Narasimhan Gomathy
National Foundation for Liver Research and Institute of Liver Disease and Transplantation, Global Hospital and Health City, Chennai, India.
Hepatobiliary Surg Nutr. 2016 Apr;5(2):127-32. doi: 10.3978/j.issn.2304-3881.2015.09.01.
Liver transplantation is currently in its golden period in India. The number of transplants being performed and the steady increase in the new programs that have emerged over the last decade is a testimony to it. The growth was not smooth, especially in the early years. But a multipronged approach in developing infrastructure and the involvement of multidisciplinary teams in the management of transplant patients has had a major positive impact on the outcome and as a result a positive impetus to the growth of this specialty in India. To date, the majority of transplants performed in India are live donor liver transplants. Deceased donation is more sporadic and concentrated in a couple of regions. With phenomenal increase in transplant activity in India, there is huge potential for streamlining data sharing among programs in India and with the rest of the world to ultimately benefit the transplant community.
目前,肝脏移植在印度正处于黄金时期。过去十年间进行的移植手术数量以及新出现的项目稳步增加就是明证。这种增长并非一帆风顺,尤其是在早期。但是,在发展基础设施方面采取的多管齐下的方法以及多学科团队参与移植患者的管理,对治疗结果产生了重大积极影响,从而为该专业在印度的发展提供了积极动力。迄今为止,印度进行的大多数移植手术都是活体供肝移植。脑死亡供体捐赠则较为零散,集中在少数几个地区。随着印度移植活动的显著增加,在印度各项目之间以及与世界其他地区简化数据共享以最终造福移植群体具有巨大潜力。