Liver
Transplant
Professor
Chao-Long Chen and the Liver Transplant Program
Kaohsiung
Chang Gung Memorial Hospital
March 23, 1984
The first liver transplantation in Taiwan was performed by Dr. Chao-Long Chen at Linkou Chang Gung Memorial Hospital. It was the first successful liver transplant
with extended survival in Asia as well as the first case where the organ was procured from a brain dead
donor. This event ignited extensive debate and discussion that led to a consensus on the definition of brain death in the medical profession.
Chu NS, et al. Clinical Electroencephalography 16:192, 1985
Chen CL, et al. Japanese Journal of Transplantation 22:178, 1987
Chen CL, et al. Hepato-Gastroenterology 35:22, 1988
October
19, 1984
The Medical Association of the Republic of China issued the statement that
“brain death equals death”, which prompted the legislation of the Human
Organ Transplant Act. The concept
of brain death was then legally defined and accepted.
Chen CL, et al. Cancer Chemotherapy and Pharmacology 31: S162, 1992
November
4, 1985
Dr. Chao-Long Chen performed the second case of liver transplantation in Linkou. The patient is alive to date.
Since the first liver transplant patient died from a traffic accident
three years after transplantation, the second case became the longest surviving
liver transplant recipient in Asia.

World transplant records. In: Cecka JM, Terasaki PI, eds. Clinical transplants 2001.
UCLA Immunogentic Center, 2002: 295
Chen CL, et al. Asian Journal of Surgery 12: 31, 1989
Tai DI et al. Journal of Gastroenterology 36: 200, 2001
1987
Dr. Chao-Long Chen won the honor of outstanding medical staff in the Chang Gung
System for three times because of his contribution in liver transplantation.
The Gold Medals were from the Formosa Plastic Group Chairman, Yung-Ching
Wang (1987, 1991, 1996)

August,
1988 – July, 1989
Dr. Hideo Kawarasaki of the University of Tokyo led his liver transplant team to
Taiwan to collaborate with Dr. Chao-Long Chen for six visits.
They cooperated in developing an animal model of living donor liver
transplantation.
Kawarasaki H, et al. Japanese Journal of Pediatric Surgery 22: 966, 1990
June
19, 1990
Professor Masatoshi Makuuchi invited Dr. Chao-Long Chen to supervise their first
liver transplant operation in National Shinshu University.
The recipient became the longest surviving liver transplant patient in
Japan.
August
10, 1990
Dr. Chao-Long Chen performed the first case of liver transplantation for biliary
atresia in Taiwan at Keelung Chang Gung Memorial Hospital.
The patient is alive and well to date.
It was the first successful pediatric liver transplant in Taiwan.
August
28, 1991
Dr. Chao-Long Chen performed the first case of liver transplantation for
choledochal cyst. The patient is
alive and well to date.
June
12, 1992
Dr. Chao-Long Chen won the most outstanding alumnus award from Kaohsiung Medical
University.
December
18, 1992
Dr. Chao-Long Chen won the first prize of outstanding scientific papers of the
year 1992 from the International College of Surgeons, China Section with his
essay “Liver Transplantation in Taiwan: The Chang Gung Experience”.

Chen CL, et al. Cancer Chemotherapy and Pharmacology 31: S162, 1992
January
15, 1994
The first liver transplantation for hepatitis C in Taiwan was performed at the
Kaohsiung Chang Gung Memorial Hospital. The
recipient delivered a healthy baby three years later, becoming the first liver
transplant recipient to become a mother after the operation.
Tsai MY, et al. Chang Gung Medical Journal 21:67, 1998
June
17, 1994
The Liver Transplant Program of the Kaohsiung Chang Gung Memorial Hospital (KCGMH-LTP)
performed the first living donor liver transplantation in Taiwan.

World transplant records. In: Cecka JM, Terasaki PI, eds. Clinical transplants 2001. UCLA Immunogenetic Center, 2002:297
October
7, 1994
Dr. Chao-Long Chen won the first prize of outstanding scientific papers of the
year 1994 from the International College of Surgeons, China Section, with his
essay “Metabolic Effects of Liver Transplantation in Wilson’s Disease”.
December
1994
Dr. Chao-Long Chen was invited as a Visiting Professor of Surgery by the
University of Miami, U.S.A.
January
6-7, 1996
Kaohsiung Chang Gung Memorial Hospital hosted the “First International Living
Donor Liver Transplantation Symposium”.

