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