Hepatobiliary Surgery and Liver Transplantation

Loyola University Medical Center currently has an active liver transplantation program and the Department of Anesthesiology has been involved in the program's evolution and implementation since starting in November of 1998. We have seen progressive growth as the fifth transplant center in the Chicago market. Candidates for transplantation come from not only the Midwest, but also from throughout the country including states such as Louisiana, Massachusetts, and Pennsylvania and present with a variety of complex liver diseases. The majority of transplantation candidates are a result of hepatitis C infection, however, other causes seen here include alcohol, primary biliary cirrhosis, primary sclerosing cholangitis, fulminant hepatic failure (from a variety of causes), and metabolic disorders.

The Department of Anesthesiology is intimately involved in the care of these patients. We participate not only in the evaluation process for transplant candidate selection, but also the perioperative management of these individuals. Residents in anesthesia also are active participants in the care of the transplantation candidate and are an integral part of the team.

In addition to transplantation, Loyola University Medical Center has an active hepatobiliary service. For both anesthesia residents and faculty, there is a tremendous amount of exposure to hepatobiliary surgery including hepatic resections, namely for metastatic disease (but also for primary hepatocellular carcinomas, hemangiomas, etc.), biliary reconstructive surgery, and pancreas surgery. Again, the Department of Anesthesiology is involved in all aspects of perioperative care for these patients.