Liver transplantation is an effective treatment for the terminal stage of liver cirrhosis. Patients who undergo liver transplantation generally experience a significantly longer and better quality of life compared to their condition before the procedure.
Liver transplantation is a complex surgical operation during which a healthy liver or part of a liver from a donor is transplanted into the recipient. The possibility of transplantation and the risks associated with the surgery are assessed by a doctor, as there is always a chance that the donor liver may not be accepted and could be rejected by the recipient's body.
If you require a liver transplant, the first step is to undergo a series of medical examinations according to the required list in your place of residence and provide contact information (phone number, email address) for follow-up. A specialist from the Liver Transplantation Department will contact you during business hours to clarify details. After reviewing the submitted documents, conducting consultations, and possibly additional tests, you will be invited to a medical board meeting to be included on the liver transplant waiting list.
List of Documents and Tests Required for Liver Transplantation Candidates
1. Copy of Passport (with registration), medical insurance policy, and SNILS (Russian pension account number).
2. Blood Type (original document).
3. HBsAg (Hepatitis B), anti-HCV (Hepatitis C) – originals. If results are positive, HCV RNA and HBV DNA qualitative and quantitative tests are required.
4. RW Test (original document).
5. HIV Antibodies (original document).
6. Complete Blood Count (CBC).
7. Urinalysis.
8. Biochemical Blood Test (electrolytes, creatinine, urea, bilirubin, total protein, albumin, glucose, ALT, AST, uric acid).
9. Tumor Markers (CEA, AFP, CA 19-9), PSA (for men), CA-125 (for women).
10. Coagulation Profile (INR, APTT, thrombin time, PTI, fibrinogen, lupus anticoagulant).
11. Chest X-ray (if pathology is present, a pulmonologist's conclusion is required).
12. Electrocardiogram (ECG).
13. 24-Hour ECG Monitoring (Holter).
14. Echocardiography (ECHO-CG).
15. Fibrogastroscopy (FGDS).
16. Abdominal Ultrasound (liver, gallbladder, pancreas), kidneys, and adrenal glands.
17. Ultrasound with Doppler of Lower Extremity and Iliac Vessels (veins and arteries).
18. Thyroid and Parathyroid Ultrasound.
19. Gynecologist's Conclusion.
20. Mammography (for women over 40 years old).
21. Urologist's Conclusion (for men over 35 years old).
22. Dentist's and ENT Specialist's Conclusions (if necessary).
23. Discharge Summary from the infectious disease center and/or hospital (if applicable).
By completing these steps and providing the necessary documentation, you can proceed toward being placed on the liver transplant waiting list. This process ensures thorough evaluation and preparation for the transplantation procedure.