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What is a Combined Liver-Kidney Transplant?

A combined liver-kidney transplant is a complex dual organ transplant surgery where a patient receives both a liver and a kidney from the same donor in a single procedure. This lifesaving approach is critical for patients suffering from simultaneous liver and kidney failure due to conditions like:

  • Polycystic liver-kidney disease.
  • Chronic hepatitis with renal complications.
  • Metabolic disorders (e.g., primary hyperoxaluria).
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The power of community to create health is far greater than any physician, clinic or hospital.

  • successful transplants
    1000+
    successful liver transplants
  • infrastructure
    State-of-the-Art
    Infrastructure
  • success rate
    95%+
    success rate
  • affordable cost
    Affordable Liver
    Transplant Cost in Delhi
Liver Transplant
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Combined Liver-Kidney Transplant

Life-saving dual organ transplantation with 80% 5-year survival rates

Why Choose Liver Surgeon for Combined Transplants?

As Delhi's premier center for combined liver-kidney transplants in India, we achieve 80% 5-year survival rates - surpassing national benchmarks - through meticulous donor matching and holistic post-transplant care.

50+

Successful combined transplants since 2015

Key Differentiators

  • India's First Dual Organ Program: Pioneered complex combined transplants
  • Advanced Preservation: Machine perfusion for optimal organ viability
  • Integrated Care: Coordinated hepatology and nephrology teams

Who Needs a Dual Organ Transplant?

Eligibility Criteria

  • Liver & Kidney Failure: Irreversible damage to both organs (e.g., cirrhosis + stage 5 CKD)
  • Metabolic Disorders: Diseases like primary hyperoxaluria that damage both organs
  • Failed Single Organ Transplant: Patients with recurrent organ failure post-transplant

Symptoms Requiring Evaluation

  • Jaundice + severe edema/swelling
  • High creatinine (>5 mg/dL) with elevated liver enzymes
  • Frequent dialysis dependency + ascites

The Transplant Process

Step 1: Evaluation

Dual Organ Assessment:

  • Liver biopsy + GFR testing
  • Cardiac/pulmonary fitness checks
  • MELD Score ≥30 + eGFR <30 mL/min for priority

Step 2: Donor Matching

  • Deceased Donor: Organs from same donor ensure compatibility
  • Living Donor (Rare): Requires ethical approval for two donors

Step 3: Surgery

  • 12-18 hour procedure: Led by Dr. Ashish George
  • Key challenge: Coordinating two organ implantations

Step 4: Post-Transplant Care

  • Tailored immunosuppression for both organs
  • 3-month rehab with specialists

Why Liver Surgeons Excels

  • India's First Dual Organ Program: Established in 2015
  • Advanced Protocols: Machine perfusion and cross-disciplinary ICU
  • AI Tools: Organ rejection prediction technology

Success Statistics

50+

Combined transplants since 2015

90%

1-year survival rate

80%

5-year survival rate

80%

Patients dialysis-free post-surgery

70%

10-year survival for metabolic disorders

Risks & Management

Challenges in Dual Organ Transplants

  • Higher Rejection Risk: Regular biopsies and monitoring
  • Infection Susceptibility: Prophylactic antibiotic regimens
  • Organ Quality: Strict NOTTO guidelines compliance

Our Safety Protocols

  • 24/7 hepatology and nephrology teams
  • Weekly multidisciplinary case reviews

Why Choose Delhi & India?

  • NOTTO Hub: Delhi's high deceased donor availability
  • Cost Advantage: 60% cheaper than Western countries
  • Global Expertise: Collaborations with top international centers

One Surgery, Two Lifesaving Organs – Act Now

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Frequently Asked Questions

Wait times average 6–12 months for deceased donors. Priority is given to MELD-Na score and dialysis dependency.
Rarely. Ethical guidelines prefer organs from the same donor to reduce rejection risks.
₹50–65 lakhs, covering surgery, ICU, and 1-year follow-ups. Insurance and EMI options are available.
With compliance, 10–15 years for both organs. Our Delhi center reports 75% graft survival at 10 years.
Post-transplant, patients must follow a strict regimen that includes immunosuppressive medications, regular health check-ups, a low-sodium and low-fat diet, staying hydrated, avoiding alcohol, and maintaining hygiene to prevent infections.
While there's no fixed age limit, patients are typically considered between ages 18–65, depending on overall health, organ function, and ability to recover. Each case is evaluated individually by our multidisciplinary team.