What Side Of The Body Is Your Liver Located

What Side Of The Body Is Your Liver Located – The donor liver is transplanted into the same location as your own liver. This involves removing the diseased liver and replacing it with a donated liver.

The medical name for this operation is “orthotopic liver transplantation”. It can be divided into two main stages:

What Side Of The Body Is Your Liver Located

What Side Of The Body Is Your Liver Located

The incision (incision) used will be in the upper half of the abdomen and can be shaped like a hockey stick or an inverted Y, depending on the surgeon’s choice.

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Removing your own liver can be done in two ways. It depends on what’s best for you and the surgeon’s personal choice.

During liver removal, the blood vessels to and from the liver are severed, as are the bile ducts (tubes) that carry bile from the liver into the small intestine.

Adult patients may be able to tolerate “split liver”. It consists of the right half of the liver and the left half of the liver (called an “extended right lobe” liver transplant). The smaller left portion of the liver is then used in pediatric patients. This is a more complex surgery and the transplant center will discuss this option with you during your evaluation and when the surgery is offered.

As with most surgeries, one or two drain tubes will be inserted into the abdomen at the end of the procedure to drain any fluid or blood that collects around the transplanted liver after surgery. Your skin wound will then be sutured.

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Your liver is located on the right side of your abdomen (belly). The left side of the liver is located above the stomach, and the right side is located above the small and large intestines.

The donor liver is transplanted into the same location as your own liver. It connects to your body through the main veins of the heart (inferior vena cava), bile ducts, portal vein, and hepatic artery.

This shows a close-up of a liver transplant. During the transplant surgery, your surgeon carefully connects the donor liver’s arteries, veins, and bile ducts to yours.

What Side Of The Body Is Your Liver Located

When you arrive in the operating room, the anesthesiologist will give you a general anesthetic and help you prepare for your transplant.

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When you have a general anesthetic, you will be unconscious, which means you will go to sleep and not feel the surgery. The anesthesiologist will discuss the risks of anesthesia with you before surgery.

You will have plastic tubes (tubes or catheters) inserted into your neck, arms, bladder, stomach and windpipe. Before surgery, the surgical and anesthesia teams will explain where the tubes will be placed.

A tube is passed through your mouth into your windpipe and connected to a ventilator to help you breathe.

Another tube is passed through your nose and into your stomach – this is to prevent your stomach from swelling during the surgery. It will stay in place until you are ready to eat or drink.

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A small tube (line or drip) is inserted into your arm to provide you with fluids and medications during and after surgery.

An additional drip will be placed into a vein in your neck. These are used to give you fluids and medicines and to monitor your condition. They will remain in place until your condition stabilizes and you are able to drink water on your own.

A catheter is inserted into your bladder to drain urine until you wake up and are able to go to the toilet.

What Side Of The Body Is Your Liver Located

Inserting tubes into the body can cause bleeding, infection, or damage to other structures such as blood vessels or nerves. These complications are rare.

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Removing a diseased liver can be difficult and can result in significant blood loss. It is common for patients to receive blood transfusions during surgery. The blood you lose yourself can often be collected and recirculated back into your bloodstream.

Frequent blood tests will be performed throughout the procedure to help determine how well your blood is clotting. Sometimes you need to be given additional blood products (such as plasma or platelets) to help clotting.

Some units will use a bypass machine to circulate blood back to the heart while the donated liver is sutured.

Without a bypass machine, your surgeon may need to temporarily connect the vein that carries blood to the liver to another vein in the body. This allows blood to flow back to the heart while the diseased liver is removed. The process then proceeds the same way.

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Many surgeons will remove a small piece of tissue (biopsy) from the donated liver. This may occur after the liver is removed from the donor, after the liver arrives at the transplant center, or after a liver transplant.

With your consent, a liver biopsy may be taken for research. It will be used to find better treatments for liver disease or to help transplant teams understand the quality of donated livers. This may help if you have concerns about your liver function in the future.

Sometimes, a blood clot (thrombus) forms in the vein that carries blood to the liver (portal vein). The clot may need to be removed, or a new vein may need to be created using a donor vein.

What Side Of The Body Is Your Liver Located

Your hepatic artery supplies oxygenated blood to your liver. The structure of this artery may be different in more than 40 out of every 100 people.

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About 25 of those 100 will require some form of artery reconstruction before transplantation. This means the artery needs to adapt to the graft.

Sometimes, the hepatic arteries are of poor quality or diseased. In these cases, a new artery must be made using a donor’s artery. It will connect to your body’s main artery (aorta) or a major branch of the aorta (such as the common iliac artery). This is called an aortic catheter or jump graft, and is required in about 2 out of every 100 transplants. More common in retransplantation.

Your bile ducts carry bile from the liver to the intestines. Typically during a liver transplant, your bile ducts are connected to those of the donor liver.

Sometimes, it is not possible to use your own bile duct because it may be diseased. In this case, a loop of small intestine is connected to the donor bile duct, allowing bile to drain into the small intestine (roux-en-Y hepaticojejunostomy). This usually applies to patients who have primary sclerosing cholangitis (PSC), are re-transplanted, or if your bile ducts are significantly different in size from the donated bile ducts.

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At this point a small piece of tissue is removed for analysis. It is used to diagnose rejection. Medically reviewed by Cynthia Taylor Chavoustie, MPAS, PA-C — By Jill Seladi-Schulman, Ph.D. and Ashley Williams — updated March 27, 2023

What Side Of The Body Is Your Liver Located

Liver injury is typically divided into four stages, starting with inflammation and progressing to cirrhosis and end-stage liver disease (ESLD).

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Liver damage accumulates throughout several stages of liver disease. Each stage has a cumulative impact on the liver’s ability to function properly.

Damage caused by liver disease may pass through several stages. At each stage, the function of the liver is increasingly affected.

In this early stage, your liver will become enlarged or inflamed. Many people with liver inflammation do not experience any symptoms. If inflammation persists, permanent liver damage may occur.

The scar tissue produced during this stage replaces healthy liver tissue but is unable to perform the same function. This may begin to affect the liver’s optimal function.

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In cirrhosis, severe scarring of the liver occurs, leading to a buildup of scar tissue. Without that much healthy liver tissue, it’s difficult for the liver to function properly.

Although symptoms may not appear in the early stages, you may start to experience symptoms of liver disease.

ESLD is associated with complications such as ascites (a form of abdominal swelling) and hepatic encephalopathy (decreased brain function). The only treatment that can reverse ESLD is liver transplantation.

What Side Of The Body Is Your Liver Located

Liver failure is when your liver is unable to function properly to perform its many important functions, such as removing toxic substances from the blood and producing bile to help you digest food.

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Liver failure may occur due to liver damage caused by liver disease. However, liver damage and disease leading to liver failure are not inevitable.

Acute liver failure occurs quickly and usually occurs in people who don’t have liver disease. Chronic liver failure occurs when liver damage develops slowly over time.

The cause of liver failure depends on whether the liver failure is acute or chronic. In some cases, the exact cause of acute liver failure may be unknown. Chronic liver failure is related to liver damage or disease.

Inflammation and fibrosis are the earliest stages of liver damage or disease and rarely cause obvious symptoms. Symptoms are related to:

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