Liver Transplantation - ECAB - 1st Edition - ISBN: 9788131226896, 9788131232477

Liver Transplantation - ECAB

1st Edition

Editor-in-Chiefs: Samiran Nundy
eBook ISBN: 9788131232477
Hardcover ISBN: 9788131226896
Imprint: Elsevier India
Published Date: 8th December 2010
Page Count: 176

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Liver Transplantation (LT), until recently the ‘forbidden fruit’, is the newest, the sexiest, the most controversial and arguably, the most technically challenging subspecialty of Surgical Gastroenterology to have mushroomed in India. In a journey spanning 12 years, 28 centers and 1500 liver transplants, we imagined there would be a gripping story to tell. It was only appropriate then, that we chose to inaugurate the series with an overview of Liver Transplantation. In the last 2 decades, the field has seen rapid progress with 1- and 5-year patient survival improving from 80% and 50% to 90% and 80%, respectively, owing to technical refinement, and better immunosuppressants, intensive care, and patient monitoring. Despite being a relatively new entrant into the field, India can now boast of at least some islands of excellence that have caught up with the "best in the west". This means the evolution of LT in these centers has been fast-forwarded up a steep curve. We have come a long way from the point of every LT being considered an experimental procedure with much media and public hype to one where it is accepted as a successful and durable panacea for all liver failure. The popularity of teams running successful programs in India has swung from being ostracized when the chips were down, to being celebrated and envied when the going became good. The focus has shifted from immediate to long-term survival, from surgical heroism to building multidisciplinary teams, from anecdotal to hard data and from media reports to scientific publications. ‘Fly-by night’ operations are on the decline as realization of their futility dawns on new centers and transplant teams. They are now happier to take the longer route of developing trained in-house teams. After spending a good part of the last decade honing the technique of living donor liver transplantation, we are becoming more sensitive to the morbidity and mortality risks to the living liver donor. We want to minimize the liver volume removed from the donor, and want to develop techniques of minimal access. More importantly, we want to train our guns back on pushing donation after brain or cardiac death. We have begun to maintain databases, are getting into audit mode and want a National registry. We want standardized treatment guidelines and training curricula. We want to take part in multicenter trials and further meaningful clinical and laboratory research. As a community, the liver transplant doctors of India are on a warpath of progress. We want it all and we want it now! The first step to the march into the future is to size up the past and the present. That is what we have attempted to do in this volume.

Table of Contents

How to Set up a Liver Transplant Center in India?

Liver Transplantation in India

The History

Individual Center Experiences: Present Status

Our Journey of Liver Transplantation at Sir Ganga Ram and Medanta Hospitals: A Rewarding Decade of Trials and Tribulations

The Apollo, Delhi Journey

Experience at Amrita Institute of Medical Sciences, Kochi, Kerala

Experience at Apollo, Chennai

The Cadaver Transplant Scenario in South India: The Global Hospital Experience

Deceased Donor Liver Transplantation in the Indian Armed Forces: Current Status

Liver Transplantation in India - The Way Forward

Liver Transplantation for Hepatocellular Carcinoma

Liver Transplantation for Acute Liver Failure

Postoperative Complications after Liver Transplant

Technical Advances in Liver Transplantation

Split Liver Transplantation

Pediatric Liver Transplantation

Laparoscopic Live Donor Hepatectomy


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© Elsevier India 2011
Elsevier India
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About the Editor-in-Chief

Samiran Nundy

Affiliations and Expertise

Department of Surgical Gastroenterology and Liver Transplantation Sir Ganga Ram Hospital, New Delhi