Robotic Liver Transplant Cost in India

“The cost of liver transplant starts from USD 32,000. The liver transplant hospitals in India promise unparalleled health treatments at low-cost packages.

Liver failures are now estimated to be the cause of two million deaths annually worldwide. The only option for treatment when liver disease reaches its final stage is a liver transplant because the liver is irreversibly damaged.
To transplant the donor’s liver and remove the damaged liver, various surgical techniques are used. One such procedure that has grown in popularity recently is robotic liver surgery. It is a minimally invasive surgery that is carried out by robotic surgical systems.
A robotic liver transplant is a cutting-edge substitute for liver transplant surgery and is a rapidly developing specialty within liver surgery.
Liver transplants are typically performed by surgeons to replace a diseased or non-functioning liver—a consequence of liver failure—with a functional liver.
In a robotic liver transplant, the laparoscope and the surgeon’s hands are replaced by mechanical arms during this replacement procedure.
This improves surgical precision and outcomes by making the procedure far less invasive than previous liver transplant procedures.
Robotic surgery therefore refers to a surgical procedure where the surgeon controls mechanical arms equipped with a camera and surgical instruments, allowing for smaller incisions.
Individuals with liver failure can have robotic liver surgery. It is possible to perform robotic liver surgery for both primary and secondary liver cancers. Robotic surgery is available for both minor and major liver resections.

Robotics’ Use in Liver Surgery

With the use of robotic liver surgery, a surgeon can carry out complex operations with greater accuracy and a three-dimensional view of the surgical site.

Furthermore, it is a successful substitute for laparoscopic surgery in cases of benign and malignant liver lesions. It gets around some of the drawbacks of open and laparoscopic surgery.

Compared to laparoscopic surgery, robotic liver surgery has the following benefits:

Enhanced optical visualization.
Increased dexterity in functioning.
Dissection and suturing ease.

Robotic liver surgery has several benefits over conventional methods. Among these benefits are:

Reduced suffering and haemorrhaging.
Reduced risks, such as a decreased likelihood of surgical site infections.
Swift recuperation.
Less obvious wounds.
Shorter hospital stays.

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Robotic Liver Transplant Surgery Cost in India

The cost of a robotic liver transplant in India begins from USD 32,000. The price of a robotic liver transplant typically varies depending on several factors and is different in different hospitals and centers.

Factors Affecting the Robotic Liver Transplant Cost in India

Pre-transplant examinations and tests.
Surgical procedure and hospital charges.
Surgeon and medical team fees.
Immunosuppressant medications.
Duration of hospital stay.
Post-transplant care and charges.

Robotic vs Open Hepatectomy (Donor Liver Surgery)

The open liver donor procedure, which was once commonplace, has drawbacks such as discomfort, infections, a delayed healing period, visible scars, incisional hernias, and extended hospital stays. Robotic surgery helps to overcome all of these shortcomings.

Inadequate instrumentation: There is much space for improvement in the flexibility and range of motion provided by the instruments that can be used in a laparoscopic transplant.
Challenging ergonomics: Because the surgical instruments are introduced through rigid sticks, it is challenging to operate the instruments.
Extended hospital stays: Perhaps not as long as during open surgery, but certainly longer than during robotic surgery.
When performing a living donor hepatectomy (LDLT), the Intuitive Surgical da Vinci Surgical System is incredibly advanced and has many features that are very helpful to the surgeon.
Control is intuitively transferred from the instrument handle to the tip: Smooth, steady, and lossless control transfer occurs between the surgical instrument at the tip of the arm and the instrument handle, which is essentially the robotic arm.
Better 3D Visualization: A steady camera platform and the camera’s high-resolution (10x) 3D images make it simple to view infrequent images, which aids the surgeon in making wiser decisions and carrying out successful interventions.
Scaling: the range of motion is referred to here. The robotic arms’ smooth movement across wide-ranging angles and distances expands the scope of its operability.
Tremor filtering: During the procedure, a weary surgeon’s hands may tremble. The robotic instruments are free of vibrations and tremors.
Coaxial alignment of the images of the hands, eyes, and tooltips: This eliminates vision distortion, which can occur during laparoscopic procedures and necessitates realigning one’s instruments or position.
360-degree rotating endo-wrist: The wrist or end of the arm is a potent tool unto itself, known as the Endo-Wrist. It can rotate in 360 degrees, allowing for extremely precise operation.
An operating position that is both comfortable and ergonomic: The primary surgeon takes a seat on a computer console so that they can easily see both the operating field and the computer. Helping surgeons in the OT can relay any minor observations they may have.
The potential for off-site surgery: Telesurgery, which does not require the surgeon to be physically present, is made possible by robotic surgery.

Elements That Contribute to A Successful Robotic Liver Transplant Surgery

Liver failures are now estimated to be the cause of two million deaths annually worldwide. The only option for treatment when liver disease reaches its final stage is a liver transplant because the liver is irreversibly damaged.

