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GI Onco-surgery and Liver Transplant Services in Delhi, India

Gastro-intestinal Oncology is a subspecialty, which deals with the management of cancer of esophagus, stomach, small bowel, colon, rectum, anal canal, gall bladder & biliary tract, pancreas and liver.

RGCIRC is the first institute in Delhi, India in which specialized gastrointestinal surgeon with special interest in GI cancers are involved in the management of these cancers. Other than GI surgeon, medical oncologist, radiation oncologist, intervention radiologist, gastroenterologist, hepatologist, nuclear medicine expert, GI pathologist and stoma therapist forms the multi -disciplinary team involved in the management of GI cancer. GI tumor board meets on every Saturday to discuss the cases, so as to offer best as well as evidence based GI ONCO surgery and liver transplant treatment to the patient.

On every Saturday 12.00-3.00 PM, there is a Liver clinic for the patients of liver tumors such as hepatocellular carcinoma, metastatic tumor, intrahepatic cholangio carcinoma and neuroendocrine tumor. Our department is the first center in India to have facility of ICG test – a quantitative liver function test, which helps in selecting patients of liver tumors for surgery. We also have the facility for radiofrequency ablation, intra-operative ultrasound, TACE (Trans arterial chemoembolization), portal vein embolization, intra-operative cholangiogram and SBRT for liver tumors.

We are the first center in India to have Belmont Hyperthermia pump for HIPEC (Hyperthermic intra-peritoneal chemotherapy). We have been successfully doing cytoreductive surgery & HIPEC for colorectal cancer with peritoneal carcinomatosis.

Areas of frequent surgery

  • Laparoscopic GI Surgery
  • Aggressive resection for Ca GB
  • Liver resection for HCC, CRC mets
  • CRS & HIPEC for colorectal cancer
  • Cystic tumor of pancreas
  • NET Pancreas
  • Lap GI procedure – lap esophagectomy / gastrectomy / pancreatic & liver resection / colectomy / LAR / APR
  • Robotic colorectal surgery
  • Liver Transplant

SOME FACTS ABOUT LIVER TRANSPLANT

  • A liver transplant is needed when the liver fails, usually because of long term disease.
  • About 1,00,000 people in India die of liver failure every year.First successful liver transplant was done in 1967.
  • The number of liver transplants has been steadily increasing for more than 15 years.
  • Cirrhosis is the most common reason for liver transplant
  • Donated livers can come from either diseased donors or living donors.
  • The five year survival rate of liver transplant patients is over 75%.

ABOUT YOUR LIVER TRANSPLANT WHAT YOU NEED TO KNOW?

Liver is the largest abdominal organ. Liver weighs about 1200 – 1500 grams in an average roughly 2% of body weight. Liver, though a single organ, broadly it can be divided into two parts – right and left liver and 8 independent segments (each having its own blood supply and biliary drainage) functioning as a single organ. Liver as a whole has a hepatic artery supplying oxygenated blood, a portal vein carrying blood from intestines to liver and bile ducts draining bile formed in the liver to intestines. Blood from liver is delivered-to-heart-via-three-hepatic-veins.

Liver produces bile which is drained by biliary tree. Gall bladder is a reservoir for the bile lies on the liver bed, and is attached to bile duct. It regulates delivery of bile into intestines. Liver is endowed with remarkable capacity to regenerate after division into parts. This is the basis of Live Related Liver Transplants, and the reason why live related liver transplant is possible.

WHO REQUIRES A LIVER TRANSPLANT?

Liver transplant may be necessary for patients who suffer from:

  • liver damage due to alcoholism (Alcoholic cirrhosis)
  • Malignancies involving liver: Hepatocellular carcinoma, Hepatoblastoma, HilarCholangiocarcinoma, etc
  • primary biliary cirrhosis
  • long-term (chronic) active infection (hepatitis B or C)
  • liver (hepatic) vein clot (thrombosis)
  • birth defects of the liver or bile ducts (biliary atresia)
  • metabolic disorders associated with liver failure (e.g., Wilson\’s disease)

Patients require hospital care for one to four weeks after liver transplant, depending on the degree of illness. After liver transplantation, patients must take immunosuppressive medications for the rest of their lives-to-prevent-immune-rejection-of-the-transplanted-organ.

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