Transplant Proc 28: 2363-2419, 1996
January
18, 1996
Dr. Chao-Long Chen obtained the National Outstanding Award in Science and
Technology from the Executive Yuan of Taiwan.
March
13, 1996
The KCGMH-LTP performed the first liver transplantation for glycogen storage
disease in Taiwan and the patient is alive and well to date.
April
12, 1996
Six members of KCGMH-LTP: Chao-Long Chen, Yaw-Sen Chen, Yu-Fan Cheng, Yuan-Cheng
Chiang, Fu-Liu Hsing and Miao-Wei Huang, were invited by the National Kidney and
Transplant Institute in Manila to performed the first living donor liver
transplantation in the Philippines.
November
6, 1996
The KCGMH-LTP performed the first liver transplantation for Budd-Chiari syndrome
in Taiwan. The patient got married
and had children after transplantation.
May
20, 1997
The KCGMH-LTP performed the first split liver transplantation in Asia.

Chen CL, et al. Split liver transplantation (Review article) Asian Journal of Surgery 25:285-290, 2002
July
1, 1997
The KCGMH-LTP integrated the basic and clinical research and founded the liver
transplant research center. Associate
Professor Shigeru Goto was in charge of the basic arm, which currently consists
of transplant cellular immunology lab, transplant molecular biology lab,
transplant protein chemistry lab, transplant surgery lab, SPF animal lab and
bioartificial liver lab.

October
8, 1997
The
KCGMH-LTP performed the first living donor liver transplant without transfusion
of blood or blood products.
World transplant records. In: Cecka JM, Terasaki PI, eds. Clinical transplants 2001.
UCLA Immunogenetic Center, 2002:297
October
1997
Dr. Chao-Long Chen was appointed as an Honorary Professor by the China Medical
University in Shengyang, China.


January
21, 1998
The KCGMH-LTP performed liver transplantation for a Japanese child named
Hirotasu Kushita, who was the first foreign patient to undergo liver
transplantation in Taiwan.
April
1, 1998
The KCGMH-LTP began to train Japanese and Southeast Asian surgical fellows,
including:
Toshiro Tatsuma
(1998.4-1993.3)
Vanessa H. de
Villa
(1998.7-2002.7)
Hirotaka
Yokoyama
(1999.4-2000.3)
Yukio
Iwashita
(2000.4.-2001.3)
Mitsuhisa Takatsuki
(2001.6-2003.3)
November
1998
Dr. Chao-Long Chen was appointed as Visiting
Professor by the Third Military Medical University of China.

January
14, 1999
The KCGMH-LTP performed the first adult-to-adult right lobe living donor liver
transplantation in Taiwan and the patient is alive and well to date.

January
27, 1999
The KCGMH-LTP performed the first internationally collaborated split liver
transplantation in Asia in cooperation with the University of Hong Kong.
de Villa VH, et al. Clinical Transplantation 14:355, 2000
October
1999
Seigo Kitano, Professor of Surgery at Oita Medical University of Japan, visited
Kaohsiung Chang Gung Memorial Hospital to observe living donor liver
transplantation.

November
1999
Dr. Chao-Long Chen was appointed as Visiting Professor by Beijing Friendship
Hospital of the China Capital Medical University.
November
24, 1999
The KCGMH-LTP performed the first liver transplantation for neonatal hepatitis
in Taiwan. The patient is alive and
well to date.
January
21, 2000
Taiwan’s first case of spousal living donor liver transplantation was
performed at Kaohsiung Chang Gung Memorial Hospital.
April
8, 2000
In Kaohsiung Chang Gung Memorial Hospital, Drs. Chao-Long Chen, Yaw-Sen Chen and
Chih-Chi Wang accomplished three separate liver transplants simultaneously. All three patients were discharged from the hospital on May
8. They have been alive and well to
date.

June
28, 2000
The KCGMH-LTP performed the first liver transplantation for Alagille syndrome in
Taiwan. The patient is alive and
well to date.
November
1, 2000
The KCGMH-LTP performed its 100th liver transplant. Of these, 52 were
living donor liver transplants and the survival rate was 100%, which is the
highest global record. Since 2000,
living donor liver transplantation has become a routine operation, being
performed at Kaohsiung Chang Gung Memorial Hospital on a weekly basis.

December
2000
Surgeons from Kyushu University, Mitsuo Shimada, Takashi Nishizaki and Yuji
Soejima visited Kaohsiung Chang Gung Memorial Hospital to observe living donor
liver transplantation.
February
21, 2001
Jose Gabrielle Teotico from the Philippines underwent live donor liver
transplantation in Kaohsiung Chang Gung Memorial Hospital. He was the first
foreign patient to undergo living donor liver transplantation in Taiwan.

April
25, 2001
The KCGMH-LTP performed the first living donor liver transplantation with a
liver graft from a pregnant woman for her daughter in a life threatening
situation. After five months, the
mother delivered a healthy baby.

World transplant records. In: Cecka JM, Terasaki PI, eds. Clinical transplants 2001. UCLA Immunogenetic Center, 2002:297
May
30, 2001
A South African Chinese underwent living donor liver transplantation in
Kaohsiung Chang Gung Memorial Hospital. He was the first patient from another
continent to undergo liver transplantation in Taiwan.

