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Liver Transplant at Samitivej Srinakarin Hospital, Bangkok

25 Nov, 2023

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  • Samitivej Srinakarin Hospital, a prominent subsidiary of Bangkok Dusit Medical Services, stands as a beacon of excellence in healthcare in Thailand. Established in 1970, this JCI accredited hospital has earned numerous accolades for its outstanding medical services and global standards of care. Among its many specialties, the hospital is renowned for its Liver & Digestive Institute, providing comprehensive care for liver-related conditions, including liver transplants.

Symptoms and Diagnosis

Recognizing Liver-related Symptoms

  • Liver-related conditions often manifest through a range of symptoms that may vary in severity. At Samitivej Srinakarin Hospital, a keen emphasis is placed on identifying these symptoms early on, allowing for timely and effective intervention. Common symptoms include:

1. Jaundice:

  • Yellowing of the skin and eyes due to the accumulation of bilirubin, a yellow pigment.

2. Abdominal Pain:

  • Discomfort or pain in the abdominal region, often indicative of liver inflammation or swelling.

3. Fatigue:

  • Persistent tiredness and lack of energy, which can be a sign of compromised liver function.

4. Unexplained Weight Loss:

  • Significant and unexplained weight loss may signal underlying liver issues.

5. Changes in Stool Color:

  • Pale-colored stools can indicate problems with bile production.

6. Dark Urine:

  • Urine that appears dark in color may suggest liver dysfunction.

Diagnostic Approaches at Samitivej Srinakarin Hospital

1. Advanced Imaging:

  • Utilization of cutting-edge imaging techniques such as MRI, CT scans, and ultrasound to visualize the liver's structure and identify abnormalities.

2. Laboratory Tests:

  • Blood tests to assess liver function, including liver enzyme levels and the presence of specific markers indicating liver damage.

3. Biopsy:

  • In some cases, a liver biopsy may be recommended to obtain a small sample of liver tissue for detailed analysis.

4. Fibro Scan:

  • A non-invasive method used to assess liver stiffness, providing valuable information about liver health.

5. Medical History and Physical Examination:

  • Thorough evaluation of the patient's medical history and a physical examination to identify signs of liver disease.

6. Diagnostic Consultation:

  • Patients at Samitivej Srinakarin Hospital benefit from consultations with experienced specialists who interpret diagnostic results and develop tailored treatment plans.

Importance of Early Diagnosis

  • Early diagnosis of liver conditions is paramount to initiating timely and appropriate medical interventions. Samitivej Srinakarin Hospital's commitment to utilizing advanced diagnostic tools ensures that patients receive accurate assessments, enabling the medical team to devise precise and effective treatment strategies. If you are experiencing symptoms or have concerns about your liver health, seeking prompt medical attention at Samitivej Srinakarin Hospital can make a significant difference in your overall well-being.

Risks and Complications of Liver Transplants at Samitivej Srinakarin Hospital

  • Liver transplantation is a complex surgical procedure that, like any major surgery, comes with inherent risks and potential complications. Samitivej Srinakarin Hospital prioritizes patient safety and takes comprehensive measures to minimize these risks. Understanding the potential challenges associated with liver transplants is crucial for both medical professionals and patients.

Common Risks and Complications

1. Rejection of the Transplanted Liver:

  • Despite immunosuppressive medications, there is a risk of the body rejecting the transplanted liver. Regular monitoring and adjustments to medications help mitigate this risk.

2. Infection:

  • The immunosuppressive drugs used to prevent rejection can compromise the immune system, making patients more susceptible to infections. Stringent infection control measures are implemented at Samitivej Srinakarin Hospital.

3. Bleeding:

  • Postoperative bleeding can occur, requiring immediate medical attention. The surgical team at Samitivej Srinakarin Hospital is well-prepared to address any bleeding complications.

4. Clot Formation:

  • Blood clot formation, particularly in the blood vessels connected to the transplanted liver, is a potential complication. Anticoagulant medications may be prescribed to prevent this.

