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Reproductive Medicine Center
Transplantation Center
Joint Reconstruction Center
Health Exam Center
 Index  Medical Service  Transplantation Center




Living donor transplantation can be saved a lot of hepatic failure patients from death due to the long waiting of liver donation. CCH living donor and corpse liver transplantation team, kidney transplantation team and cornea transplantation team have helped patients continue their lives and improve the quality of live.


 The Chief of the Center: leads the Center developing organ transplantation medicine, research, education and promoting organ donation.
 Liver, kidney and cornea transplantation teams: including specialized physicians, nurses, and educators. Assisting with transplantation surgery, education, academic research, before and after surgery clinic care and related education, and after leaving hospital medical consulting and followups.
 Anesthetists: providing excellent anesthesia medical quality, education and  academic research.
 Discharge planning team: assisting with discharge plan, follow-up, recuperation and rehabilitation.
 Psychiatrists: providing psychological consultation.
 Social Workers: providing social welfare services and organizing organ donation events.
 Pastors: sharing the Lord’s saving grace, peace and blessing.
 Nutritionists: providing diet education during recovery. 
  about our team


 In order to provide higher-quality medical service to patients, the Center has devoted to integrate the clinical and basic researches of transplantation.
 In order to popularize the concept of organ transplantation medicine, the Center provides their clinic services and basic research information, teaches public health education and promotes the importance of prevention medicine. CCH Social Work Department also tells people about organ donation.


 Living donor transplantation can be saved a lot of hepatic failure patients from death due to the long waiting of liver donation. CCH living donor and corpse liver transplantation team, kidney transplantation team and cornea transplantation team have helped patients continue their lives and improve the quality of live. The Center is staffed by the most qualified physicians, specialized in Reductive and Living donor Liver Transplantation. The accomplishment of the organ donation and transplantation has received wide recognition among Taiwanese medical professional. According to the statistics Bureau of National Health Insurance, CCH occupies the top 5 hospital that has highest the overall 3 year survival rate after liver transplantation. Between 2000 and 2006, 34 patients successfully received liver transplantation at CCH. In addition, 6 patients successfully received living donor transplantation between 2006 and 2007. The Hospital is expecting to perform above 10 living donor transplanting patients per year and continuing improve survival rate. Moreover, between 2004 and 2007, more than 10 patients received kidney transplantation. The Hospital has been performed more than thousand patients of cornea transplantation.


 The donor will be required to proceed to medical, social, family and mental status evaluation:
 First to proceed to preliminary medical examinations, test items may include : Hematology test/Blood biochemistry test/Serum test/Bacteria and virus test.
 If there is no any above conditions excluded, then may progress liver function test or liver biopsy/renal function test/ECG/Chest X ray examination for the donor.
 The donor of above conditions eligible may then proceed to evaluations for liver volume, vessels, and bile duct with CT, Endoscopic cholangiography /MRI, etc.
 After qualified medical evaluation, there will be consultations arranged from senior social workers and psychiatrist to proceed to further social, family, and mental evaluation for the donor.
 The doctor will proceed with pre-surgery explanation for the donor and family members.
 As the surgery will be proceeded under general anesthesia, thus the donor will not have a consciousness or pain during the surgery.
 To carry the surgery out, with either Benz logo type or inverse-T type Skin incision from the lower parts of bilateral ribs and forward with the direction of ribs central ensiform process), or from lower part of right ribs and forward with the direction of ensiform process, etc., then enter into the abdominal cavity and excise the partial liver. The area excised includes partial liver with some hepatic artery, portal vein, common hepatic duct, inferior vena cava and the whole gall bladder which connected with the liver. There will be multiple drains insertion in the abdominal cavity before the wound at abdominal wall sutured. The objective is for drainage of the residual subdural hematoma, and observe if there is any bleeding or bile leak.


Living donor partial liver transplantation has its relative risks, thus the medical team will try the very best to minimize the incidence of complications during or after the surgery.
 Few patients probably have heart attacks like myocardial infarction, arrhythmia during or after the surgery.
 To protect the donor from possible incidence of bleeding during the liver donation surgery, we will arrange sufficient blood preparations for necessary use.
 To keep the donor’s health and safety, CCH Transplantation Team will make our every effort to minimize the incidence of complications.


1. The wound and drain care:
 It is necessary to strictly stick to sterile procedure while renew the wound care for the inverse-T type wound. Observe healing over progress of the wound. In case of the J-P abdominal drain, observe the flow volume and color of the abdominal drain. Not to press or snap the drain, with keeping negative pressure suction.
 If the wound pus drainage suddenly increased and turned red, or the
wound appears red, swelling, heat and pain with foul smelling, you shall inform nursing professionals to manage it.
 If daily activity, deep breath, and taking tests have been affected by wound pain, you may ask medical professionals to dispense analgesics as needed.
  If the wound does not present inflammation, the stitches may be removed about one week later.

2. It is necessary for earlier out of the bed activity, yet shall be accompanied by the family members, while self-perceived spiritual and physical condition well enough and with approval of the visiting staff doctor after surgery.

