Liver transplantation in the Republic of Kazakhstan and abroad: history, state of the problem

Трансплантация печени в Республике Казахстан и за рубежом: история, проблемы в настоящее время
Ainur Doszhan 1 2, Roza Bektaeva 1, Marlen Doskali 2
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1 «Astana Medical University» JSC, Astana, Kazakhstan
2 «National Scientific Medical Research Center» JSC, Astana, Kazakhstan
J CLIN MED KAZ, Volume 3, Issue 37, pp. 6-8.
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ABSTRACT

From the handful of pioneering programmes, liver transplantation has expanded to hundreds of programmes in >80 countries. 1-year patient survival rates have exceeded 80% and outcomes continue to improve. This success has created obstacles. Ongoing challenges of liver transplantation include those concerning donor organ shortages, recipients with more advanced disease at transplant, growing need for retransplantation, toxicities and adverse effects associated with long-term immunosuppression, HCV recurrence. The priority strategic directions and mechanisms of development of high-tech care were identified in the State Health’s Development Program of the Republic of Kazakhstan "Salamatty Kazakhstan" for 2011 - 2015 years as. In that case, transplantation is becoming one of the important strategic directions of medicine in Kazakhstan, which has been rapidly developing in recent years. The research centers and regional clinics successfully have implemented the innovative grafting technologies to world standards in Kazakhstan. Today over 1 200 patients are needed for liver’s transplantation in Kazakhstan.

CITATION

Doszhan A, Bektaeva R, Doskali M. Liver transplantation in the Republic of Kazakhstan and abroad: history, state of the problem. Journal of Clinical Medicine of Kazakhstan. 2015;3(37):6-8.

REFERENCES

  • Shuratov I.H., Durumbetov E.E., Merker V.A. i dr. Harakteristika jepidemicheskogo processa pri virusnyh gepatitah v Kazahstane za period 1979-1999 gg (Characteristics of the epidemic process in viral hepatitis in Kazakhstan for the period 1979-1999 gg), Medicina, 2000, No. 4, pp.43-46.
  • Rahypbekov T.K., Shajmardanov N.K., Maukaeva S.B. i dr. Sravnitel’nyj analiz zabolevaemosti virusnymi gepatitami v Respublike Kazahstan (Comparative analysis of the incidence of viral hepatitis in the Republic of Kazakhstan), Vestnik sovremennoj klinicheskoj mediciny, 2010, T.3, pril.1, рр.155-156.
  • Postanovlenie Pravitel’stva Respubliki Kazahstan № 41 «Ob utverzhdenii Plana meroprijatij po realizacii Gosudarstvennoj programmy razvitija zdravoohranenija Respubliki Kazahstan «Salamatty Қazaқstan» na 2011-2015 gody» (s izmenenijami i dopolnenijami po sostojaniju na 23.08.2012 g.), g. Astana, 2011.
  • Kurmanguzhina M. Sh., Aringazina A. M. Sovremennye podhody k realizacii donorskih programm v transplantologii (Modern approaches to the implementation of donor programs in transplantation), Klinicheskaja medicina Kazahstana, 2014, No.2 (32), рр. 14-20.
  • Starzl T.E., Marchiorio T.L., von Kaulla K.N. et al. Homotransplantations of the liver in humans, Surg. Gynecol. Obstet, 1963, Vol. 117, рр. 659-676.
  • Busuttil R.W., Colonna J.O., Hiatt J.R. et al. The first 100 liver transplants at UCLA, Ann. Surg, 1987, Vol. 206, рр. 387-402.
  • Got’e S.V., Eramishancev A.K., Cirul’nikova O.M. Ortotopicheskaya transplantaciya pecheni v lecheniiee diffuznyh i ochagovyh zabolevanij (Orthotopic liver transplantation in the treatment of its diffuse and focal diseases), Annalyhir. gepatol, 1996, T. 1, рр. 38-51. (in Russian).
  • Bismuth H., Chiche L., Adam R. et al. Liver resection versus transplantation for hepatocellular carcinoma in cirrhotic patients, Ann. Surg, 1993, Vol. 218, рр. 145-148.
  • Woo K. T. Social and cultural aspects of organ donation in Asia, Annals of the Academy of Medicine, 1992, Т. 21, No. 3, pp. 421-427.
  • Iarcos A. Right lobe living donor liver transplantation, Liver Transplant, 2000, Vol. 6, No 1, pp. 3 - 20.
  • Middleton P.F., Duffield M., Lynch S.V. et al. Living donor liver transplantation - adult donor outcomes. A systematic review, Ibid, 2006, Vol. 12, No. 1, pp. 24 - 30.
  • Hwang S., Lee S.G., Lee Y.J. et al. Lessons learned from 1000 living donor liver transplantations in a single center: how to make living donations safe, Liver Transplant, 2006, Vol. 12, No. 6, pp. 920 - 927.