We at Sahyadri Hospitals have initiated state-of-the-art Liver & Pancreas Transplant Centre in Pune, with a sole objective to make Transplant affordable and accessible to all...
Sahyadri Centre for Organ Transplant is a “Centre for Excellence” for the treatment of liver, biliary and pancreatic disorders. We have a muliti-disciplinary team comprising of Liver Transplant Surgeons, Transplant Hepatologists, Surgical & Medical gastroenterologists, Oncologists, dedicated Transplant Anaesthetists and Critical care physicians, Nutritionists, PhySCOTherapists, and Counsellors along with needful allied specialities to offers comprehensive management of Hepato- Pancreatic Biliary disorders. We perform a thorough and complete evaluation of every patient and offer the optimum, standard of care treatment options for cirrhosis (chronic liver disease, CLD), acute liver failure (ALF), cancer of the liver, bile ducts, gall bladder & pancreas and other benign as well as malignant disorders of the gastro-intestinal tract. We perform living related donor and cadaver (brain dead) donor adult liver transplant, paediatric liver transplant, pancreas transplant and simultaneous multi-organ transplant (such as liver & kidney, kidney & pancreas). Our doctors have trained and worked at premier Centre s and are rated amongst the best in their respective areas of specialization. The Liver unit at SCOT is equipped with the state of the art facilities and instrumentation required to deliver results comparable to best in the world. Our intensive care units and operation theatres have laminar air flow systems that are essential to minimize the risk of infection in these complex procedures. Use of latest technology such as Waterjet, Cavitronic Ultrasonic Aspirator (CUSA), Argon Plasma Coagulator (APC) and Harmonic scalpel which reduce blood loss are routine at our center. We believe in safety first and hence have stringent protocols in place for the post-operative care of the transplant recipient to ensure minimum complications with rapid recovery and discharge post surgery. Sahyadri Hospitals has been a pioneer in organ transplantation in India and has to its credit one of the biggest and successful Bone Marrow transplantation programs in India. Keeping in line with our motto “Available, Accessible & Accountable” we are offering Liver Transplantation with good outcomes but at a much lower financial burden.
Scope of services
Liver Transplant Clinic
Sahyadri Liver Clinic
The “Liver Clinic” is our endeavour to streamline care of patients Hepato-Pancreatic Biliary (HPB) diseases. Here all the expertise required for the care of such patients is available simultaneously. Patients can consult the Transplant Surgeon, Hepatologist, Nutritionist and PhySCOTherapist simultaneously thus reducing the time required to evaluate a patient, formulate and implement the treatment plan and also modify the treatment depending on the response seen during follow up. This makes the treatment experience fast, more efficient and cost effective.
Simply put, Liver Transplantation is an operation in which the diseased liver is removed and replaced with a healthy liver. We perform liver transplantation for adults as well as children and both live related donor as well as cadaver donor liver transplant. The common indications for liver transplant, in adults are cirrhosis, acute liver failure or liver cancer, and in children are developmental problems of the bile ducts (biliary atresia). Our doctors have been part of several innovative procedures such as domino, swap & ABO incompatible liver transplants and multiorgan transplants such as liver & kidney transplant, kidney & pancreas and “India’s first” heart & liver transplant.
Hepato- Pancreatic Biliary (HPB) Surgery & GI Oncology
Hepato- Pancreatic Biliary (HPB) Surgery is complex. However, we at SCOT are committed to excel in providing current standard of care diagnostic and therapeutic options for patients with HPB diseases. Out Team specialises in surgical treatment of benign conditions as well as malignant disorders of the liver, bile ducts, gall bladder and pancreas. We also offer complex procedures for cancers and benign disorders of the oesophagus, stomach, small intestine and large intestine (colon). The Team tailors the treatment to each patient’s disease and requirement and offers allied modalities such as radio-frequency ablation (RFA), trans-arterial chemo-embolization (TACE), trans-arterial radio-embolization (TARE), portal vein embolization (PVE), etc whenever indicated.
