Dr Naimish Mehta is experienced in living donor liver transplantation and is successfully running a liver transplant programme in one of the tertiary referral centre in India. Several national and international patients have undergone LDLT with a success rate of 93% survival. We have the lowest reported rate of biliary complications (5%) as compared to other liver transplant centres in the world. Results in liver cancer are equally good at 85% survival.
Success rate of Liver Transplant Surgery in Delhi, India
Performance
The Liver Transplant unit is one of the foremost state-of-the art facilities of its type in the Indian subcontinent. It provides a world-class service in cadaveric and living related liver transplantation with advanced infrastructure and experienced multidisciplinary team to support all aspects of the speciality. Our key strengths are internationally recognized faculty members who have been previously trained and have worked in the best centres abroad, operating rooms conforming to international standards and a dedicated Liver ICU which is second to none.
Infrastructure (photographs): Hosp, CT scan dept, ICU, Operation theatres, Blood Bank, Nephrology (dialysis), Cardiology, Physiotherapy
Advances/Scope in LT:
Increasing numbers of patients waiting for liver transplantation and high pre-transplant mortality rates have led to adoption of numerous technically variations.
Domino liver transplantation: It is a sequential transplant in which a patientwith a suitable metabolic disorder like familial amyloid polyneuropathy or Maple Syrup Urinary disease(MSUD) is grafted with a new liverto halt progressionand palliate associated symptoms. The otherwise normal liveris used for selected recipients with end stage liver disease.
Dual Lobe Grafts: If there is a mismatch between donor weight and recipient weight, leading to low graft to recipient weight ratio, this can be overcome by taking grafts from two donors and transplanting into one recipient. Technically it is a complex procedure involving three operation theatres, several team members working in conjunction. At Sir Ganga Ram Hospital (SGRH) we have performed two Dual lobe transplants.
Simultaneous Liver- Kidney Transplant: This is performed in patients with end stage renal disease in addition to end stage liver disease. Simultaneous transplants rarely reported in living donor situation. We have performed 8 simultaneous liver and kidney transplants using different donors for each organ at SGRH.
Paired Donor Exchange (Swap): In cases where donor cannot donate because of size or blood group mismatch. Two such complementary donor recipient pairs can exchange donors to make both transplants possible. Although reported in kidney transplantation, this has not been previously reported in living donor liver transplantation. At SGRH, 4 paired donor exchange transplants has been performed.
