The only centre under GNCTD performing Liver and Kidney transplants.

Hepato-Pancreato-Biliary (HPB) Surgery

Hepato-Pancreato-Biliary (HPB) Surgery

 

The Department of Hepato Pancreato Biliary and Liver Transplant Surgery offers high end services to patients with hepatobiliary and pancreatic diseases. ILBS has become a high volume centre of excellence for complex liver and pancreatic surgeries. It is the only public sector undertaking in India with a successful liver transplant program, performing both live and deceased transplants for adults and children. We have performed over 450 liver transplants. Advanced laparoscopic surgeries are being performed with increasing frequency and success. The department is equipped with the state of the art infrastructure and dedicated professionals. Our results are at par with the best international standards. The department is succesfuly conducting the M.Ch. program in HPB Surgery which has become one the most sought after surgical super speciality. The department has deep interest in research, both clinical and basic, as evidenced by publications in national and international journals.

Services Rendered

Surgeries Performed 2016 2017
Liver Transplantation 95 92
Donor Hepatectomy 74 81
Lap Cholecystectomy 275 277
Lap Minor Hepatectomy 3 6
Lap Necrosectomy 12 9
Lap CDC Excision 4 3
Advanced Laparoscopic surgeries 42 47
Major Hepatectomy 25 27
Hepaticojejunostomy 14 14
Choledochol Cyst Excision 10 7
Minor Hepetectomy 9 7
Extended Cholecystectomy 18 14
Frey's Procedure 4 6
Necrosectomy Open 6 7
Pancreaticoduodenectomy 35 37
Hilar cholangiocarcinoma resection  4 6
Total 630 640
     

New services & facilities

Started Liver transplant programe at Swai Man Singh Medical College Jaipur. It was a big challenge for the team, to perform such an high end operation in a public sector hospital. This was successfully accomplished with three transplant being performed.

Department has taken more challenging and high risk cases such as successfully transplanting five month old baby with fulminant liver failure, low GRWR, Hepato Pancteatico Duodenectomy for Gallbladder Ca, Vascular resection for Hilar CholangioCa / Pancreatic Ca.

Courses Offered

The Mch course offered by the department has become one of the most sought after course for Superspeciality training in the country, showing the credibility of the department. In the nationwide NEET exam conducted this year, candidate who opted for the course were the top rankers and the seats were filled by rank 24.

Course Candidates admitted
M.Ch, HPB Surgery 3

Department Achievements

Department of HPB Surgery and Liver Transplantation is being increasingly recognized in both patient and medical circles as a destination for high quality patient care and academics.

The liver transplant program has grown in strength with around hundred transplants are being performed every year for 3 consecutive years. The preioperative survival of patients is more than 90% which is comparable to best centers in the world.

The outcome of live liver donors has been outstanding with major complications rate less than 4% , among the best in the world.

About 20% of transplant performed are emergency transplant for patients with acute or acute on chronic liver failure which is a rarity in any new programe and big achievement for the team.

Pediatric liver transplant program has been successfully established with more than 40 children have ben transplanted. Nearly half of these children needed emergency transplant for acute liver failure which is a big challenge for any team.

Department has keen interest in developing deceased donor liver transplant (DDLT) programe and has performed highest number of DDLT in North India. We have set new trends in the country by transporting organs from distant cites such as Jaipur, Indore, Lucknow, Chandigargh and successfully transplanting. We have trained teams from other institutes like SMS Jaipur, JIPMER Pondicherry, IGIMS Patna and SGPGI Lucknow. We have successfully started liver transplant programe at SMS Jaipur this year thus setting a new trend in the country which will open doors for other public sector hospitals to positively think about starting transplant program.

The clinical and reaserch work done in the department has been published in high impact factor journals. The department had one of the highest numbers of abstracts in IASG ,Puduchery and a randomized controlled trial carries out in department on technique of back table perfusion was awrded as best paper in oral presentation and was further accepted for publication in Transplantation.



The residents are actively involved in academic research and promoted to present their research work in various international and national conference. The below mentioned list provides the details of research work presented during academic year 2017.

Scientific Presentation in international conference:

Pediatrics living donor liver transplantation for acute liver failure: Single center experience (Oral presentation at International liver transplantation society (ILTS)-2017 conference at Prague) , Presented by Dr Rommel

Volumetric analysis of liver regeneration in living donor. (Poster presentation at International liver transplantation society (ILTS)-2017 conference at Prague) Presented by Dr Nihar

Prevalence of acquired or inherited pro coagulant state in patient with extra hepatic portal vein obstructions(Oral presentation at IHPBA Bangalore 2017) Presented by Dr Vaibhaw

Scientific Presentation at national conference:

Dual (arterial portal) versus only portal perfusion in living donor liver transplantation: Randomized control trial. (Oral award winning presentation at IASG-2017(Pondicherry) , Presented by Dr Rommel

Diffusion weighted MRI and NLR accurately predicts infection in suspected infected pancreatic necrosis-award oral paper presentation at IASG-2017 , Presented by Dr Rommel

Liver donor liver transplantation for acute liver failure: Outcome analysis (Oral presentation at IASG-2017(Pondicherry) , Presented by Dr Ankur

Short term patency of neo middle hepatic vein in right lobe living donor liver transplantation (Oral presentation at IASG-2017(Pondicherry), Presented by Dr Ankur

Surgical management of hilar cholangiocarcinoma: case series from tertiary care hospital (Oral presentation at IASG-2017(Pondicherry) , Presented by Dr Kumaraswamy

Deceased donor liver transplantation: Perspective from public sector hospital in India(Poster presentation at IASG-2017 (Pondicherry), Presented by Dr Kumaraswamy

Live donor liver transplantation for acute liver failure in children: Single centre experience (Poster presentation at IASG-2017(Pondicherry) , Presenterd by Dr Rommel

 

Faculty

  • ECHO
  • ECHO
  • APASL
  • Acuteon
  • DORSO
  • NSI
  • HBSCE
  • NLDB

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