LIVING DONOR LIVER TRANSPLANT
(LDLT) - Gleneagles Hospital (Singapore) Until recently, more
than 75% of patients on the waiting list for liver transplants were
destined to die.
The reason: an acute shortage of cadaveric livers for transplant.
While the incidence of liver disease increased, the shortage of
cadaveric livers worldwide became more and more critical. Patients
could not look west for a transplant either because of the shortage,
which made the cost prohibitive.
The answer lies in developing a LDLT capability in Asia.
Today, the Gleneagles LDLT holds out great hope for patients with end
stage liver disease.
In LDLT, segments of livers from living adults are transplanted into
patients with terminal liver disease. The remaining liver in the
donor regenerates and replaces to its original size and function in
four to six weeks. The transplanted liver segments in the patient
also regenerate rapidly.

Initially, LDLT transplants were done for children, with the donors
being mainly parents. With the experience gained by doctors, the
LDLT procedure has been expanded to include adult recipients.
Gleneagles has a special strength in LDLT and treatment of liver
ailments. Our team of doctors have expertise and extensive
experience in major hepatobiliary and liver transplant surgery. They
have performed LDLT in Singapore and overseas.
The team includes transplant and hepatobiliary surgeons,
anaesthesiologists, gastroenterologists/ hepatologists,
radiologists, pathologists, infectious disease specialists/
microbiologists and haemotologists.
Members of our team are associated with the following achievements:
- 1991 The first split liver transplant in the United Kingdom (UK)
- 1992 The first auxiliary liver transplant for liver failure in the
UK
- 1993 The second auxiliary liver transplant for metabolic disease in
the world
- 1993 The first living donor liver transplant in the UK
- 1995 The first living donor liver transplant in Southeast Asia
- 1997 The second split liver transplant in Asia
All the liver transplant operations will be performed at Gleneagles
Hospital.
The donor is hospitalised for six to eight days and should be able to
resume most light home and work activities within a month. The
recipient is likely to stay in hospital for a longer period -
usually for three to four weeks. During this period, the recipient
is closely monitored for infection, rejection and regeneration of
the transplanted liver.
An extensive donor evaluation process is undertaken to minimise the
risk to both the donor and the recipient.
Mount Elizabeth Hospital Hematology and Stem Cell Transplant
Centre, Singapore
FACILITIES AND SERVICES
Haematology Consultation Services
Our Centre provides specialist consultation for the treatment of
blood disorders and blood cancers. These will include the various
types of anaemias, marrow aplasias, coagulation disorders, acute and
chronic leukaemias, myelomas, lymphomas and lymphoproliferative
disorders.
Haematology Stem Cell
Transplant (HSCT) Programme
Our Centre supports and coordinates all activities of transplants
including classical allogeneic stem cell transplant,
non-myeloablative allogeneic stem cell transplant, autologous stem
cell transplant and umbilical cord blood transplant. Stem cell
transplant process.
Outpatient Chemotherapy
Our Centre has a day care facility for our patients to receive
outpatient chemotherapy.
Blood Transfusion Services
Transfusion of red blood cells, platelets, plasma and other blood
products are available at our Centre for those who need blood
transfusion.
Supportive Care Programme
A sophisticated supportive care programme is available to help
patients who are convalescing from chemotherapy and stell cell
transplant. This will include day care, teaching class on care of
central venous catheter, outpatient antibiotic and infusional
therapy.
Apheresis Programme
Our apheresis programme includes the collection of stem cells,
white cells, platelets and plasma.
Biological and Cellular Therapy
We provide treatment and facility for administration of monoclonal
antibody, interferons, growth factors and other specific agents.
Cutting-edge treatments
Besides fairly well-established treatments for haematological
disorders, the Centre provides cutting-edge treatments using new
applications of stem cell transplant for other life threatening
cancers such as advanced pancreatic cancers, renal cell cancers,
metastatic colon cancers, ovarian cancers; and blood disorders such
as Thalassaemia Major and Sickle cell anaemia.
CONVENIENT & EFFICIENT
ARRANGEMENTS FOR INTERNATIONAL PATIENTS
As an international patient seeking treatment in Singapore,
you can either make your own arrangements or seek the assistance of
an International Patient Centre, such as Parkway Group Healthcare's
International Patient Assistance Centre (IPAC). A basic guide is
provided here. To know more about Singapore, please visit the
nearest Singapore Tourism Board office for information.
Visa and Immigration
Visa applications for entry into Singapore can either be made to
the Immigration & Checkpoints Authority or to the nearest Singapore
Overseas Missions.
How quickly visas are processed depends on how
critical the patient's need for treatment is. The visa processing
time for those who require urgent medical attention may vary from
that of international patients.
To facilitate visa processing, submit a
supporting letter from the Singapore hospital, stating the purpose
of the visa application and details of the patient's medical
condition, together with basic documents. Should you decide on a
hospital/doctor after your arrival, you are required to supply an
original copy of Form V39A (Letter of Introduction), completed and
signed, issued by a Singapore contact.
Arrival and Departure
As a major air hub in Asia Pacific, Singapore serves more than 60
airlines to over 145 cities through its Changi Airport. Quick and
hassle-free clearance for passengers can be expected. There are
conveniences such as ramps, elevators, specially-designed toilets
and telephones. Please inform the airline crew of any special
assistance you may require in Changi Airport, such as, wheelchair
services or quick immigration clearance.
Accommodation
Finding accommodation in Singapore is easy. A wide variety of
accommodation is available in Singapore to suit a wide range of
budgets and needs, starting from budget hostels right up to six-star
luxury hotels. For a longer stay and the feel of a home away from
home, you can opt for serviced apartments with full facilities to
house your family.
Transportation
Getting around in Singapore is convenient, affordable and
efficient. You have a choice of limousines, rental cars, buses,
taxis, the MRT and Maxicab airport shuttles. Our world class
transport network gives you quick access to all parts of the
country. |