The first liver transplant at Sir Ganga Ram Hospital was done in 2001. This was a deceased donor liver transplant. However, it became evident over the next few years that there would be very few brain dead doonors in this part of the country for the foreseeable future.
Dr S Nundy, Dr AS Soin and Dr S Gupta decided that it was essential to start living donor liver transplantation as the predominant form of liver transplantation. After a slow start, the liver transplant program took off with 66 transplants in 2006.
In 2006 Dr S Gupta left to re-establish liver transplantation at Apollo Hospital, Delhi.
In 2007,Dr Vinay Kumaran joined the team.
In 2008, 132 transplants were done making this one of the five largest living donor liver transplant programs in the world.
In 2009, 147 liver transplants were done making it the second largest living donor liver transplant program in the world.
In 2010, Dr AS Soin left Sir Ganga Ram Hospital and joined Medanta, The Medicity as Director, Institute of Liver Transplantation and Regenerative Medicine. Dr Vinay Kumaran took over as Director, Liver Transplant and Dr Vibha Varma joined the team as Consultant. We did the first living donor intestinal transplant in India.
In 2011, Dr Sorabh Kapoor joined the team.
In 2012, Dr Vinay Kumaran, Dr Vibha Varma and Dr Sorabh Kapoor decided to move to Kokilaben Dhirubhai Ambani Hospital in Mumbai to establish a new center for liver disease. They are joined in this venture by Dr Barun Nath, from the Ganga Ram team.
Liver Transplants to Date: 675
Success Rate: 92%
One Year Survival: 90%
Three Year Survival: 86%
Most problems after liver transplant occur in the first 3 months. The problems encountered after that are unrelated diseases like heart disease, age related problems, side effects of long term medications, recurrences in patients having transplants for liver cancer etc.
Dual Lobe Transplant: A right lobe and a left lobe from two different donors were used for transplantation in a large patient for whom either lobe by itself would have been too small. We have done 2 dual lobe transplants.
Simultaneous Liver and Kidney Transplantation from Two Donors: when the patient has both liver and kidney disease or for oxalosis: 9
Swap Living Donor Liver Transplantation: 4. When there are two pairs of donors and recipients mismatched by blood group or size. Each donor can donate to the other patient provided the transplants are done simultaneously.
Domino Liver Transplant: 1. In some metabolic diseases, replacing the otherwise normal liver can cure the disease and the liver thus removed can be transplanted into someone who does not have the metabolic disease. One such living donor liver transplant was done at Sir Ganga Ram Hospital where the domino donor had Maple Syrup Urine Disease (a genetic defect of amino acid metabolism).