5. Biliary Complications:

  • Issues related to bile ducts, such as leaks or strictures, can occur. Close monitoring and, if necessary, interventional procedures are employed to manage such complications.

6. Organ Failure:

  • In some cases, other organs may be affected post-surgery, leading to potential organ failure. Continuous monitoring and prompt intervention are critical to preventing or addressing organ failure.

Samitivej Srinakarin Hospital's Approach to Minimizing Risks

1. Comprehensive Preoperative Assessments:

  • Thorough evaluations of both donors and recipients are conducted to ensure compatibility and identify any potential risk factors.

2. State-of-the-Art Surgical Techniques:

  • The use of advanced surgical techniques by experienced transplant surgeons at Samitivej Srinakarin Hospital contributes to minimizing the risk of complications during the procedure.

3. Individualized Treatment Plans:

  • Treatment plans are tailored to the specific needs of each patient, considering their medical history and potential risk factors.

4. Postoperative Monitoring:

  • Intensive postoperative monitoring in the critical care unit allows for immediate identification and management of any complications that may arise.

5. Patient Education:

  • Patients and their families are thoroughly educated about potential risks and complications, empowering them to actively participate in their care and report any concerns promptly.

Liver Transplant Surgical Process at Samitivej Srinakarin Hospital


  • A liver transplant at Samitivej Srinakarin Hospital involves a meticulously planned and executed surgical process. The hospital's renowned Liver & Digestive Institute is equipped with state-of-the-art facilities, and the surgical team, led by experienced specialists, ensures the highest standards of care throughout the procedure.

Preoperative Preparation

1. Patient Evaluation:

  • Thorough preoperative evaluations are conducted to assess the patient's overall health and suitability for the transplant.
  • Diagnostic tests, including imaging and laboratory assessments, provide comprehensive insights into the condition of the patient's liver.

2. Donor Selection:

  • Living or deceased donors are carefully evaluated to ensure a compatible match.
  • Living donor transplants may involve a segment of the donor's liver being transplanted into the recipient.

Surgery Day

3. Anesthesia Administration:

  • The patient is administered general anesthesia to ensure they are unconscious and pain-free throughout the surgery.

4. Incision:

  • A carefully planned incision is made in the abdominal area to access the liver. The type of incision may vary based on the patient's condition and the chosen surgical technique.

5. Liver Removal (Donor or Deceased):

  • For deceased donor transplants, the damaged liver is carefully removed from the recipient.
  • In living donor transplants, a segment of the healthy liver is extracted from the donor for transplantation.

6. Vascular and Biliary Connections:

  • The transplant team meticulously connects the blood vessels and bile ducts of the donor liver to those of the recipient.

7. Closure:

  • Once the new liver is securely in place and functioning, the surgical team closes the incision with precision, using sutures or staples.

Postoperative Care

8. Monitoring:

  • Post-surgery, the patient is closely monitored in the intensive care unit (ICU) for any signs of complications.

9. Immunosuppressive Medications:

  • Immunosuppressive medications are administered to prevent the body from rejecting the new liver. The dosage is carefully monitored.

10. Recovery and Rehabilitation:

  • The patient undergoes a structured recovery plan, including physical therapy and rehabilitation to promote optimal healing.


11. Post-Transplant Assessments:

  • Regular follow-up appointments are scheduled to assess the long-term success of the transplant.
  • Adjustments to medications or additional interventions are made as needed.

Treatment Plan

1. Package Details

2. Inclusions

  • Pre-transplant evaluations
  • Surgical procedure
  • Post-operative care
  • Medications
  • Follow-up consultations

3. Exclusions

  • Additional diagnostic tests, if required
  • Non-standard medications
  • Complications requiring extended hospitalization.

4. Duration

  • The duration of the liver transplant process varies based on individual patient factors. Samitivej Srinakarin Hospital emphasizes personalized care, ensuring each patient receives the necessary attention throughout their journey.

5. Cost Benefits

  • While the cost of a liver transplant is a significant consideration, Samitivej Srinakarin Hospital strives to provide cost-effective solutions without compromising on quality. The hospital's transparent pricing and comprehensive packages contribute to a financially viable treatment option for patients.

