP for biliary complications like leaks and strictures
Post-Transplant Management:
- Tailored immunosuppression protocols based on patient risk, age, and comorbidities
- Regular graft function surveillance using imaging, labs, and biopsy
- Management of opportunistic infections and drug toxicities
Academic Leadership & Research:
- Leading national studies on yellow phosphorus poisoning, DILI, and ACLF
- Published protocols that shape clinical decision-making for transplant hepatology across India
Our hepatology team ensures safe, evidence-based, Multidisciplinary and patient-centered liver careโfrom the first clinic visit to long-term post-transplant recovery.
Transplant Anesthesiologists & Intensivists: Guardians of Intraoperative Safety and Recovery
Our dedicated transplant anesthesia and ICU team brings unmatched expertise to every liver transplantโensuring stability in the most high-risk scenarios.
In the OT: Precision & Control
- Advanced monitoring (TEG, cardiac output, CVP) for second-to-second decision-making
- Low CVP techniques and controlled reperfusion to minimize bleeding and hemodynamic shifts
- Expertise in anesthetizing high-risk patientsโthose with renal, cardiac, or pulmonary compromise
- Blood-conserving protocols: many transplants completed without transfusion
In the ICU: Seamless Recovery
- Round-the-clock liver ICU care by transplant-trained intensivists
- Early extubation, strict graft monitoring, proactive infection control
- Protocol-driven management of fluid balance, sedation, and organ support
- Faster recovery, fewer complications, and shorter ICU stays
This team ensures every transplant patient moves safely from the operating table to recoveryโwith vigilance, skill, and care.
Transplant Coordinators
Precision & Compassion in Every Step
At Royal Care, we are not only focused on clinical care but also on enhancing transplant awareness and education through:
- AI-driven graft matching & machine perfusion logistics
- Handle OR synchronization, cross-matching, organ transport & legal protocols
- Educate and support patients & familiesโfrom evaluation to discharge
- Ensure smooth navigation of the entire transplant journey
Nutritionists & Dietitians
Healing Through Personalized Nutrition
- Pre-transplant nutrition optimization: sarcopenia, vitamin deficiencies
- Post-transplant meal planning for immune health & weight control
- Specialized diets for Wilsonโs, NASH, PSC, etc.
- Continuous support to maintain graft health and metabolic balance
Transplant Pharmacists
Precision in Every Prescription
- Provide detailed counseling to ensure safe, lifelong medication adherence
One Team. One Mission.
Liver transplantation is not just a procedureโitโs a team effort. Our dedicated professionals work as one to deliver the safest, most effective, and most compassionate care.
