ArticleMedical journal, Armed Forces India2012
Liver transplantation in Indian Armed Forces-initial experience.
Article in Medical journal, Armed Forces India, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Review
- Living Donor Liver Transplantation in South Asia: Single Center Experience on Intermediate-Term Outcomes.World journal of surgery · 2018Article
- Arterial and biliary complications after living donor liver transplantation: a single-center retrospective study and literature review.Surgery today · 2018Article
- Liver Transplantation in India: At the Crossroads.Journal of clinical and experimental hepatology · 2015Review
- Severe Liver Disease in Indian Children: Is Transplant the Only Option?Indian journal of pediatrics · 2015Article
- Liver transplantation in Armed Forces-new kid on the block.Medical journal, Armed Forces India · 2012Article
- Comparison of Vascular Complications Between Living-donor and Deceased-donor Liver Transplantation - A Systematic Review and Meta-analysis.Journal of clinical and experimental hepatologyArticle
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study retrospectively analyses the initial experience of liver transplantation (LT) in the Indian Armed Forces.
methodsFifty-three patients underwent LT at Army Hospital (R&R) Delhi Cantt. between March 2007 and March 2011. Of these 35 patients underwent deceased donor liver transplantation (DDLT) and living donor liver transplantation (LDLT) was carried out in 18 patients. The surgical techniques, complications and mortality were analysed.
resultsA high consent rate of 35.9% for organ donation was achieved by the Armed Forces Organ Retrieval and Transplantation Authority (AORTA). Biliary complications occurred in five patients (9.4%). However, most of them could be managed by endoscopic interventions. Hepatic artery thrombosis (HAT) occurred in five patients (9.4%). Of these, two DDLT grafts were revascularised following HAT, by creating extra-anatomic arterial conduits with excellent outcome. The overall mortality was 18.8% (n = 10). There was no significant difference in the overall complications or mortality in patients undergoing DDLT or LDLT.
conclusionThe overall survival and morbidity in this study is comparable to those from other centres. Urgent revascularisation of grafts following HAT should be attempted as it can salvage grafts with satisfactory outcome. There is a reduction in the incidence of biliary complications with refinements in surgical techniques.
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