喵咪社区

Transplants from living donors can be lifesaving for a patient in need. A 喵咪社区 transplant surgeon answers common questions about the process.

Living-organ donation is becoming more widely adopted across the country.

Thanks to medical advancements and improved education, thousands of people can make a difference each year by giving a functioning part of their body 鈥� either to a loved one or to an anonymous recipient 鈥� with safe and effective surgery.

鈥淎fter going through the process, most donors say they鈥檇 do it again,鈥� says Navpreet Kaur, MD, a transplant surgeon with the 喵咪社区 Transplant Institute, part of 喵咪社区. 鈥淜nowing that they saved somebody鈥檚 life, especially someone they care about 鈥� it鈥檚 a priceless feeling.鈥�

Dr. Kaur shares answers to some common questions about living-organ donation.

Which organs can be donated while alive?

It is possible for living organ donors to donate:

• One kidney
• Part of the liver
• Part of a lung
• Part of the pancreas
• Part of the intestines

Keck Medicine specializes in living-donor liver transplants, liver transplants and kidney transplants.

Kidney transplants are the most common form of living organ donation. Nationwide, they accounted for more than 90% of the 6,543 total living-donor transplants completed in 2021, according to the (OPTN).

The 喵咪社区 Living-Donor Liver Program at Keck Medicine has received a Center of Medical Excellence designation from Blue Cross Blue Shield. We are pioneers in living-donor liver surgery, performing our first procedure in May 1999. Our medical center is also one of the few places to offer bloodless living-donor liver transplantation for patients who refuse blood products.

鈥淟iving-donor liver transplants require more surgical expertise, and only a few specialized centers even offer living-donor liver transplants,鈥� Dr. Kaur says. 鈥淲e are very good at it. Our surgeons are highly experienced and passionate.鈥�

Although it鈥檚 possible for a living individual to donate part of their lung, pancreas and intestines, those transplants are rare in the United States. Fewer than 600 of these surgeries have been performed since the late 1980s, OPTN data shows.

Who is eligible to donate an organ?

Adults who are age 18 and older can be living organ donors. At Keck Medicine, potential donors undergo a series of physical and mental evaluations to ensure they are healthy enough for a transplant, including:

• Blood and urine tests
• CT scan
• Chest X-ray
• Electrocardiogram (EKG)
• Blood pressure monitor
• Psychosocial evaluation
• Nutritional assessment 

鈥淐andidates shouldn鈥檛 have significant organ disease, such as heart disease,鈥� Dr. Kaur says.

鈥淓ligibility is a complicated question. If a person wants to donate, they should come to us so we can determine if they鈥檙e healthy enough to donate.鈥�

A transplant may be delayed for the donor to make lifestyle changes, such as losing weight or quitting smoking, to optimize the outcome. Keck Medicine offers that provides support from dietitians, lifestyle therapists and personal trainers. 

There must also be a compatible blood match between donor and recipient. If you want to donate but your blood types don鈥檛 match, Keck Medicine has an internal donor exchange program, and it works with a national paired donation program, as well as the .

For recipients, 鈥渨e can find a matching organ from a different donor,鈥� Dr. Kaur says, adding that partnering with other medical institutions is also normal. 鈥淭here are many other pairs throughout the country whose blood types don鈥檛 match. We can organize swaps and make it happen.鈥�

What if I change my mind about organ donation?

Living-organ donation is 100% voluntary. At Keck Medicine, independent living-donor advocates are on hand to ensure donors do not feel pressured or guilted into the procedure. Each donor also has a dedicated medical team that鈥檚 independent of the recipient鈥檚 care team. 

鈥淓ven at the very last minute, right before transplant, living donors can still change their minds 鈥� and that鈥檚 OK,鈥� Dr. Kaur says.

Although living-donor transplants have high success rates and are generally safe, no surgery is without risk, Dr. Kaur says, adding that potential donors are thoroughly educated about the risks and benefits from transplantation, right from the start.

鈥淢any of them decide to go through with it, because they want to see their loved one get better,鈥� Dr. Kaur says. 鈥淏ut donors always have the option to back out.鈥� 

How long is the recovery after donating an organ?

Living-donor kidney surgeries take about 3 hours to complete, and donors usually spend 1 to 3 days in the hospital after surgery. Living-donor liver surgeries are longer, taking between 6 to 12 hours, and donors can expect to spend up to a week in the hospital.

鈥淟ike any abdominal surgery, recovery after a kidney or liver donation takes about 6 weeks,鈥� Dr. Kaur says. 鈥淒onors will feel more tired than usual, as their bodies heal, and we tell them to avoid heavy physical activity for a few weeks. But most people feel completely normal again 2 to 3 months after the surgery.鈥�

The 喵咪社区 Transplant Institute specializes in minimally invasive techniques. Thanks to advancements in laparoscopic surgery, donors can expect to have only a small scar at the incision site.

Dr. Kaur says there is no loss of function associated with a liver donation, and donors can expect their livers to fully regenerate within 2 months after surgery. People can also function normally with just one kidney.

The risk of a donor developing kidney failure later in life is less than 1%, Dr. Kaur says. High blood pressure, diabetes, kidney stones, cancer or traumatic injury can increase the risk of kidney failure, so it鈥檚 important for a donor to maintain a healthy lifestyle.

What are the health benefits of organs from living donors?

One of the reasons a person may decide to become a living organ donor is because of the benefits to their loved one.

Patients who receive organs from living donors experience , such as immediate organ function, decreased risk of rejection and increased longevity of the organ.

Timing is the primary reason. Patients usually have to wait several years for an organ 鈥� if they receive one at all 鈥� meaning they are generally much sicker by the time the transplantation surgery takes place.

According to the U.S. Department of Health and Human Services, are on the transplant waiting list. A new patient is added to the list about every 10 minutes. 

With a living donor, 鈥渆verything is controlled,鈥� Dr. Kaur says. 鈥淲e can do the surgery much sooner, before the recipient can get sicker. A living-donor donation is the best option for a kidney or liver transplant.鈥�

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