Aster Cmi

Integrated liver care

The Aster CMI Hospital is at the forefront of Multi-Organ transplantation in India. Our Liver Transplantation program, which is a part of the Aster Integrated Liver Care (ILC) Program, is one of the best in the country with a 92% success rate. We provide both adult and pediatric liver transplantation services and have a successful deceased donor programme as well as a live donor programme. The team is credited with the first split liver transplant, first successful simultaneous pancreas kidney transplant, and first simultaneous liver kidney transplant in the state of Karnataka. They are also recognised for developing bloodless liver transplants in which an entire liver transplant surgery is performed without using any blood or blood products. This requires adequate preconditioning of the patient, meticulous surgical techniques and modern cell saver technology.

The Aster Integrated Liver Care (ILC) and Transplant team manages two transplant centres at Aster CMI, Bangalore and Aster Medcity, Kochi. All consultants of the Aster ILC team are trained at some of the best hospitals in the United States, Canada and the United Kingdom, and are comprised of highly, experienced hepatopancreatobiliary & abdominal multi-organ transplant surgeons, hepatologists, pancreatobiliary endoscopy experts, oncologists, hepatobiliary radiologists, interventional radiologists, liver and transplant anaesthesiologists, pain and critical care experts, pediatric intensivists, infectious diseases physicians and liver pathologists. They have a collective experience of over 2000 liver transplants.

Liver transplantation is one of those medical specialties, where optimal results and outcomes are highly dependent on good teamwork. Our core transplant team is supported by all allied medical and support specialties such as cardiology, pulmonology, intensive care, nephrology, interventional radiology, transfusion medicine, histopathology, and immunology. Equally good and dedicated are our specialty nurses, physical therapists, nutritionists, psychosocial counsellors, transplant coordinators and team managers.

Our liver transplant is at the forefront of pediatric liver transplantation in the country. We have a dedicated pediatric liver transplant and liver care unit staffed by hepatologists and Intensivists, supported by well-trained paramedical staff. We also offer swap liver transplantation under our paired organ exchange program in which a living liver donor having an organ incompatible with the recipient exchanges the liver with another incompatible donor/recipient pair. We also offer ABO incompatible organ transplantation, in which a living liver donor with blood group incompatibility can still donate organ to the prospective recipient. Our transplant team has been specifically trained and experienced in this form of organ transplantation. We strive to achieve our best when it comes to living donor safety. Living donor selection in our transplantation program is an independent process free from any bias from the primary transplant team. Living donors are screened rigorously for the presence of any features that may increase their risk of organ donation.

Our donor morbidity is extremely low at 3 percent with a zero percent mortality till date. We also aim to make liver donation safer and comfortable for our living donors by utilising techniques like midline incisions, using left liver lobe grafts, laparoscopic assisted liver resections and robotic donor hepatectomies.

The various components of our Integrated Liver Care includes:

  • Medical evaluation of patients with complex liver disease
  • Management of patients with cirrhosis, end stage liver disease and liver failure
  • Intensive care management of acute liver failure
  • Multimodality treatment of patients with liver cancer (HCC)
  • Liver transplantation (living donor and deceased donor)

Pediatric liver transplantation

  • Complex resection surgeries for liver, biliary tract and pancreatic tumors
  • Complex Pancreatobiliary surgery for benign disorders
  • Minimally Invasive and Robotic Hepato-Pancreatobiliary surgery
  • Advanced Interventional Hepatobiliary radiology
  • Liver pathology

Our infrastructure:

  • Dedicated ILC clinics
  • Pediatric ILC clinics
  • Dedicated Liver wards with deluxe single and double rooms
  • Liver Intensive Care Unit and High dependency unit
  • Liver Transplant ICU and Step down care units
  • MARS Liver dialysis unit
  • Advanced therapeutic endoscopy unit (ERCP, EUS)
  • Interventional radiology suites
  • Dedicated Liver Transplant Operating Theatres
  • Aster CMI, Bangalore offers a comprehensive range of state-of-the-art medical technology to facilitate accurate diagnosis and treatment of liver diseases. These include:
  • South Asia’s first OR 1 Karl Stroz Fusion Integrated Green OT Certified Operation Theatres with autopilot anaesthesia
  • Dedicated liver intensive care units (LICU)
  • South India’s first ICCA (IntelliSpace Critical Care and Anaesthesia) ICUs
  • Bangalore’s first flat panel bi-plane vascular hybrid cardiac catheterization laboratory
  • HEPA filtration of air for highly advanced infection control in all operating rooms and ICUs.
  • Da Vinci Robotic surgical system