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Treatment of Bile Duct Tumors or Klatskin Tumors in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Bile duct cancer diagnosis
3195
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
4104
Diagnosis and treatment of cancer of the bile duct with chemotherapy
2432

Helios Hospital Berlin-Buch

9.7/10
location_onGermany, Berlin

Department of General, Abdominal Surgery and Surgical Oncology

According to the reputable Focus magazine, the Helios Hospital Berlin-Buch ranks among the top medical facilities in Germany! The clinic is proud of its rich history, which dates back over 100 years, as well as the status of a maximum care medical center with exceptionally high success treatment rates. The medical institution is
Bile duct cancer diagnosis
6610
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
12115
Diagnosis and treatment of cancer of the bile duct with chemotherapy
8240

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

According to the Focus magazine, the Academic Hospital Brothers of Mercy Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and t
Bile duct cancer diagnosis
6569
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
11232
Diagnosis and treatment of cancer of the bile duct with chemotherapy
7671

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Bile duct cancer diagnosis
7528
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
13408
Diagnosis and treatment of cancer of the bile duct with chemotherapy
9142

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Bile duct cancer diagnosis
9499
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
17372
Diagnosis and treatment of cancer of the bile duct with chemotherapy
7724

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Bile duct cancer diagnosis
6676
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
11304
Diagnosis and treatment of cancer of the bile duct with chemotherapy
7766

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Bile duct cancer diagnosis
7611
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
13327
Diagnosis and treatment of cancer of the bile duct with chemotherapy
8946

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Bile duct cancer diagnosis
0
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
0
Diagnosis and treatment of cancer of the bile duct with chemotherapy
0

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Bile duct cancer diagnosis
7182
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
12824
Diagnosis and treatment of cancer of the bile duct with chemotherapy
8413

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric General, Abdominal, Hepatobiliary, Endocrine, Thoracic and Hernia Surgery

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Bile duct cancer diagnosis
7527
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
13237
Diagnosis and treatment of cancer of the bile duct with chemotherapy
9011

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of General, Abdominal and Pediatric Surgery

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Bile duct cancer diagnosis
7527
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
13217
Diagnosis and treatment of cancer of the bile duct with chemotherapy
7663

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of General, Abdominal, Endocrine, Colorectal and Bariatric Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Bile duct cancer diagnosis
7238
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
12751
Diagnosis and treatment of cancer of the bile duct with chemotherapy
8598

HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

Department of General and Abdominal Surgery, Hernia Surgery, Colorectal Surgery

According to the prestigious Focus magazine, the HELIOS University Hospital Wuppertal ranks among the top medical facilities in Germany! The hospital rightfully enjoys the status of the maximum care medical facility and provides its high-quality services in all modern fields of medicine. The hospital operates on the basis of the
Bile duct cancer diagnosis
6939
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
12031
Diagnosis and treatment of cancer of the bile duct with chemotherapy
8237

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of General, Abdominal, Vascular and Pediatric Surgery

The University Hospital Saarland is the largest hospital in the city of Homburg and the most important medical facility in the region. The hospital, which currently has 30 specialized departments and 20 institutes, was founded in 1947 and operates on the basis of the Saarland University. The hospital plays a leading role in medi
Bile duct cancer diagnosis
6711
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
11227
Diagnosis and treatment of cancer of the bile duct with chemotherapy
7631

HELIOS Clinic Krefeld

9.7/10
location_onGermany, Krefeld

Department of General, Abdominal and Minimally Invasive Surgery

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold
Bile duct cancer diagnosis
7008
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
11502
Diagnosis and treatment of cancer of the bile duct with chemotherapy
7809

Hospital Bogenhausen Munich

7.8/10
location_onGermany, Munich

Department of General, Abdominal, Endocrine, Minimally Invasive and Bariatric Surgery

According to the reputable Focus magazine, the Hospital Bogenhausen Munich ranks among the ten best medical centers in Bavaria and among the top 50 medical facilities in Germany! The medical facility is the Academic Hospital of Ludwig Maximilian University of Munich. The modern hospital with the highest level of services annuall
Bile duct cancer diagnosis
7573
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
13198
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
38922

