liver transplantation in india history in brief. liver...liver transplant in india thomas starzl:...
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Liver Transplantation in India History in Brief
Liver Transplant In India
❖ Thomas Starzl: First Liver Transplant in the World in 1963 and First Successful LT in 1967
❖ The first Liver Transplant in India in 1995.
❖ Successful in 1998.
1995 -2001
❖ 6 years cumbersome and eventful
❖ Barely any Survivors
❖ Pioners were AIIMS, SGPGI
❖ Sir Ganga Ram Hospital and Appolo New Delhi
Liver Transplant in India
❖ The first surge in LT by Dr Rajshekhar 2002-2003
Institution for Success of LT In India
LDLT : Why does it Flourish in India?
Why does LDLT flourish in India?
No cadaveric donations 90 % Foreign nationalsStrong Family bonds in many foreign nationals and come up for Organ DonationTHOA act allows a foreign national to receive DDLT only if there in no suitable Indian available Rare because of the long waiting list
AS Soin et al , J Med Sci 2016
Other Major States❖ Tamil Nadu
❖ Global Hospital about 150-175
❖ Hyderabad
❖ Calcutta
❖ Gujarat
❖ Keala
❖ Amrita : 60-100
❖ Karnataka
❖ Mumbai
❖ Kokilaben: 50-75
Where do we Stand?
Where do we Stand?❖ Maximmum number of Liver Transplants in the World 800-1000 in a city
❖ Average:
❖ Apolo Delhi: 300-350
❖ Medanta: 175-225
❖ Fortis Noida/ Escorts: 100-150
❖ ILBS: 100-125
❖ Ganga Ram: 50-75
❖ BLK: 25-40
❖ Artemis: 15-20
❖ RNR: 10-25
❖ Jaypee Noida: 10-20
❖ AIIMS: <10
❖ Saroj, GB Pant, Fortis Gurgaon: <5
❖ Licensed and yet to start: Rajiv Gandhi Cancer Hospital
Three Pioneers
Dr Avi Soin
Dr Subash Gupta
Dr Mohummad Rela
My Experience❖ Established Liver Transplant At BLK Superspeciality Hospital
❖ Worked as Senior Consultant, HPB and Liver Transplant Surgery at BLK Hospital from 2012-2014.
❖ Participated in Cadeveric Organ Retrival, Living Donor and Recipient Explant Surgery
❖ Instrumental in focusing on Deceased Donor Program
❖ Gave up LT in 2014, practising as a HPB and GI Surgeon in Delhi
Survival Statistics
❖ All my patients are alive
❖ No one ever Died
❖ I never had any complications
Documentation of OutcomesEven though a large number of LTs are performed▪ Paucity of outcome data from IndiaWHO guiding principle on human cell, tissue & Organ Transplantation issued in 2010▪ Mandatory to have a transparent system to register
outcomes of transplantation▪ It is also an important component to enhance credibility of
India in International Transplant Community