3. Having meals is allowed after passing gas of post-surgery.

Recovery period: The donor’s fierce exercises and activities are to be avoided within the first 3 months of post-surgery.


Surgical procedure
  First to proceed to preliminary medical examinations, test items include : Hematology test/Blood biochemistry test/Serum test/Bacteria and virus test.
 To evaluate the donor-recipient matching on liver transplantation.
 The doctor will proceed with pre-surgery explanation for the recipient and family members.
 As the surgery will be proceeded under general anesthesia, thus the recipient will not have a consciousness or pain during the surgery.
 To carry the surgery out, with either Benz logo type or inverse-T type   (Skin incision from the lower parts of bilateral ribs and forward with the direction of ribs central ensiform process), or from lower part of right ribs and forward with the direction of ensiform process, etc., then enter into the abdominal cavity and excise the decompensated liver of cirrhosis.. The area excised includes some partial hepatic artery, portal vein, common hepatic duct, inferior vena cava and the whole gall bladder which connected with the ill liver. Then implant the new liver, stitch the inferior vena cava, portal vein, hepatic artery, then the new liver will be supplied with blood flow. After that, suture the bile duct of new liver implanted with recipient’s bile duct or intestine to reconstruct the bile excretion pathway, but this new liver will not include gall bladder. On occasion, for the necessity of surgery, we will have to excise your spleen, or have your left renal vein ligated, etc. There will be multiple drains insertion in the abdominal cavity before the wound at abdominal wall sutured. The objective is for the drainage of residual subdural hematoma and observe if there is any bleeding or bile leak.


Liver transplantation is a major surgery with relatively high risks, thus the medical team will try the very best to minimize the incidence of complications during or after the surgery.
The possible complications of liver transplantation are as followed :
 Few patients probably will have heart attacks like myocardial infarction, arrhythmia, etc., sudden brain vessels pathological changes or pulmonary embolism during or after the surgery.
 The diseases which result in recipient’s original liver failure may relapse. For example, viral hepatitis recurrence will make the liver transplanted damaged and lead to failure again. All those recurrent liver diseases are not necessarily having drugs for the prevention or treatment. Besides, the treatment will not certainly succeed, even though there is a drug to treat this. Once the original liver disease relapses and leads to hepatic failure, re- transplantation is to be the only alternative for treatment, otherwise this complication will lead to death.
 The new liver implanted will produce bile while in normal function. The transportation of bile has to go through bile duct to the intestines. Therefore, the doctor will suture the bile duct of implanted liver to the recipient’s bile duct or intestine. Nevertheless, this suture may heal over badly and result in bile leakage, which in further leads to peritonitis or intra abdominal infection. It is probably necessary for drain insertion or surgery treatment to manage this complication. The suture of bile duct to bile duct or intestine will probably become narrow owing to the scar forming tissue which makes poor bile secretion and induces obstructive  jaundice, bacterial cholangitis and liver abscess. Management for this complication includes bile duct drain insertion, balloon angioplasty at the narrow site, stent graft, or re-operation to reconstruct the suture.
 There might be some emotional, spiritual, or psychological problems because of the transplantation itself or medicines taken. Those problems probably will be solved by psychological counseling, consultation or drug treatment.
 The other complications that are not directly related to the transplantation surgery, for instance the post-operative liver biopsy may have the risk of bleeding.


The wound and drain care :
 It is necessary to strictly stick to sterile procedure while renew the wound care for the inverse-T type wound.
 To observe healing over progress of the wound.
 To observe the flow volume and color of the abdominal drain. Not to press or snap the drain, with keeping negative pressure suction.
It is necessary for earlier out of the bed activity, yet shall be accompanied by the family members, while self-perceived spiritual and physical condition well enough and with approval of the visiting staff doctor after surgery.
Nutrients supply :
 To have completely cooked foods, do not have any raw, too cold, half-baked, or half-boiled foods.
 There will be feeding with high protein and high-nutrient foods early in the period of passing gas or bowel sounds observed.
 If the patient is not able to have meals even after one week, Total Parenteral Nutrition (TPN) is suggested for temporary sufficient nutritional needs.
Recovery period: The donor’s fierce exercises and activities are to be avoided within the first 6 months of post-surgery.

Procedure:
International Clinical Hotline 886-4-7285161
(Assisting with registration arranging appointment)
Assisting with Hospitalization Process
Isolate Single Room
Leaving Hospital Plan
(Referring to a hospital back to home country)
Come back to follow-up 2 weeks after leaving hospital
Track continuously every 3 months for 3 years by phone
Hospitalization :
patient needs to be hospitalized for about3 weeks in normal condition.
Follow-up:
patient needs to come back for 4-6 follow-ups after leaving hospital. The Center referrers the patient back to a hospital in home country when condition is stable.
Track continuously :
The Center keeps tracking patient’s condition every 3 months for 3 years and provides medical consultation by phone.
 

   Telephone (Chinese): +886-4-7238595 ext 8371  (English) + 886-4-7009699    
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