To transplant the donor’s liver and remove the damaged liver, various surgical techniques are used. One such procedure that has grown in popularity recently is robotic liver surgery. Robotic surgical systems are used to carry out this minimally invasive procedure.

Building a solid team inside and outside the operating room is essential for a successful robotic liver surgery.
The essential elements include a specialized surgical team, an anesthesia team, and operating room personnel.
The equipment is a significant investment, so it requires a patient and understanding management team. The team, including the anesthetist, nurses, and assistants, must provide a great deal of support for the initial cases, which are funded.
A minimally invasive technique should only be attempted by a surgeon experienced in open hepatic surgery.
Additionally, to gain experience in robotic liver surgery, he or she should have completed a formal training program and a solid foundation in general laparoscopic and robotic surgery.

Procedure in the Case of Robotic-Assisted Liver Transplant Surgery in India

People with complications from terminal liver diseases who are not treatable are eligible for liver transplants.

A deceased (cadaveric or non-living) donor or a living donor may be the source of the healthy liver.

Before the Robotic liver transplant procedure:

To determine whether you are healthy enough to receive the organ, the doctor will review your medical history and order necessary tests.
If the patient is a live donor, one may be required to take a compatibility test after being found fit to prevent organ rejection.
A pre-anaesthesia examination comes next, and the surgery date is set after that.

The transplant preparation process is comparable to that of any other surgery. The guidelines listed below will apply to both the recipient and the live donor.

A comprehensive medical evaluation will be conducted before the transplant date is finalized.
A week prior to the procedure, the patient has to give up smoking and all medications.
The patient has to abstain from food and drink after midnight on the day before the procedure.
He or she will first receive a light sedation on the day of the procedure to help ease anxiety.
After vital signs stabilize, the patient will be wheeled into the OT, where the robotic system will be placed in close proximity.
The patient will be put under general anesthesia and become unconscious.
One arm will have an IV line started in order to deliver medicine and fluids.
To assist with breathing, a tube will be placed in the patient’s throat and advanced all the way to the lungs.
All vital signs will be kept track of during the process.

During the Robotic liver transplant procedure:

Compared to standard open or laparoscopic surgery, robotic arms performing liver transplant surgery make smaller incisions. The latter involves removing the donor’s liver (hepatectomy) and transplanting it into the recipient.
The surgeon makes tiny incisions to make it easier for the mechanical arms to insert the instruments after marking the incision sites on the abdomens of the donor and the recipient.
The incisions also permit a camera arm to move, allowing visualization and producing a three-dimensional picture of the surgical site. Through a console by the operating table, the surgeon manipulates these arms.
The surgeon carefully removes the damaged liver from the surrounding blood vessels, organs, and structures using these arms, then secures it.
After that, the arms of the robot remove the damaged liver.
The arms reattach themselves to the surrounding blood vessels and structures after positioning the new liver.
Upon the restoration of blood flow and the absence of any leftover bleeding, the surgeon sutures the incisions and applies a sterile dressing to the surgical site. A few days following the procedure, the site is observed to look for infections. Additionally, the physicians evaluate whether the body has adapted to the new organ.

Follow-up in the case of a Robotic liver transplant procedure

When the surgery is over, the surgical staff will escort the patient to the intensive care unit while keeping an eye on vital signs and anesthesia.
The medical staff will take blood samples at predetermined intervals for a few days following the procedure to make sure the new liver is working as it should. These are essential to identify organ rejection, which may result in issues.
One might be able to resume eating solid food and exercising whenever the doctor deems it appropriate if the results of the tests are as expected. All of this will be closely watched, though, to make sure there are no complications or post-operative infections.

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Advantages of a Robotic liver transplant procedure

This technique has reduced estimated blood loss, and pain following surgery, reduced morbidity, and a shorter length of hospital stay. However, this method has its limitations.
Many considered switching from keyhole to robotic surgery when the field of robotic surgery emerged. For a select group of patients, pure robotic right donor hepatectomy is safe and possible when performed by a skilled team.
This surgical video shows the following techniques: defining the right hepatic vein and IVC, mobilizing the right lobe, Funny dissection, and putting up a demarcation marker, Hemlocks and staplers are used for the final vascular transection, the assistant port is used for minimal CUSA/suction usage, robotic suture closure of the bile duct opening, and the graft is delivered through the Pfannenstiel incision during parenchymal transection.

Risks

Liver transplant surgery is a serious procedure with significant risks. It is only available to those who have liver failure or end-stage liver disease. Among the dangers it poses are:

Bile duct issues, including leaks and shrinkage.
Uncontrolled bleeding at the site of surgery
Rejection of the liver
Infections following surgery
The transplanted liver’s failure.

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Best Liver Transplant Hospitals in India

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Best Liver Transplant Surgeons in India

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Dr. Arvinder Singh Soin Dr. Arvinder Singh Soin
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Dr. Subhash Gupta Dr. Subhash Gupta
New Delhi, India

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Dr. Ramdip Ray Dr. Ramdip Ray
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Dr. Sanjay Singh Negi Dr. Sanjay Singh Negi
New Delhi, India

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