Acute Liver failure
Acute liver failure (ALF) is a serious condition requiring intensive monitoring and urgent specialist care and which untreated is almost always fatal. We at SCOT have established a dedicated ALF service for rapid response, stabilization and supervised transportation of these patients to our centre. Our “Liver team” is geared to provide the required medical, intensive and if indicated surgical care (liver transplant) for these patients with a high success rate.
Medical Gastroenterology & Hepatology
Our Medical experts treat viral hepatitis, autoimmune and other liver diseases routinely and also have the expertise to manage patients with bleeding into the gut (blood vomiting). Outcomes after liver transplantation depend not only on the surgical expertise but also upon the condition of the patient before surgery. Our Liver surgeons and Physicians work together to optimise the patient medically as much as preoperatively so that the outcomes after transplant are the best possible.
Holistic Liver Health
Our Liver Team focuses not only on the surgical and medical management but also on the holistic improvement in the patient condition. We closely monitor the nutritional, physical fitness and psychological state of our patients and provide support whenever required so that they are in the best possible condition to undergo the operation. Patients who do not require transplant or are unfortunately not candidates for transplant also benefit from our care. Our teams suggest needful lifestyle modifications so as to either alter the course of the disease process or improve the quality of life as much as possible.
Our Multi-disciplinary Team
As per the Transplantation of Human Organs Act (1994) [Act no. 42 of 1994] and the Transplantation of Human Organs Rules (1995) as amended vide GSR 571(E), dt 31-7-2008, w.e.f. 4-8-2008 every authorised transplantation centre is required to display the decision of the Authorisation Committee on hospital notice boards and hospital website regularly.
Transplant Approval Status
Sahyadri Speciality Hospital 30-C Erandwane Pune 411004
|Sr. No.||Date||Donor||Recipient(PRN)||Organ||Approval of Authorisation Committee||Status|
|1||12/05/2008||Live Donor||177718||Kidney||11/11/2008||Done on 5/12/2008|
|2||27/7/2010||Live Donor||194794||Kidney||04/01/2010||Done on 27/7/2010|
|3||20/7/2010||Live Donor||141777||Kidney||28/6/10||Done on 20/7/2010|
|4||12/03/2013||Live Donor||274316||Kidney||22/10/13||Done on 3/12/2013|
|5||12/10/2013||Live Donor||323006||Kidney||22/10/13||Done on 10/12/2013|
|6||24/6/2014||Live Donor||305103||Kidney||06/03/2014||Done on 24/6/2014|
|7||20/9/2014||Live Donor||340986||Kidney||06/03/2014||Done on 20/9/2014|
|8||19/2/2015||Live Donor||294102||Kidney||02/03/2015||Done on 19/2/2015|
|9||17/3/2015||Live Donor||349599||Kidney||25/2/15||Done on 17/3/2015|
|10||22/4/2015||Live Donor||359705||Kidney||04/10/2015||Done on 22/4/2015|
|11||29/4/2015||Live Donor||331172||Kidney||04/10/2015||Done on 29/4/2015|
|12||14/10/2015||Live Donor||371027||Kidney||SSH- 16/9/15, SGH-24/9/15||Done on 14/10/2015|
|13||19/8/2015||Cadaver||264982||Kidney||NA||Done on 19/8/2015|
|14||21/11/15||Cadaver||359976||Kidney||NA||Done on 21/11/15|
|15||18/3/2016||Cadaver||393462||Liver||NA||Done on 18/3/2016|
|16||28/3/2016||Cadaver||394144||Liver||NA||Done on 28/3/2016|
|17||28/3/2016||Cadaver||351519||Kidney||NA||Done on 28/3/2016|
|18||04/04/2016||Cadaver||394389||Liver||NA||Done on 4/4/2016|
|19||04/04/2016||Cadaver||335091||Kidney||NA||Done on 4/4/2016|