Academic Municipal Hospital Karlsruhe

9.8/10
location_onGermany, Karlsruhe

Department of General and Abdominal Surgery

According to the prestigious Focus magazine, the Academic Municipal Hospital Karlsruhe ranks among the top German hospitals! The hospital positions itself as a modern maximum care medical facility, which combines long traditions and progressive achievements of modern medicine. The hospital operates on the basis of the University
Bile duct cancer diagnosis
6601
Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage
11423
Diagnosis and treatment of cancer of the bile duct with chemotherapy
7707
| from Booking Health GmbH

Content

  1. General principles of treatment of bile duct tumors in Germany
  2. Phases of treatment of bile duct tumors or Klatskin tumors
  3. Surgery
  4. Alternative cancer treatment methods
  5. Palliative treatment of Klatskin tumor
  6. Rehabilitation after treatment of bile duct tumor
  7. The cost of treatment in German hospitals
  8. How to go to Germany for treatment?

 

Klatskin tumor is a malignant neoplasm affecting the bile ducts. It’s necessary to start therapy immediately after the diagnosis making, since the neoplasm is prone to rapid growth and metastasizing. The disease usually progresses very quickly, so it is important to contact a specialist as soon as possible when the first signs of illness appear. Therefore, the longer left untreated, the lower chances of a favorable prognosis are.

General principles of treatment of bile duct tumors in Germany

 

The overwhelming majority of patients with Klatskin tumor face the diagnosis after a more or less long examination for jaundice, which most often becomes the first manifestation of the disease. Therefore, the faster the correct diagnosis is made, the earlier it is possible to take measures against jaundice and the less harm there would be for patients with bile duct dysfunction, which is especially important before complex surgery. Therefore, the correct diagnosis is step 1.

Since jaundice occurring in Klatskin tumor has the so-called mechanical character, meaning it’s caused by a violation of bile outflow from bile ducts (the presence of a mechanical obstacle in the form of a tumor), then it is necessary to quickly and efficiently restore the outflow of bile in order to cure jaundice. Drainages can be made below the tumor, which allows the patient to restore physiological flow of bile because in such a situation the bile enters the intestine. Alternatively, the possibility of performing a radical surgery can only be evaluated by a surgeon hepatologist.

The treatment of bile duct tumors or Klatskin tumors in German hospitals is a complex task, as bile duct cancer is a dangerous disease. It accounts for about 3% of all the tumors of the gastrointestinal tract. The Klatskin tumor itself affects not only the bile ducts, but also the liver, pancreas, gallbladder, blood vessels, and finally lymph nodes. At the advanced stages, the intestines, stomach, and lungs are affected.

For the treatment of bile duct cancer in German hospitals, the newest techniques and advanced technologies are used, which significantly increases the chances of recovery. Even though this is a rather rare disease, German hospitals pay sufficient attention to bile duct cancer treatment, which allows achieving very good results.

Phases of treatment of bile duct tumors or Klatskin tumors

 

Treatment of bile duct tumors consists of three or four main stages, each of which equally determines the success of cancer treatment.

The main stage of cancer treatment of patients with a Klatskin tumor is the removal of the affected tissue along with the biliary ducts draining. If a smaller-sized liver lobe is removed, chemoembolization and further surgical treatment are not performed. To increase the radicality of surgery, it is also necessary to remove the 1st segment of the liver. The general principle of modern surgery for the treatment of Klatskin tumor is a combination of bile ducts resection with extensive liver resection. The stages of the operation allow considering the surgical treatment of Klatskin tumor one of the most complex operations on the abdominal organs.

When liver vessels are affected by the Klatskin tumor growth, the volume of surgery can be increased and include resection of the vessels with the subsequent restoration of their integrity. Surgery is complemented by the reconstruction of the bile outflow tract.

Taking into account the initially severe condition of patients, who often suffer from mechanical jaundice, cholangitis and severe complications of cholangitis (i.e. cholangogenic abscess), the risks of operation rise. In this regard, there are strict requirements to performing the surgery, since postoperative complications in the initially weakened patient may be a serious threat. The technical complexity of the operation is connected with the fact that the surgeon has to manipulate in the limited liver gate space.

Therefore, all key points of treatment of bile duct tumor that determine its risks, success rates and radicality must be analyzed and planned before the surgery. To do this, a team of diagnosticians, surgeons, and oncologists should have a relevant experience. The oncological board estimates all the peculiarities of the course of the disease in each particular patient and makes the most likely forecast for various treatment options. A suitable combination of efficiency and safety is the basic principle of choosing a treatment regimen for each patient with a Klatskin tumor.