October
2001
Dr. Chao-Long Chen was appointed as Visiting Professor by Nankai University of
Tianjin, China

October
2001
Professor K.C. Tan of National University of Singapore led the liver transplant
team consisting of ten members to observe living donor liver transplants in
Kaohsiung Chang Gung Memorial Hospital

November
12, 2001
The liver transplantation team of Kaohsiung Chang Gung Memorial Hospital
consisting of Chao-Long Chen, Yaw-Sen Chen, Chih-Chi Wang, Vanessa H. de Villa,
Yuan-Cheng Chiang, Tsan-Shiun Lin, Yu-Fan Cheng, Tung-Liang Huang, Bruno Jawan,
Jien-Wei Liu, Miao-Wei Huang, Yuan-Yuan Wang, Li-Man Lin and Hsiu-Lan Liao,
altogether fourteen staff members, were invited by Peking University to perform
the first pediatric right lobe living donor liver transplant in China.
This is the joint medical adventure of the largest scale so far between
the two sides of the Taiwan Strait.


December
2001
Dr. Chao-Long Chen won the first prize of outstanding scientific papers of the
year 2001 from the International College of Surgeons, Taiwan Section, with his
paper entitled “Minimal Blood Loss Living Donor Hepatectomy”.

Chen CL, et al. Transplantation 69:2580, 2000
January
31, 2002
The liver transplantation team of Kaohsiung Chang Gung Memorial Hospital
consisting of thirteen staff members including Chao-Long Chen, Yaw-Sen Chen,
Chih-Chi Wang, Chih-Che Lin, Yuan-Cheng Chiang, Tsan-Shiun Lin, Yu-Fan Cheng,
Tung-Liang Huang, Bruno Jawan, Hsiang-Ning Luk, Miao-Wei Huang, Chiung-Chuan
Tsai and Li-Man Lin, were invited by the Peking Union Medical College Hospital
to team up with Jie-Fu Huang and Shou-Xian Zhong to perform the first
adult-to-adult living donor liver transplantation in Beijing.

February
2002
Dr. Chao-Long Chen was appointed as Visiting Professor by the Peking Union
Medical College Hospital of the Chinese Academy of Medical Sciences.
April
10, 2002
The KCGMH-LTP performed its 100th living donor liver transplant.
The 5-year actuarial patient and graft survival rates of the first 100
recipients were both at 97%.
April
20, 2002
Kaohsiung Chang Gung Memorial Hospital hosted the 2002 Living Donor Liver
Transplantation Symposium. The
major speakers were Professor Koichi Tanaka of Kyoto University, Professor
Masatoshi Makuuchi of University of
Tokyo, Professor Sung-Gyu Lee of Ulsan University, Professor Sheung-Tat Fan of
University of Hong Kong and Professor Chao-Long Chen of Chang Gung University.


August 28, 2002
The KCGMH-LTP performed the first dual graft living donor liver transplantation
in Taiwan.
February 15, 2003
Living-Donor Liver Transplantation: The Asian Perspective was published as a Supplement to Transplantation.

February 16, 2003
Professor Chao-Long Chen was appointed as the Superintendent of the Chang Gung Memorial Hospital, Kaohsiung Medical Center.


April 2, 2003
The CGMH-LTP performed its 200th liver transplant.
October 1, 2003
The KCGMH-LTP performed its 150th living donor liver transplant. All donors are alive and back to their pre-donation life styles. The actuarial survival rates of the 150 recipients are 97.9% at one year and 96% at five years.
October 24, 2003
Dr. Chao-Long Chen won the first prize of outstanding scientific papers of the year 2003 from the International College of Surgeons, Taiwan Section, with his essay “Living Donor Liver Transplantation: 12 Years of Experience in Asia”

Eduardo Fernandes (2004-2005)

October
26, 2005
Dr. Yu-Fan Cheng was awarded a travel grant from the 11th Annual Congress of
the International Liver Transplantation Society in Los Angeles, USA to
present his paper entitled "Hepatocellular carcinoma in liver
transplantation".

December 21, 2005
Liver Transplantation Center of Chang Gung Memorial Hospital was awarded the "2005 Symbol of National Quality" and "Golden Award of 2005 National Biotechnology and Medical Care Quality Award".

February 27, 2006
Inauguration of the Liver Transplantation Auxilliary Unit.


May 2006
Dr. Chih-Che Lin was awarded a travel grant from the 12th Annual Congress of the International Liver Transplantation Society in Milan, Italy to present his paper entitled "High level active immunization is a feasible and effective strategy to prevent de novo hepatitis B virus infection in pediatric patients after living donor liver transplantation"