|20||04/04/2016||Cadaver||207398||Kidney||NA||Done on 4/4/2016|
|21||04/07/2016||Cadaver||391500||Liver||NA||Done on 7/4/2016|
|22||04/12/2016||Cadaver||395166||Liver||NA||Done on 12/4/2016|
|23||05/02/2016||Cadaver||392757||Liver||NA||Done on 2/5/2016|
|24||05/06/2016||Cadaver||386632||Liver||NA||Done on 6/5/2016|
|25||05/10/2016||Cadaver||396513||Kidney||NA||Done on 10/5/2016|
|26||05/10/2016||Cadaver||397171||Liver||NA||Done on 10/5/2016|
|27||13/5/2016||Cadaver||303079||Kidney||NA||Done on 13/5/2016|
|28||23/5/2016||Cadaver||398409||Liver||NA||Done on 23/5/2016|
|29||23/5/2016||Cadaver||398409||Kidney||NA||Done on 23/5/2016|
|30||06/10/2016||Cadaver||385273||Liver||NA||Done on 10/6/2016|
|31||06/10/2016||Cadaver||396561||Kidney||NA||Done on 10/6/2016|
|32||15/6/2016||Live Donor||399797||Liver||14/6/16||Done on 15/6/2016|
|33||21/6/2016||Cadaver||403379||Liver||NA||Done on 21/6/2016|
|34||27/6/2016||Cadaver||396615||Liver||NA||Done on 27/6/2016|
|35||07/07/2016||Cadaver||396510||Liver||NA||Done on 7/7/2016|
|36||07/07/2016||Cadaver||321975||Kidney||NA||Done on 7/7/2016|
|37||07/08/2016||Live Donor||393845||Kidney||31/5/16||Done on 8/7/2016|
|38||07/10/2016||Cadaver||400316||Liver||NA||Done on 10/7/2016|
|39||07/10/2016||Cadaver||334622||Kidney||NA||Done on 10/7/2016|
|40||23/7/2016||Cadaver||397650||Liver||NA||Done on 23/7/2016|
|41||26/7/2016||Live Donor||324786||Kidney||15/7/16||Done on 26/7/2016|
|42||27/7/2016||Cadaver||403083||Liver||NA||Done on 27/7/2016|
|43||27/7/2016||Cadaver||403085||Kidney||NA||Done on 27/7/2016|
|44||08/06/2016||Cadaver||402966||Liver||NA||Done on 6/8/2016|
|45||22/8/2016||Live Donor||401405||Liver||08/02/2016||Done on 22/8/2016|
|46||24/8/2016||Cadaver||405378||Liver||NA||Done on 24/8/2016|
|47||24/8/2016||Cadaver||318196||Kidney||NA||Done on 24/8/2016|
|48||09/04/2016||Cadaver||401887||Liver||NA||Done on 4/9/2016|
|49||10/01/2016||Cadaver||406410||Liver||NA||Done on 1/10/2016|
|50||10/11/2016||Cadaver||358267||Liver||NA||Done on 11/10/2016|
|51||13/10/2016||Cadaver||401206||Liver||NA||Done on 13/10/2016|
|52||13/10/2016||Cadaver||402393||Kidney||NA||Done on 13/10/2016|
|53||23/10/2016||Live Donor||406617||Liver||21/10/16||Done on 23/10/2016|
|54||26/10/16||Live Donor||409017||Liver||21/10/16||Done on 26/10/16|
|55||11/10/2016||Live Donor||400997||Kidney||30/9/16||done on 10/11/16|
|56||11/10/2016||Cadaver||403379||Liver||NA||Done on 11/11/16|
|57||11/10/2016||Cadaver||411222||Kidney||NA||Done on 11/11/16|
|58||18/11/16||Live Donor||295315||Kidney||30/9/16||Done on 18/11/16|
|59||27/11/16||Cadaver||408387||Liver||NA||Done on 28/11/16|
|60||12/02/2016||Cadaver||401572||Liver||NA||Done on 3/12/16|
|61||12/02/2016||Cadaver||397128||Kidney||NA||Done on 3/12/16|
|62||12/08/2016||Cadaver||406428||Liver||NA||Done on 8/12/16|
|63||12/12/2016||Live Donor||398103||Liver||29/11/16||Done on 12/12/16|
|64||01/01/2017||Cadaver||411413||Liver||NA||Done on 2/1/17|
|65||01/03/2017||Cadaver||339308||Liver||NA||Done on 4/1/17|
|66||31/1/17||Live Donor||413062||Liver||23/1/17||Done on 31/1/17|
|67||02/01/2017||Cadaver||412796||Liver||02/01/2017||Done on 1/2/17|
|68||02/09/2017||Cadaver||412841||Liver||02/09/2017||Done on 9/2/17|
|69||14/2/17||Live Donor||413991||Liver||23/1/17||Done on 14/2/17|
|70||14/2/17||Cadaver||417495||Liver||24/2/17||Done on 24/2/17|
|71||24/2/17||Cadaver||203970||Kidney||24/2/17||Done on 24/2/17|
|72||03/01/2017||Live Donor||417470||Liver||23/2/2017||Done on 1/3/17|
|73||16/3/17||Live Donor||418052||Liver||23/2/2018||Done on16/3/17|
