Paediatric Liver Transplantation

Paediatric liver transplantation is a safe, proven, and highly successful treatment for:

End-Stage Liver disease
Acute Liver Failure
Complex Detobolic Diver Disorders

With advances in surgical techniques, even very young infants can undergo transplant with excellent long-term outcomes.

Because children need smaller liver grafts, living donor liver transplantation (LDLT) is now the preferred approach, ensuring timely access to organs and better outcomes.

Paediatric Liver Transplant at Dr. Rela Institute & Medical Centre

At Dr. Rela Institute in Chennai, all paediatric liver transplants are performed by a dedicated, highly specialised transplant team led by Prof. Mohamed Rela, a globally recognised leader in liver transplantation.

World-Renowned Expertise: Prof. Mohamed Rela

One of the world’s most accomplished hepatobiliary and liver transplant surgeons

Began his transplant career in 1991 at King’s College Hospital, London

Headed the Live Donor Liver Transplant Programme at King’s

Pioneer of split liver transplantation and living donor liver transplantation

Holds the Guinness World Record for transplanting a 5-day-old newborn, who is now a lawyer

Establishing Excellence in India

Prof. Rela returned to India in 2009 to establish a world-class programme in Chennai.​ The centre has now completed:



~4,000

liver transplants

900+

including

paediatric liver transplants

This makes the Rela Institute one of the largest paediatric liver transplant programmes globally, with outstanding survival rates and internationally benchmarked outcomes.

The Liver Transplant Process at Dr. Rela Institute

Initial Evaluation
Donor Selection
Your child’s evaluation includes:

Consultation with a paediatric hepatologist

Meeting the transplant surgeons to discuss surgical planning

Counselling by a transplant coordinator

Insurance and financial guidance

Complete medical and transplant workup

Psychosocial support from a medical social worker

Nutritional optimisation with a dietitian

Only related donors are evaluated for living donor transplantation.

Families are encouraged to identify 2–3 ABO-compatible donors

If no match is available, ABO-incompatible transplantation is possible using a specialised desensitisation protocol

Donors undergo detailed CT imaging and health evaluation

Donor counselling ensures clear understanding of the procedure and recovery

Why Living Donor Transplantation Is Preferred in Children

Cadaveric organs in India are allocated only to Indian citizens

Long waiting times make children vulnerable to rapid deterioration

Living donor transplantation ensures timely surgery

A parent can often donate a small, safe liver segment suitable for a child


LDLT provides faster, safer, and more predictable outcomes for paediatric patients.



When Living Donor Transplantation Is Most Valuable

Living donor transplantation is especially life-saving for:

Acute (fulminant) liver failure

Cirrhosis with liver tumours

Rapidly progressing liver disease

Infants and small children with urgent need for transplant


The surgical team at Dr. Rela Institute performs LDLTs with world-class safety and success rates.

Types of Liver Transplantation


A. Auxiliary Liver Transplantation

A partial donor liver is transplanted alongside the child’s own liver.

Ideal for:

Acute liver failure( SELECTED CASES)


How It Works

∙A portion of donor liver is implanted

∙The child’s native liver regenerates after recovery

∙Immunosuppression is gradually stopped

∙The donor liver shrinks (atrophies)

The child eventually lives with their fully recovered liver

Robotic Liver Transplantation
(Selected Cases)

A cutting-edge minimally invasive option where:


Donor surgery

Recipient surgery


…may be performed using robotic systems to enhance surgical precision and recovery.

Why Dr. Rela Institute Is a Global Leader

One of the highest paediatric transplant volumes worldwide
Exceptional survival outcomes
Specialised paediatric transplant ICU and care pathways


Expertise in complex cases: metabolic diseases, acute liver failure, neonatal cholestasis, tumours
Complete family support system from evaluation to long-term follow-up
Child Liver Care Book Appoinment