Comprehensive Liver Transplant Expertise at Shanghai's Renji Hospital
Liver transplantation is one of the most technically demanding operations in surgery — and the range of transplant techniques available has expanded significantly over the past two decades. For patients who need a liver transplant for cancer, cirrhosis, or liver failure, the choice of transplant technique depends on donor availability, recipient anatomy, urgency, and the specific clinical situation. At Renji Hospital in Shanghai, Dr. Zhu Jianjun offers the full spectrum of liver transplant procedures, combined with expertise in liver tumor resection surgery.
Featured Specialist: Dr. Zhu Jianjun (朱建军)
Dr. Zhu Jianjun is Associate Chief Physician in the Department of Hepatobiliary Surgery at Renji Hospital, Shanghai Jiao Tong University School of Medicine — one of Shanghai's premier academic medical centers with a comprehensive liver disease program spanning hepatology, hepatobiliary surgery, interventional oncology, and liver transplantation.
Dr. Zhu's recognition and expertise:
- Shanghai Rising Star in Science and Technology (上海市青年科技启明星) — a prestigious Shanghai municipal award recognizing outstanding young scientists with exceptional research potential and clinical innovation
- Proficiency in the full range of liver transplant techniques: living donor liver transplantation (LDLT), orthotopic liver transplantation (OLT), and split liver transplantation
- Expertise in liver tumor resection surgery — hepatic resection for HCC and other liver tumors
Liver Transplant Techniques: A Complete Portfolio
Living Donor Liver Transplantation (LDLT / 亲体肖移植)
Living donor liver transplantation uses a portion of a healthy living donor's liver — typically a family member or close relative — to replace the recipient's diseased liver. Both the donor and recipient livers regenerate to full size within weeks.
- Right lobe LDLT: The most common adult-to-adult living donor procedure; the donor's right lobe (approximately 60% of liver volume) is transplanted into the adult recipient
- Left lobe LDLT: Used when the donor's right lobe would leave insufficient remnant for the donor's safety; more technically demanding for the recipient
- Left lateral segment LDLT: Used for pediatric recipients; a smaller portion of the donor liver is sufficient for a child
- Key advantage: Eliminates waiting time for a deceased donor organ — critical for patients with rapidly progressing HCC who may fall outside transplant criteria while waiting
- Donor safety: Rigorous donor evaluation to ensure the donor retains sufficient liver volume and function after donation
Orthotopic Liver Transplantation (OLT / 原位肖移植)
The standard deceased donor liver transplant — the recipient's diseased liver is removed and replaced with a whole liver from a brain-dead or cardiac-death donor in the same anatomical position.
- Piggyback technique: Preserves the recipient's inferior vena cava, reducing hemodynamic instability during the anhepatic phase
- Classical technique: Complete replacement of the retrohepatic vena cava with the donor organ
- Venovenous bypass: Used in selected cases to maintain venous return during the anhepatic phase
- Biliary reconstruction: duct-to-duct anastomosis or Roux-en-Y hepaticojejunostomy depending on anatomy
Split Liver Transplantation (劈离式肖移植)
Split liver transplantation divides a single deceased donor liver into two functional grafts — allowing one donor organ to benefit two recipients. This technique maximizes the use of scarce donor organs.
- The liver is split into a right lobe graft (for an adult recipient) and a left lateral segment graft (for a pediatric recipient)
- Alternatively, split into two adult grafts for two adult recipients in selected cases
- Technically demanding — requires precise division of hepatic vasculature and bile ducts to ensure both grafts have adequate inflow, outflow, and biliary drainage
- Increases the effective donor pool by allowing one organ to save two lives
Liver Tumor Resection Surgery
For patients with resectable liver tumors who are not transplant candidates, Dr. Zhu performs hepatic resection surgery:
- Anatomical hepatectomy: Resection along portal territory boundaries to minimize intrahepatic recurrence risk
- Non-anatomical (wedge) resection: For peripheral tumors where anatomical resection would sacrifice excessive liver tissue
- Laparoscopic hepatectomy: Minimally invasive approach for appropriate tumor locations, reducing blood loss and recovery time
- Major hepatectomy: Right or left hepatectomy, extended hepatectomy for large or multifocal tumors
- Repeat hepatectomy: Re-resection for intrahepatic HCC recurrence after initial surgery
The Renji Hospital Liver Program
Dr. Zhu works within Renji Hospital's comprehensive liver disease ecosystem, enabling seamless coordination with:
- Interventional oncology (Dr. Xu Aimin, Dr. Shi Yaoping, Dr. Wang Tao) for pre-operative bridging TACE or ablation and post-operative recurrence management
- Hepatology for cirrhosis management and post-transplant immunosuppression
- Medical oncology for adjuvant systemic therapy after resection or transplantation
- Intensive care for post-transplant critical care management
How CMCS Coordinates Your Care
China Medical Concierge Shanghai (CMCS) is a health management company — not a hospital. We connect international patients with Shanghai's leading liver transplant surgeons, including Dr. Zhu Jianjun at Renji Hospital, and manage every step of the process:
- Review of existing liver imaging (MRI, CT, ultrasound), tumor markers (AFP), liver function tests, viral hepatitis status, and prior treatment records
- Transplant eligibility assessment and technique selection consultation with Dr. Zhu's team
- Living donor evaluation coordination if applicable
- Coordination with interventional oncology for pre-transplant bridging therapy
- Appointment scheduling with priority access
- Medical interpretation during consultations and surgical planning discussions
- Logistics support: accommodation near Renji Hospital, visa assistance, and local transport
- Post-transplant follow-up and remote monitoring coordination
Get in Touch
If you or a family member needs liver transplantation or liver tumor surgery in Shanghai, contact our team for a confidential consultation.
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