|74||22/3/17||Cadaver||417607||Liver||22/3/17||Done on 22/3/17|
|74||22/3/17||Cadaver||417607||Liver||NA||Done on 22/3/17|
|75||04/09/2017||Cadaver||404961||Liver||NA||Done on 9/4/2017|
|76||04/11/2017||Live Donor||416004||Liver||04/04/2017||Done on 11/4/17|
|77||18/4/17||Cadaver||416559||Liver||NA||Done on 18/4/17|
|78||18/4/17||Cadaver||403203||Kidney||NA||Done on 18/4/17|
|79||20/4/17||Cadaver||406957||Liver||NA||Done on 20/4/17|
|80||05/03/2017||Cadaver||421053||Liver||NA||Done on 3/5/17|
|81||22/5/17||Live Donor||406957||Liver||05/11/2017||Done on 22/5/17|
|82||06/08/2001||Live Donor||408851||Liver||06/06/2017||Done on 8/6/17|
|83||06/12/2017||Live Donor||417229||Liver||18/4/17||Done on 12/6/17|
|84||17/6/17||Cadaver||793872||Liver||NA||Done on 15/6/17|
|85||17/6/17||Cadaver||809030||Kidney||NA||Done on 15/6/17|
|86||17/6/17||Cadaver||809030||Pancreas||NA||Done on 15/6/17|
|87||19/6/17||Live Donor||804141||Liver||13/6/17||Done on 19/6/17|
|88||07/06/2017||Cadaver||420202||Liver||NA||Done on 6/7/17|
|89||18/7/17||Live Donor||365070||Kidney||13/6/17||Done on 18/7/17|
|90||21/7/17||Live Donor||813198||Liver||21/7/17||Done on 21/7/17|
|91||26/7/17||Live Donor||412956||Kidney||18/7/17||Done on 26/7/17|
|92||26/7/17||Live Donor||421084||Liver||18/7/17||Done on 26/7/17|
|95||21/9/17||832655||417595||Liver||NA||done on 22/9/17|
|96||23/9/17||825855||819777||Liver||20/9/17||done on 23/9/17|
|97||25/9/17||833441||817071||Liver||20/9/17||done on 25/9/17|
|98||29/9/17||831324||829119||Liver||20/9/17||done on 29/9/17|
|99||7/10/2017||Cadaver||836421||Liver||NA||done on 7/10/17|
|100||26/10/17||840343||835781||Liver||NA||done on 26/10/17|
|101||26/10/17||840343||804775||Kidney||NA||done on 26/10/17|
|102||27/10/17||840409||840731||Kidney pancrea||NA||done on 27/10/17|
|103||27/10/17||840409||418729||Liver||NA||done on 27/10/17|
|104||31/10/17||784474||791164||Liver||11/10/2017||done on 31/10/17|
|105||7/11/2017||847132||824547||Liver||NA||Done on 7/11/17|
|106||17/11/17||849551||825922||Liver||NA||Done on 17/11/17|
|107||1/12/2017||853089||419628||Liver||NA||Done on 1/12/17|
|108||1/12/2017||853089||420513||Kidney||NA||Done on 1/12/17|
|109||13/12/17||Cadaver Nagpur||415367||Liver||NA||Done on 13/12/17|
|110||4/1/2018||854139||821437||Liver||22/12/17||Done on 4/1/18|
|111||8/1/2018||846439||849806||Liver||11/12/2017||Done on 8/1/18|
|112||9/1/2018||859218||401717||Liver||NA||Done on 9/1/18|
|113||9/1/2018||859218||720264||Kidney||NA||Done on 9/1/18|
|114||11/1/2018||545334||859282||Liver||10/1/2018||Done on 11/1/18|
|115||13/1/18||Cadaver Solapur||861316||Liver||NA||Done on 13/1/18|
|116||23/1/18||858007||813112||Liver||16/1/18||Done on 23/1/18|
|117||30/1/18||866740||858786||Liver||19/1/18||Done on 30/1/18|
|118||8/2/2018||861565||858330||Liver||16/1/18||Done on 8/2/18|
|119||15/2/18||870648||870652||Liver||15/2/18||Done on 15/2/18|
Sahyadri Hospitals’ has always believed in constantly innovating treatments to ensure the best care possible to all patients. Cutting edge pre and postoperative care help speedy recovery and improve cost efficiency. The hospital recently conducted a liver transplant on a 62 year old male suffering from end stage liver cirrhosis with liver cancer. With the newer, internationally approved measures and meticulous pre – operative and post – operative procedures, the patient was able to be discharged on the third day after the surgery. This ensured that the cost of the surgery was brought down considerably as well.
