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%.
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.
Liver Transplant Statistics
| 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 |
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 |