center of

liver transplant

Liver Institute Department - Salpêtrière Hospital

A pioneering center at the forefront of its specialty

The Liver Transplantation Center of the Liver Institute is a pioneering center at the forefront of its specialty. It is integrated into the Digestive, Hepato-Biliary Surgery and Liver Transplantation (Professor Olivier SCATTON), Hepatology (Professor Dominique THABUT) and Anesthesia (Doctor Daniel EYRAUD) - Resuscitation (Professor Antoine MONSEL) departments of the University Hospital Center of the Pitié-Salpêtrière Hospital in Paris.

A center that brings together

several essential functions

The Liver Transplantation Center of the Liver Institute combines diagnostic activities for liver diseases and tumors, medical and surgical care and provides second-line care on a national and international scale.

It is authorized to perform liver transplants from living donors. It is the only center in France able to offer patients multi-organ transplants: liver, heart and kidney on a single site.


Bringing together expertise and innovation, the Liver Transplantation Center is at the forefront of research by transforming scientific data into useful knowledge for patients awaiting liver transplantation and transplant recipients, in the form of surgical techniques and expanding the indications for liver transplantation to patients with rare primary malignant liver tumors such as perihilar cholangiocarcinoma and epitheloid hemangioendothelioma or secondary malignant liver tumors such as liver metastases from colorectal cancer.

In addition, he analyzes clinical data from patients and those from the laboratory. This research activity allows for a better understanding of organ preservation injuries, ischemia-reperfusion injuries of steatotic grafts and the development of a perfusion machine combining oxygenated hypo- and normothermia in order to improve the results of liver transplantation and to be able to use so-called marginal grafts thanks to these liver perfusion machines.

Finally, he has been associated with the French-speaking School of Organ Donation since its creation in 2008.

5 areas of expertise

to the emerging national and international influence of the Liver Transplantation Center of the Liver Institute:

  • Donors who died from cardiac arrest (DDAC)

    He is a pioneer in the use of grafts from Donors Who Died from Cardiac Arrest (DDAC) with the first organ harvesting carried out in 2010 from a DDAC in an extra-hospital setting (Maastricht II: cardiac arrest in an extra-hospital setting occurring in the presence of emergency services, whose resuscitation after cardiac massage and artificial respiration proved doomed to failure) and then from DDAC controlled in a hospital setting (Maastricht III).

  • Transplantation from partial grafts (from living donations, shared grafts, auxiliary grafts)

    He has expertise and know-how in liver transplantation from a graft originating from a living donation of a liver lobe, particularly in the context of pediatric transplantation where the child receives the left lobe/liver removed laparoscopically from one of his parents (more than 80 hepatectomies including more than 40 left lobectomies removed laparoscopically).

  • Complex transplants

    It is a reference in complex liver transplants since the center also performs diagnostic procedures and transplants for patients from abroad and those coming from outside hospitals. It has recently developed a classification of the complexity of liver transplantation "the Pitié-Salpêtrière classification" allowing for transplant planning and the optimal choice of a graft.

  • Combined transplant (Liver/Heart, Liver/Kidney)

    He is a pioneer and national reference in combined liver-heart transplantation for patients with congenital heart disease and vascular liver disease with a cohort of more than 20 patients.

  • Enhanced Recovery After Surgery (ERAS)

    He is a leading expert in the RAAC (Enhanced Recovery After Surgery) program after liver transplantation. He has developed international recommendations for transplant patients to improve outcomes and accelerate post-operative recovery by reducing the length of post-operative stay.

The liver transplant coordination team

Our coordinating nurses specialize in caring for patients before, during, and after transplantation, playing a pivotal role in organizing care and providing specialized follow-up.

Our coordinators act as a link between the various teams specializing in the care of transplant patients, led by Professor Filomena Conti, hepatologist, https://fr.linkedin.com/in/filomena-conti-68235665 and Professor Olivier Scatton, surgeon https://fr.linkedin.com/in/olivier-scatton-503ba911

(Article PARIS MATCH)

in radiology

interventional

Interventional radiology plays a very important role in the management of liver cancer, allowing minimally invasive diagnostic and therapeutic techniques.



The rapid screening center

liver tumors

The Liver Transplantation Center of the Liver Institute combines diagnostic activities for liver diseases and tumors, medical and surgical care and provides second-line center activity on a national and international scale.

The critical care unit

hepato-gastroenterology

The Liver Transplantation Center of the Liver Institute combines diagnostic activities for liver diseases and tumors, medical and surgical care and provides second-line center activity on a national and international scale.

The Transplant Federation


Created in 2015, the Sorbonne University Organ and Tissue Transplantation Federation brings together all stakeholders in solid organ transplantation (heart, liver, kidney, tissues, stem cells) and organ and tissue harvesting within the Pitié-Salpêtrière, Tenon, and Saint Antoine university hospital groups.

It is led by a medical-surgical tandem: Professor Filomena Conti, hepatologist and medical director of the liver transplant program at Pitié Salpêtrière https://fr.linkedin.com/in/filomena-conti-68235665 and Dr. Claire Goumard, liver surgeon at Pitié Salpêtrière https://fr.linkedin.com/in/claire-goumard-16125b101.

 

The Federation participates in numerous events such as Donation Day, the Sorbonne University Tissue Meeting and organizes an annual scientific symposium in March of each year.


Organ Donation,

a link that concerns us all


To give new life to patients waiting for an organ, encouraging donation is essential. In the name of national solidarity, the law states that we are all organ and tissue donors, unless we have expressed our refusal to be removed during our lifetime; this is the principle of presumed consent.