Liver transplants are usually quite lengthy. However, by using cutting edge world class transplant facilities and procedures, Sahyadri Hospitals’ Liver Transplant Team made sure that the patient was very well prepared physically, mentally and nutritionally prior to the surgery. Sahyadri Hospitals were thus able to shorten the duration of stay in the hospital which also reduced the cost of surgery.
The 'fast-track approach', however, is not for all. It is used only in carefully selected patients. In addition to faster recovery, fast-track approach also helps in slashing the cost of surgery, said doctors.
The Liver Team believed that the patient would recover fastest when at home. They ensured that progress reports were sent twice a day. The pre surgery protocols and post-operative care for the patient that were put in place made it possible for the patient to be discharged soon after the surgery. With our advanced infrastructure, latest technology and internationally approved procedures it is more becoming easy to ensure fast and safe treatments for our patients.
The surgery was performed at Sahyadri Speciality Hospital Deccan Gymkhana by a team comprising Multi-organ Transplant surgeons – Dr Bipin Vibhute, Dr. Sharan Narute, Dr. Dinesh Zirpe, Dr Anurag Shrimal & Dr Gaurav Gupta, Transplant anaesthetist Dr Manish Pathak, Hepatlogist & Gatsroenterologist Dr. Sandeep Kulkarni, Asst. Surgeon Dr. Abhijeet Mane, Transplant coordinators – Mr Arun Ashokan & Mr Rahul Tambe & Medical Social Worker - Mrs Sharmila Padhye.
Liver transplant is among the most expensive surgical procedures being performed. Our vision is to make clinical care patient centric & affordable without compromising on its quality so that it can benefit many more people in India. We, believe that Fast Tracking is the way to go so that we can reduce the hospital stay and hence the cost of transplant. Using Fast Tracking surgery our Transplant Team could discharge most of our patients (approx. 90%) on day 5 of transplant Surgery.
Sahyadri Hospitals have successfully conducted kidney & pancreas transplant and liver transplant simultaneously on different patients on 16th June 2017 at Sahyadri Speciality Hospital Deccan Gymkhana. For the first time in Western India, a single centre has performed kidney & pancreas transplant and liver transplant simultaneously on different patients. This was the second kidney and pancreas transplant conducted in the state of Maharashtra and also marked the 50th liver transplant by Sahyadri Hospitals.
Kidney and pancreas were transplanted to a 27 year old who was suffering from renal failure and severe diabetes which had damaged his kidney, while the liver was transplanted to a 62 year old patient who was suffering from chronic liver disease.
Diabetes is one of the most common problems in India and can affect various organs. Replacing kidney and pancreas is one of the most useful solution, however, pancreas transplant are still rare in India. Simultaneous Kidney-Pancreas transplant is an operation to replace kidney and pancreas at the same time in a patient who has kidney failure and also suffers from diabetes, needing very high insulin dose to control sugars.
