巴基斯坦首例肝自体移植在DUHS成功进行

StephenW

Pakistan’s first liver auto-transplant performed successfully at DUHS

KARACHI: Pakistan’s first liver autotransplant has been performed successfully on a 28-year-old cancer patient at the Dow University of Health Sciences (DUHS) in Karachi, and the patient has almost recovered.

DUHS Vice Chancellor Prof Saeed Quraishy said on Saturday that their team of liver transplant surgeons have performed one of the most complex and sophisticated procedures, known as liver autotransplant. “In this procedure, the diseased liver is removed from the body, the cancer is surgically removed, the damaged veins are reconstructed or artificial veins are inserted, and the liver is reimplanted.”

Prof Quraishy was speaking at a seminar that was titled ‘Meet the Experts: Liver, Kidney & Bone Marrow Transplants at Dow University Hospital’ and organised by the Mir Khalil-ur-Rehman Memorial Society (MKRMS) at the Ojha campus of the DUHS.

He said that a 28-year-old patient from the Zhob district of Balochistan had reported at the DUHS with liver cancer, which had damaged part of his liver and some important veins.

“Under the supervision of eminent liver transplant surgeon Prof Dr Faisal Dar, our team of experts, including Dr Jahanzeb Hyder and Dr Muhammad Iqbal, performed the country’s first liver autotransplant. Only around 20 such procedures have been performed so far in the entire world.”

He pointed out that regular liver transplants are being carried out despite the Covid-19 pandemic, with so far six of them being successfully carried out at the DUHS. He said that three more liver transplants will

be carried out in the next few days.

“Now the liver transplant programme is fully functional at the Dow University, and our own surgeons, under the supervision of Dr Faisal Dar, are regularly performing liver transplants at the DUHS. We’re planning to perform three to four liver transplants every month at the Ojha campus, where state-of-the-art facilities have been arranged.”

Dr Jahanzeb Hyder, liver transplant surgeon at the DUHS, said that Pakistan annually needs hundreds of liver transplants because of liver cancers and damage due to hepatitis B and C.

He said that liver is the only organ in the human body that can regenerate itself, so people can donate parts of their livers to others for saving their lives.

“In a liver transplant, the unhealthy part of a patient is surgically removed and the healthy portion of a liver from a donor is implanted. Following the surgery, both the donor and the recipient can live a healthy life.”

Dr Hyder pointed out that in addition to undergoing a sophisticated procedure, transplant patients also need extraordinary post-operative care to live a normal,

healthy life.

Bone marrow transplant surgeon Dr Farrukh Ali Khan said that bone marrow transplant is performed to treat patients afflicted with various types of blood cancers and genetic blood disorders, including thalassaemia and haemophilia, adding that in most cases, bone marrow of siblings or parents is used for transplants.

“Bone marrow is also a part of the body that can grow again, so there’s no harm in donating it for a patient’s treatment. There are now techniques where medicines are used to increase bone marrow in patients with low marrow,” he said, adding that sophisticated bone marrow transplants are now being performed at the DUHS.

Prof Rashid bin Hamid, kidney transplant surgeon at the DUHS said that 20,000 to 25,000 patients in Pakistan require kidney transplants, as end-stage renal disease is on the rise. However, he added, only 1,000 to 1,200 patients have the opportunity to get renal transplants, while the remaining have to rely on dialysis for their entire lives.

He said that at the DUHS, they have the country’s most advanced renal transplant programme, in which dozens of these procedures are being performed on a monthly basis.

Nephrologist Dr Tasaduk Khan said that chronic kidney disease is on the rise in the country due to endemic diabetes and hypertension, as well as poor lifestyles, adding that there are now over 60 million patients of kidney diseases, of whom 50 per cent require dialysis.

Other experts, including Prof SM Zahid Azam, Dow University Hospital medical superintendent, and professor and head of department at the National Institute of Liver & GI Diseases, as well as Wasif Nagi of the MKRMS, also spoke on the occasion.

