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Hepato Pancreato Biliary And Liver Transplant Surgery

Hepatopancreatobiliary and Liver Transplant Surgery

The Department of Hepato-Pancreato-Biliary and Liver Transplant Surgery at ILBS is a recognized center of excellence for liver, biliary, and pancreatic diseases. It is the only public-sector, tertiary care, teaching hospital in India with a well-established adult and paediatric liver transplant program. The department is a high-volume centre for complex surgeries involving both benign and malignant conditions of the liver, biliary tract, and pancreas. Supported by state-of-the-art infrastructure and a dedicated multidisciplinary team, the department consistently achieves outcomes comparable to leading international centres. The department also excels in academics and research, with its M.Ch. program among the most sought after nationally and a strong track record of publications in high-impact journals.

Services Rendered by the Department in Year

Live donor liver transplant (LDLT):

The department has established live donor transplant program with results comparable to the world's best centres despite operating upon more sick patients. Complex cases such as variant anatomy, portal vein thrombosis and patients with organ failures are being increasingly performed. A departmental protocol for ABO-incompatible transplant has been established with comparable results to other international centres. Live donor liver transplants for acute liver failure are being increasingly performed and the results are steadily improving. We also perform ABO- incompatible liver transplants in the acute liver failure setting with good results. Live donor outcomes have been excellent with no donor mortality in more than 1200 cases performed by the current team with a major complication rate of about 2.5%.

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Deceased donor liver transplant (DDLT)

We are one of the pioneers of the DDLT program in north India and currently are the largest DDLT centre in north India. This year, we performed Asia's first DCD-NRP (Donation after circulatory death Normothermic regional perfusion) liver transplant, paving the way for DCD program in India.

The department is committed to the development of deceased donor organ transplantation in other public sector hospitals. Towards this endeavour, we have trained teams from other institutes like SMS Jaipur, JIPMER Pondicherry, KGMC Lucknow, IGIMS Patna, AIIMS Jodhpur, AIIMS Bhubaneswar, SGPGI Lucknow, and RML Hospital Delhi. We have also mentored liver transplant programs (Both LDLT and DDLT) at AIIMS Bhubaneswar, AIIMS Jodhpur, SMS Jaipur and SGPGI Lucknow successfully, which is a big achievement for the Institute and it will set a precedent for other public sector institutes to start a liver transplant program in the country.

Paediatric liver transplant:

The department has now a well established liver transplant program for children. The number of paediatric transplants have been increased in the recent times, despite the complexity involved in the operation and postoperative care, we have been managed to deliver good results comparable to best in the world. Paediatric liver transplant is approximately 15 % of our transplant activity which is remarkable. Till date, we have performed 197 paediatric liver transplants out of which one third were for acute liver failure. We have been performing reduced and hyper reduced (mono segment) live donor grafts which have made it possible to perform liver transplant in infants with very low body weight.

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Liver Transplant Statistics

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Etiology 1 Month Survival 3 Month Survival 1 Year Survival 5 Year Survival 10 Year Survival 15 Year Survival
CLD 92% 89% 84% 81% 73% 73%
ALF 76% 68% 66% 64% 60% 60%
ACLF 95% 84% 81% 78% 76% 74%

Departmental Achievements

The department is increasingly recognized among both patients and the medical community as a destination for high-quality liver transplant care. To date, over 1,300 liver transplants have been performed in both adult and pediatric patients. The program has demonstrated consistent growth and strength, with approximately 100 transplants performed annually over the past five consecutive years, including 162 transplants in 2025 alone.

The department has taken a leadership role in cadaveric liver transplantation, achieving a major milestone by performing Asia's first DCD NRP (Donation after Circulatory Death Normothermic Regional Perfusion) liver retrieval and transplant.

Beyond clinical excellence, the team has made significant contributions to research. In 2025, the department published twenty original research articles, including six randomized controlled trials (RCTs) in high-impact journals. Additionally, the team received four awards (Best Plenary presentation, Best Oral presentation, Best Video presentation and Best Poster presentation) at LTSICon 2025, underscoring its academic and scientific leadership.

Year Wise Data of Major Surgeries

Procedures 2025 2024 2023 2022 2021
Major Hepatectomy 181 136 127 112 121
Minor Hepatectomy 16 17 12 26 8
Hydatid cyst surgery 13 11 9 15 11
Choledochal cyst excision 17 10 11 14 13
Extended Cholecystectomy 13 19 15 11 11
Bile Duct Injury 12 11 15 20 12
Hepaticojejunostomy 27 23 12 13 12
Kasai Portoenterostomy 11 8 12 7 3
Advanced Laparoscopic surgeries 11 11 12 15 10
DP + LPJ+ Pseudocyst 3 5 11 8 10
Pancreaticoduodenectomy 32 35 26 32 27
Laparoscopic/Open Cholecystectomy 430 421 308 254 299
Open / Minimal invasive Necrosectomy 7 7 4 11 11
Hernia repair 30 38 41 43 23
Proximal splenorenal shunt/ Splenectomy 13 18 5 9 9
Others 80 64 47 242 134
Emergency surgeries 51 44 79 72 59
Total No. of surgeries 788 872 749 904 786

Liver Resections

Procedures 2021 2022 2023 2024 2025
Major hepatectomy 121 112 127 136 181
Minor Hepatectomy 8 14 12 17 16
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Resections for Ca Gall Bladder

Procedure Name 2025 2024 2023
Extended Cholecystectomy 13 19 15
Major Hepatectomy 6 3 1
HPD 2 1 2

Procedures For Benign Biliary Diseases

Surgery 2023 2024 2025 Total
Lap Cholecystectomy 308 394 422 3710
Lap Converted to Open Cholecystectomy 19 27 18 169
Bilioenteric Anastomosis
(CDC + BDI + Kasai+ Hepatolithiasis)
38 52 48 678

Pancreatic Surgeries

  2025 2024 2023
Pancreaticoduodenectomy 32 35 26
Open/ Minimal Invasive Necrosectomy 4 7 4
DP + LPJ+ Pseudocyst 3 5 11
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Faculty

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