This surgery eliminates problems by optimally controlling sugar levels and by protecting the transplanted kidney from the adverse effects of diabetes. Additionally, it will also help reverse the effects of diabetes on other systems including peripheral neuropathy thus, protecting the limbs. The complex transplant surgeries were performed with the help of various speciality doctors including multi-organ transplant surgeons - Dr. Bipin Vibhute, Dr. Anil Vaidya, Dr. Dinesh Zirpe, Dr. Sharan Narute & Dr. Abhijeet Mane, transplant Anaesthetists - Dr. Manish Phatak & Dr. Dinesh Babu, Nephrologist - Dr. Sachin Patil & Hepatologist, Gastroenterologist - Dr. Sandeep Kulkarni. Transplant coordinators - Mr. Arun Ashokan & Mr. Rahul Tambe and Medical Social Worker Ms. Sharmila Padhye were also part of this team.
A Liver and a Kidney of a Brain Dead Patient in Nashik transported to Sahyadri Speciality Hospital, Deccan Gymkhana via Green Corridor in record 3.25 hrs.
For the first time, a green corridor was set up from Nashik to Pune when the liver of a brain-dead 55-year-old woman was brought to Sahyadri Speciality Hospital Deccan Gymkhana for transplant on 10th May. The harvested Liver was transplanted in 49 years old patient suffering from chronic liver disease.
55 year old lady was admitted with hypertensive intracranial bleeding at Sahyadri Speciality Hospital Nashik on 7th May. Assessing her medical condition, she was declared brain dead on 9th May. The medical team of Sahyadri Speciality Hospital Nashik counseled the relatives of brain dead patient for Organ donation, to which they agreed voluntarily.
Since, Sahyadri Speciality Hospital Nashik is not an official centre for Organ retrieval, the donor was transferred to an official organ retrieval centre in Nashik. The liver was allocated to Sahyadri Speciality Hospital Deccan Gymkhana according to ZTCC rules and regulations.
Sahyadri Hospitals liver team immediately travelled to Nashik and carried out the Organ retrieval procedure in the morning. As per the requirement, a green corridor was created between Nashik and Sahyadri Speciality Hospital, Deccan Gymkhana, Pune for unhindered transportation of the liver. The distance of 210 km was covered in just 3.25 hours. The successful green corridor was the result of planned and coordinated efforts of the traffic division.
The event saw a well-coordinated effort of more than 100 traffic police officers in Pune, Traffic Police at Nashik, Medical team of Sahyadri Speciality Hospital Nashik, which counselled the organ donor family, our liver team & the entire Sahyadri Speciality Hospital, Deccan Gymkhana medical & operations team.
Father donates liver to save 9 year old daughter’s life in Pune’s first Living Donor Liver Transplant for Acute Liver Failure . In such cases, the major challenge is immediate availability of a Liver Transplant Surgeons. In this case, the liver transplant done for ALF was a life-saving procedure. After the successful surgery of liver transplant, the girl child and her father both have recovered well.
A healthy 81-year-old woman with no history of diseases and morbidities, became the oldest donor from the city after donating her liver. The organ was given to a 56-year-old patient who was diagnosed with liver cirrhosis and cancer.
In the first such instance in the country and the second in the world, the liver of a 42-year-old brain-dead woman, who was a kidney transplant recipient two years ago, was donated and successfully transplanted into a 66-year-old liver cirrhotic patient in Jan 17.
The Transplant Team at Sahyadri Hospitals successfully conducted Kidney, pancreas & liver transplant simultaneously on 2 different patients on a single day. This was also the second kidney and pancreas transplant conducted in the state of Maharashtra. Kidney and pancreas were transplanted to a 27 year old suffering from renal failure and severe diabetes. The liver was transplanted to a 62 year old patient suffering from chronic liver disease.
Sahyadri Hospitals’ Transplant team recently accomplished a never before heard of feat, successfully completing 6 transplants (5 liver & 1 Kidney Transplants) in 6 days working tirelessly with clockwork precision. Understanding the need of hour, the expert team of Doctors from Sahyadri, operated five patients in 6 days recently who were suffering from Wilson Disease, Cryptogenic, Liver and Kidney failure and Liver Cirrhosis. The dedicated surgeons, anaesthetists, technicians and transplant coordinators all worked tirelessly in complete sync with each other to ensure that each surgery was a complete success.