Cost of Liver Transplant at Samitivej Srinakarin Hospital

  • The cost of a liver transplant at Samitivej Srinakarin Hospital in Thailand is a crucial consideration for patients seeking high-quality medical care at a more affordable rate. The hospital's commitment to providing world-class healthcare services without compromising on excellence makes it a sought-after destination for individuals in need of liver transplantation.

Comparative Costs

1. Deceased Donor Liver Transplant:

  • Approximate Cost: 1,500,000-2,000,000 THB (US$44,000-US$59,000)

2. Living Donor Liver Transplant:

  • Approximate Cost: 1,200,000-1,500,000 THB (US$35,000-US$44,000)

Inclusions in the Cost

  • The cost of a liver transplant at Samitivej Srinakarin Hospital encompasses a comprehensive range of services and necessities, ensuring that patients receive holistic care. The included components are:

1. Transplant Surgery:

  • The surgical procedure itself is covered within the overall cost, performed by a team of experienced and skilled surgeons.

2. Donor Liver Expenses:

  • Whether from a deceased or living donor, the cost includes expenses related to obtaining and preparing the donor liver for transplantation.

3. Hospital Stay:

  • The duration of the hospital stay is factored into the overall cost, ensuring patients receive the necessary postoperative care in a comfortable and conducive environment.

4. Medications:

  • The cost covers necessary medications, including immunosuppressive drugs to prevent organ rejection and other post-transplant medications.

5. Follow-up Care:

  • Comprehensive follow-up care, including consultations, diagnostic tests, and adjustments to the treatment plan, is included in the overall cost.

Potential Insurance Coverage

  • The cost of a liver transplant at Samitivej Srinakarin Hospital may be eligible for insurance coverage. Patients are encouraged to check with their insurance providers to determine the extent of coverage and understand any potential out-of-pocket expenses.

Affordability without Compromise

  • Samitivej Srinakarin Hospital offers the advantage of significantly lower costs compared to the United States or Europe, making it an attractive choice for individuals seeking affordability without compromising on the quality of medical care. The hospital's transparent pricing and inclusive packages contribute to a financially viable option for patients in need of life-saving liver transplantation.

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Post-Transplant Care and Follow-up

  • After a successful liver transplant at Samitivej Srinakarin Hospital, the journey doesn't end with the surgery. The hospital places significant emphasis on post-transplant care and follow-up to ensure the long-term well-being of the patient.

1. Medication Management

Patients will be prescribed immunosuppressive medications to prevent the body from rejecting the transplanted liver. Strict adherence to the medication schedule is crucial, and the medical team at Samitivej Srinakarin Hospital provides detailed guidance on proper dosage and potential side effects.

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2. Monitoring and Follow-up Visits

Regular follow-up visits are scheduled to monitor the patient's progress, address any concerns, and make adjustments to the treatment plan if necessary. The hospital's medical professionals work closely with patients to ensure optimal recovery.

3. Lifestyle Changes and Rehabilitation

Patients are encouraged to adopt a healthy lifestyle post-transplant, including a balanced diet and regular exercise. Samitivej Srinakarin Hospital's rehabilitation services may be recommended to aid in the recovery process and enhance the patient's overall quality of life.

4. Patient Support Services

Recognizing the emotional and psychological aspects of a transplant journey, Samitivej Srinakarin Hospital provides comprehensive support services. This includes counseling, support groups, and educational resources to assist patients and their families in coping with the challenges of post-transplant life.

Why Choose Samitivej Srinakarin Hospital for Liver Transplant?

1. Expertise of Renowned Surgeons

The hospital boasts a team of distinguished surgeons, including Prof. Emeritus Charoen Chotigavanich and Dr. Prasopsook Songpaiboon, who bring decades of experience in liver transplantation.

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2. State-of-the-Art Infrastructure

Samitivej Srinakarin Hospital is equipped with modern facilities, including a dedicated Liver & Digestive Institute, ensuring that patients receive the highest standard of care.

