Liver transplantation is started at Kosuyolu Training and Research Hospital in Kartal district of Istanbul. As a result of the knowledge gained over the years regarding the transplantation process and after, having the necessary infrastructure for transplantation and the expertise of the specialists in the gastroenterology surgery training clinic in the transplantation procedures, the necessary procedures for the initiation of liver transplantation operations were also completed.
LIVER TRANSPLANT WILL BE DONE AT KOŞUYOLU HOSPITAL
Kosuyolu High Specialization Training and Research Hospital will start liver transplants in March 2023. Liver transplantations at the hospital will be performed by a team of 15 people, consisting of 2 professors, 4 associate professors, 1 specialist and general surgery specialists in the Gastroenterology Surgery Training Clinic.
Gastroenterology Surgeon Specialist Prof. Dr. Mustafa Duman told Anadolu Agency (AA) that Kosuyolu has been at the forefront of organ transplantation for years, as well as surgical and internal services. Specialist Duman also underlined that Koşuyolu is the hospital where the most heart and lung transplants are performed in Turkey.
Stating that liver transplants were performed successfully in the gastroenterology surgery clinic established during his assistantship period, Duman added that these procedures were suspended because the physicians who performed this went to Ankara.
Talking about the decision to restart the liver transplant at the hospital, Duman, his colleague and teammate Assoc. Dr. He stated that Mürşit Dinçer received transplant training in Malatya, and then they completed the necessary Ministry of Health procedure.
prof. Dr. Duman said, “We got our license in May. We are currently completing our infrastructure work. We will receive extra training support abroad. I think we will start like March.” used the phrases.
Reminding that there are many patients who face liver failure, Duman said, “Actually, transplants are performed in many places such as private institutions, foundation universities, public and university hospitals. However, Istanbul is a very big city. Istanbul also carries a significant health burden of the population because people coming from outside the city also carry it. There is a deficit in the public sector in terms of liver transplantation in Istanbul, there are places that do it, but it is not enough. We will also support this.” he said.
Stating that their experience in transplantation will turn into an advantage, Duman said that intensive care units are suitable for taking care of transplant patients and that there are trained personnel involved in this.
Making a statement regarding their application for transplantation, Duman said, “We have also established a team to evaluate the patients who are candidates for transplantation. Patients will apply to the gastroenterology and gastroenterology surgery clinic, they will be evaluated whether organ failure requires transplantation. Then they will be placed on the preparation list. At first, we will start with transplantation from a cadaver. We will also begin transplantation with split liver tissue.” said.
“WORLD’S 50TH RANK IN ORGAN DONATION”
Gastroenterology Surgery Specialist Assoc. Dr. Mürşit Dinçer stated that the liver, which is of vital importance, has important functions related to the elimination of toxins as well as the synthesis functions related to the digestive system in the body.
Making a statement about the health problems that lead to liver failure and transplantation, Dinçer said that viral hepatitis, which was common in the past, caused alcohol-induced liver failure, but that viral hepatitis has regressed today, insufficiency due to liver fat and transplantation indications come to the fore.
Dinçer stated that the number of patients waiting for transplantation has increased but organ donation has decreased:
“We are the first in the world in organ donation from living to living beings. We are behind the 50th place in cadaveric, that is, donating the organ of a deceased person. Why is donation from a cadaver important? When we transplant from a living person to a living person, we risk the life of another completely healthy person. “We need to increase cadaveric organ donation. For cadaveric organ donation, we need to obtain the consent of a patient’s relatives in the period after brain death.”
Noting that there are many people waiting for organ donation in Turkey, Dinçer stated that from the years of organ transplantation in the country until November 2022, approximately 4,000 of the 20 thousand liver transplants can be performed with organs taken from cadavers, that is, 75-80 percent of the transplants are realized with living donations.
Assoc. Dr. Mürşit Dinçer, in his evaluation regarding the fact that they will start liver transplantation, stated that the hospital administration attaches importance to transplantation and that lung and heart transplantations are actively carried out in their hospitals, and said:
“Our hospital is currently the only center where lung, heart and liver transplants are performed together in a public institution in Istanbul. For the future, the hospital has serious projects and ideas in terms of organ transplant center. After the liver transplant is established, kidney, small intestine and pancreas on behalf of our own clinic. We are planning to incorporate the transplantation of other organs, such as. These can have undesirable results. These can also wear people out financially and morally. Carrying out such a long process in a public institution does not both put people in financial trouble since the state completely covers these payments, and in a place where the private sector is the lead, the public does not lag behind. act as feet We think it’s important that they do it as an if.”