StephenW

巴基斯坦首例肝自体移植在DUHS成功进行

卡拉奇：巴基斯坦首例肝自体移植手术已经在卡拉奇的陶氏健康科学大学（DUHS）成功地对一名28岁的癌症患者进行了，该患者几乎已经康复。

DUHS副校长Saeed Quraishy教授周六表示，他们的肝脏移植外科医生团队已执行了最复杂，最复杂的手术之一，称为肝脏自体移植。 “在此过程中，将患病的肝脏从体内切除，通过手术切除癌症，重建受损的静脉或插入人造静脉，然后再植入肝脏。”

Quraishy教授在DUHS的Ojha校园的Mir Khalil-ur-Rehman Memorial Society（MKRMS）组织的题为“与专家见面：陶氏大学医院的肝，肾和骨髓移植”的研讨会上发言。

他说，Bal路支省Zhob区的一名28岁患者在DUHS报告患有肝癌，该肝癌损害了他的部分肝脏和一些重要的静脉。

“在著名的肝脏移植外科医师Faisal Dar博士的监督下，我们的专家团队，包括Jahanzeb Hyder博士和Muhammad Iqbal博士，进行了该国的首例肝脏自体移植。到目前为止，全世界仅执行了大约20种这样的程序。”

他指出，尽管发生Covid-19大流行，仍在进行常规肝移植，迄今为止，其中六例已在DUHS成功进行。他说，将再进行三次肝移植

在接下来的几天内进行。

“现在，肝移植计划在陶氏大学全面发挥作用，我们自己的外科医生在Faisal Dar博士的监督下，定期在DUHS进行肝移植。我们计划每个月在Ojha校园进行三到四次肝移植，该校园已配备了最先进的设施。”

DUHS肝脏移植外科医师Jahanzeb Hyder博士说，由于肝癌和乙肝和丙肝造成的损害，巴基斯坦每年需要进行数百次肝移植。

他说，肝脏是人体中唯一可以自我再生的器官，因此人们可以将部分肝脏捐献给他人，以挽救生命。

“在肝移植中，通过手术切除患者的不健康部分，并植入来自供体的肝脏的健康部分。手术后，捐献者和接受者都可以过上健康的生活。”

Hyder博士指出，除了要接受复杂的手术之外，移植患者还需要出色的术后护理才能维持正常的生活，

健康生活。

骨髓移植外科医生Farrukh Ali Khan博士说，进行骨髓移植是为了治疗患有各种类型的血液癌症和遗传性血液病（包括地中海贫血和血友病）的患者，并补充说，在大多数情况下，兄弟姐妹或父母的骨髓用于移植。

“骨髓也是身体的一部分，可以再次生长，因此捐献用于患者的治疗没有任何危害。现在，有一些技术可用于治疗低骨髓患者的骨髓。”

DUHS肾脏移植外科医师Rashid bin Hamid教授表示，由于终末期肾脏疾病的发病率不断上升，巴基斯坦的20,000至25,000名患者需要进行肾脏移植。但是，他补充说，只有1,000至1200名患者有机会进行肾脏移植，而其余患者一生都必须依靠透析。

他说，在DUHS，他们拥有该国最先进的肾脏移植计划，该计划每月进行数十次。

肾脏科医生Tasaduk Khan博士说，由于地方性糖尿病和高血压以及不良的生活方式，该国的慢性肾脏病正在上升，并补充说，现在有超过6000万肾脏病患者，其中50％需要透析。

其他专家，包括道琼斯大学陶氏大学医院医学总监SM Zahid Azam教授，美国国立肝脏与胃肠病研究所教授和系主任以及MKRMS的Wasif Nagi也出席了会议。

挚友888888

将患病的肝脏从体内切除，通过手术切除癌症，重建受损的静脉或插入人造静脉，然后再植入肝脏。确实是非常复杂的手术。在国内看到过报道，将自己肝拿出来以后，清除肝癌部分再修复后，移植到自己体内，成功的案例。