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      • Transplant Program Development in Kazakhstan: Experience of 6 Years

        ( Mels Assykbayev ),( Gani Kuttymuratov ),( Lyazzat Abdrakhmanova ),( Yermakhan Assylkanuly ),( Aiymkul Ashimkhanova ),( Kakharman Yesmembetov ),( Saitkarim Abdugaffarov ) 대한간학회 2016 춘·추계 학술대회 (KASL) Vol.2016 No.1

        Aims: The aim of this analysis was to present the overall results of transplant service development in Kazakhstan. Background: Kazakhstan as the one of the fast developing countries in Central Asia has been improving the development of organ transplantation since 2010. There are 9 national and city level hospitals performing kidney, liver and heart transplantations in two major cities Almaty and Astana. A coordination center for organ transplantation was established in 2013 with the purpose of developing cadaveric donation service in Kazakhstan. In all 16 regions of our country we have transplant coordinators who work on finding potential donors, talking to their relatives, and making organ preservation. Considering the huge territory of the country there is a sanitary aviation service specially prepared for organ transportation, the special team for organ harvesting and for recipients. Methods: Prospective study started from 2010 at our center included all performed liver transplants and other organ transplants to analyze and follow up their results. Numbers are shown in percentages in Figure 1. The quantitative characteristics of all organ transplants in Kazakhstan. Results: Overall, 760 patients had undergone transplantations of kidneys, liver and heart for the last 5 years. The first kidney transplantation from a cadaveric donor performed in 1979, and this date considered as a beginning of the organ transplantation development in the Republic of Kazakhstan (RK). For the first time in our country, the multi-organ harvesting of organs: kidneys and the heart from cadaveric donor was performed in 2012. Our national center became a pioneer in performing liver transplantation from a cadaveric donor since 2013. The same year, the first pediatric liver transplantation from a living donor was carried out for a 6-year-old child. Starting from 2013 in collaboration with transplant surgeons from Turkey and South Korea many hospitals started to develop living donor liver transplant programs. Figure 1 illustrates the quantitative characteristics of organ transplants carried out in the Republic of Kazakhstan for the period from 2010 (including) to 2015. Conclusion: Our experience of Transplant program development highlights the demands of our population in organ donors with high mortality on a waiting list (72%). Thus, the development of living donor transplantation and overall transplant service will increase survival and quality of life of patients with end stage diseases.

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