Clinical Programs
The Liver Transplant Program functions within the Multi-Organ Transplant (MOT) Program of the University Health Network and the Toronto General Hospital (UHN and TGH) and the Pediatric Academic Multi-Organ Transplant Program (PAMOT) of the Hospital for Sick Children (HSC). The Staff are:
- 6 Hepatologists: Drs. Bhat, Jaeckel, Lilly, Patel, Selzner, Tsien
- 7 Surgeons: Drs. Amir Sayed, Ghanekar, Goldaracena, McGilvray, Reichman, Selzner, Shwaartz
- 4-6 Transplant Hepatology Fellows
- 6 Surgical Fellows
- 5 Nurse Practitioners
- GI Residents and students from the University of Toronto Programs
The adult program serves approximately 75% of the province of Ontario (13.5M), and most patients from the province of Manitoba, and the pediatric program serves all of Ontario, Manitoba, and ~½ of the Maritimes.
Liver Transplant Volumes: 1985 – 2021
Adult Liver Transplant Service
The adult liver transplant in-patient service is comprised of 5 Nurse Practitioners, the Transplant Hepatologist and Surgeon, the Transplant Hepatology and Surgical Fellows, a PGY1 Resident in General Surgery, and an inpatient physician servicing an average of 30-45 pts. Hepatology staff and fellows are on service for one week at a time; Staff rotates on Friday and Fellows rotate on Mondays. Joint inpatient rounds are held at 7am and 3pm daily . The service has 30 – 45 listed patients including listed patients, postoperative recipients on their transplant admission, and late post-transplant patients.
Living Donor Liver
The Toronto living donor liver transplant program is one of the largest in North America with approximately 65 adult and 20 pediatric LDLTs per year, with over 1400 LDLTs to-date. The majority of the adults receive right lobe grafts, and children receive left lobe grafts. Over 200 potential donors are assessed each year and the Fellows perform all the volumetric analyses using the Myriam Software on dedicated computers.
Pediatric Liver Transplant
Each year, 30 pediatric transplants are performed making Toronto one of the largest pediatric liver transplant programs in North America. Recipient procedures are performed at the Hospital for Sick Children. Approximately 2/3 of the pediatric transplants are from living donors. The pediatric patients are treated and followed in the Hospital for Sick Children.
Combined Organ Transplantation
- Liver & Kidney
- Liver & Heart
- Liver & Lung
- Liver & Pancreas
- Liver & Small Intestine