When 51-year-old Amanzhol Tazhimatov arrived in India from Kyrgyzstan, his body was rapidly shutting down. Suffering from progressive, irreversible end-stage liver disease triggered by chronic Hepatitis B and D infections, Amanzhol and his family were desperately searching for a miracle. He was battling severe, life-threatening symptoms: advanced cirrhosis, persistent jaundice, recurrent abdominal fluid accumulation (ascites), sudden gastrointestinal bleeding, and terrifying episodes of altered consciousness due to hepatic encephalopathy.
Faced with a seemingly impossible impasse, the family was referred to Dr. Vivek Vij, the Chairman of Liver Transplant and Hepatobiliary Sciences at Fortis Hospital, Noida. Widely recognised as the top liver transplant surgeon in India, Dr. Vivek Vij is globally renowned for taking on complex, highly intricate cases that other medical centres deem inoperable. Rather than turning the family away, Dr Vivek Vij top liver transplant surgeon in India and his multidisciplinary team designed a bold, sophisticated surgical strategy: a dual-lobe living donor liver transplant, combining liver portions from both daughters to save their father's life.
While dual living-donor transplants and laparoscopic donor surgeries have occasionally been performed separately at a handful of specialised global institutions, combining them had never been documented in peer-reviewed medical history. Dr. Vivek Vij shattered this ceiling by orchestrating the world’s very first completely laparoscopic dual-lobe living donor liver transplant.
At Fortis Noida which is best liver transplant hospitals of India, the medical evaluation revealed advanced liver damage and severe blood-clotting issues. Amanzhol weighed around 130 kg and required a massive liver graft of 800 to 1,000 grams to survive. Standard living-donor transplants rely on one donor. However, neither of his young daughters, aged 20 and 21, could safely donate that much tissue individually without risking their own lives. Doctor Vivek Vij refused to give up. He proposed a highly complex solution: a dual-lobe liver transplant using partial grafts from both daughters. To protect the young women, Dr Vivek Vij top liver transplant surgeon in India decided to perform the donor surgeries entirely through minimally invasive laparoscopy. This specific combination had never been documented in medical history.
The historic procedure cost approximately ₹18.5 lakh and required absolute synchronisation. A team of 15 surgeons, anaesthetists, and support staff worked simultaneously across three operating theatres—one for each daughter and one for Amanzhol. Doctor Vivek Vij performed the donor extractions laparoscopically through tiny keyhole incisions, eliminating the painful, large abdominal cuts of traditional surgery. The donor procedures took five hours each, while Amanzhol's intricate transplant took nearly eight hours. The operation was a resounding success. Both daughters recovered rapidly with minimal scarring and were discharged in excellent health. Amanzhol’s new dual-lobe liver began functioning immediately, reversing his organ failure.
Reflecting on his journey, Amanzhol shared his profound gratitude for Dr. Vivek Vij: "My family and I will always be grateful to Dr Vivek Vij for this second chance at life. From our very first meeting, he patiently explained my severe condition, the immense risks, and the unique donor requirements to us. He gave us reassurance and confidence during the darkest time of our lives. Seeing my daughters walk out of the hospital safely, and feeling my own health return, is a true miracle. Dr Vivek Vij is a visionary who gave me my life back."
This landmark achievement by Dr. Vivek Vij alters the future of liver transplantation. "This breakthrough opens new doors for patients who need massive liver grafts," Doctor Vivek Vij explained. "By minimising surgical trauma without compromising safety, we protected these young donors while saving a patient who faced terminal failure." Mohit Singh, Zonal Director of Fortis Hospital Noida, added that this historic surgery cements India’s standing as a premier global hub for cutting-edge medical innovation.
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