3. Comprehensive Specialized Care

With over 35 clinical and surgical departments, the hospital provides a wide range of specialized services, ensuring that each patient's unique needs are met.

4. International Patient Support

The hospital's international patient team assists patients from around the world with all aspects of their healthcare journey, from appointment scheduling to travel arrangements and language interpretation.

Patient Testimonials:

1. Jane's Journey to Recovery:

  • "I cannot express my gratitude enough to the incredible team at Samitivej Srinakarin Hospital. From the initial consultation to the postoperative care, every step of my liver transplant journey was marked by professionalism and compassion. The meticulous attention to detail, advanced medical technology, and the unwavering support of the staff made my recovery smooth. I am now enjoying a renewed lease on life, and I owe it all to the exceptional care I received at Samitivej Srinakarin Hospital."

2. John's Triumph Over Liver Disease:

  • "Choosing Samitivej Srinakarin Hospital for my liver transplant was one of the best decisions I ever made. The expertise of the medical team, coupled with their genuine concern for my well-being, reassured me at every stage. The hospital's state-of-the-art facilities and personalized approach made me feel like more than just a patient—they treated me like family. Today, I am living a healthy, fulfilling life, all thanks to the outstanding care I received."

3. Sarah's Gratitude for Exceptional Care:

  • My journey with Samitivej Srinakarin Hospital was nothing short of remarkable. From the first consultation, I felt confident in the hands of highly skilled professionals. The hospital's commitment to patient satisfaction was evident in every aspect of my care. The support didn't end with the surgery; the follow-up care and continuous monitoring provided a sense of security. I am grateful for the exceptional team at Samitivej Srinakarin Hospital that played a pivotal role in my healing process."

4. Mark's Remarkable Recovery:

  • "As an international patient, the thought of undergoing a liver transplant in a foreign country was daunting. However, Samitivej Srinakarin Hospital's international patient team made the entire process seamless. The coordination of appointments, assistance with visas, and language interpretation services were beyond my expectations. The hospital's commitment to providing top-notch medical care and ensuring the comfort of international patients is truly commendable. I am now back home, healthy, and forever grateful for the outstanding care I received.

How to Initiate the Journey?

  • If you or a loved one is considering a liver transplant at Samitivej Srinakarin Hospital, the process can be initiated with the following steps:

1. Enquiry and Consultation

Begin by sending an enquiry through the hospital's official website or contacting their international patient team. Schedule a consultation with one of the expert physicians, such as Dr. Puchong Isarakul or Prof. Emeritus Charoen Chotigavanich, to discuss your specific case.

2. Diagnostic Assessment

Upon consultation, the medical team at Samitivej Srinakarin Hospital will conduct a thorough diagnostic assessment, utilizing advanced imaging and laboratory tests to evaluate the condition of your liver comprehensively.

3. Tailored Treatment Plan

Following the assessment, a personalized treatment plan will be developed, outlining the recommended course of action, including the possibility of a liver transplant.

4. Financial Consultation

The hospital's financial team will provide transparent information regarding the cost of the transplant, inclusive of the treatment package, inclusions, exclusions, and potential duration.

5. Treatment Initiation

Once all details are clarified, and the patient is ready to proceed, the liver transplant procedure will be scheduled. Samitivej Srinakarin Hospital's expert surgical team will ensure that the process is conducted with precision and care.

6. Post-Transplant Care and Follow-up

After the transplant, the hospital's comprehensive post-transplant care plan will come into effect, including medication management, regular follow-up visits, and support services to facilitate a smooth recovery.

Choosing Samitivej Srinakarin Hospital for a liver transplant is not just a medical decision; it's an investment in comprehensive care, expert guidance, and a renewed lease on life.

  • As you embark on this journey, rest assured that you're in the hands of a healthcare provider dedicated to your well-being. Samitivej Srinakarin Hospital's legacy of excellence and commitment to patient satisfaction make it a leading choice for individuals seeking quality liver transplant services.
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Samitivej Srinakarin Hospital boasts a high success rate for liver transplants. Success rates may vary based on individual patient factors, and the medical team provides detailed information during the consultation.