Liver

Transplant Options

Nebraska Medicine's Liver Transplant Program offers several types of transplant options for patients with liver failure. These options include:



Deceased-Donor Liver Transplantation

Deceased-donor liver transplants occur when patients on life support have been determined to be brain-dead. In addition, either the patients have signed donor cards or advanced directives stating their wishes, or their family consents to organ donation.

Living-Donor Liver Transplantation

Living-donor liver transplantation is an option for patients when a family member or close family friend agrees to donate part of his/her liver to the patient. Living donation can only be done when the donor is in excellent health and has a liver size that allows enough liver to be removed without harming the donor and supporting the patient.

Donation after Cardiac Death (DCD)

Donation after cardiac death occurs when a patient, on life support with a brain injury and no chance for survival, is removed from life support and the heart stops. There is no difference in long-term survival for patients receiving a DCD donor. There is a 30 percent increased risk in bile duct complications.

Expanded Donor Criteria

Nebraska Medicine is one of a few transplant centers nationwide to utilize expanded donor criteria. Expanded criteria liver organs do not meet the regular standard for donation, however, advanced surgical expertise has allowed these organs to become a viable option for those suffering from end stage liver disease. Extended criteria donors increase access to liver transplantation and can reduce wait-list mortality while providing satisfactory outcomes for recipients.

Split-Liver Transplantation

A split-liver transplant is a procedure in which a liver from a deceased donor can be safely divided in two sections and given to two different patients, usually one adult and one child.

Auxiliary-Liver Transplantation

Auxiliary-liver transplantation occurs rarely and for very specific reasons. It is done when removal of the native liver is not necessary for treatment of the liver disease, or the liver is expected to recover with time and needs additional support until it does recover. It involves placing the new liver into the abdomen without removing the native liver, or removing only part of the native liver.

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