Surgery

 

The main method of treatment of bile duct tumors is the surgical one. However, it is connected with certain difficulties, primarily due to poor operability and high risk of postoperative complications.

Klatskin tumor in most cases isn’t big, therefore, in the treatment of Klatskin tumor resection is often used. This operation is connected with a low number of postoperative complications and mortality rate, but it’s not always possible to achieve the maximum positive result after such treatment of the Klatskin tumor. When the tumor is advanced, resection of several liver segments is possible, up to extended right hemihepatectomy. With a severe overall state, e.g. in the elderly patients and patients with the 4th stage of bile duct cancer with extensive tumor invasion, a high-tech outer or inner drainage is recommended.

There are other methods of treatment of Klatskin tumor that are not connected with risks of developing liver failure. As a radical surgical bile duct cancer treatment in patients with the proximal localization of the tumor, the Klatskin tumor resection can be used within the borders of healthy tissues.

Minimally invasive methods of treatment of bile duct tumors that eliminate bile hypertension effectively and relatively safely are very common in countries with the advanced healthcare systems. Such interventions are mostly palliative but they reduce the severity of clinical symptoms significantly.

Alternative cancer treatment methods

 

One of the alternatives medicine can offer today is photodynamic therapy. The therapy is a novel cancer treatment that is already used in some German hospitals for the treatment of malignant neoplasms of the gastrointestinal tract. This cancer treatment is effective in restoring biliary drainage and improving the quality of life of patients with inoperable and advanced Klatskin tumors.

Radiation therapy can also be helpful. Adjuvant and preoperative radiation therapy is used to reduce the tumor volume and make it resectable. This therapy is usually carried out in German hospitals along with chemotherapy. For patients with Klatskin tumors, special radiation methods are used, such as brachytherapy and intraoperative radiation therapy (i.e. irradiation during surgery).

In the past, healthcare practitioners were convinced that chemotherapy for bile duct cancer treatment of any localization doesn’t really affect the survival of patients. Nevertheless, in recent years, publications have been made indicating significance of systemic chemotherapy in the treatment of Klatskin tumor.

Chemotherapy for this diagnosis is prescribed in low dosages, primarily to enhance radiotherapy effect during a bile duct cancer treatment course.

Gemcitabine remains a first-line medication, but various combinations of cytostatics with other drugs are also used in bile duct cancer treatment. Therefore, it is currently becoming optimal to carry out adjuvant (postoperative) systemic chemotherapy in patients with Klatskin tumor, regardless of the radicality of the cancer treatment performed. This makes it possible to count on a good life expectancy in most patients.

Palliative treatment of Klatskin tumor

 

Palliative treatment of Klatskin tumor includes measures that will improve the general condition of patients with bile duct cancer if it is impossible to conduct a surgery.

A method of supportive therapy is chosen in accordance with the following factors:

  • Main complications
  • Possible side effects of therapy
  • The possibility or inability to carry out surgery
  • Spreading and size of the primary tumor
  • The general condition of patients with cancer and their medical story

Rehabilitation after treatment of bile duct tumor

 

Since medicine can specify no precise causes of bile duct cancer, it’s possible to talk only about the prevention in general.

It is worth implementing proper nutrition for both matters of prevention and rehabilitation. Food should be riched with supplements and plant-based fiber. It is advisable to consume many vegetables, fruits, and liquid foods. It is also not recommended to expose the body to various pathogens, this also concerns sunlight.

The most general recommendation medicine can give is to monitor your health state constantly. If your relatives have had any oncological diseases, then you should regularly undergo diagnostic examinations. This will help to reveal the existing diseases and risk factors.

The cost of treatment in German hospitals

 

The cost of treatment is mostly based on procedures included in the medical program. Some patients undergo minimally invasive interventions, while others need extensive open surgery in combination with chemotherapeutic treatment.

The cost of treatment in Germany is somewhat higher than in other well-known foreign hospitals, for example, in Israel and Spain. However, it is fully compensated by the high quality of medical services provided here.

For example, the cost of treatment with chemotherapy starts at 7,221 EUR. The cost of treatment with embolization or chemoembolization starts at 23,772 EUR. The minimal price for partial hepatectomy is 32,129 EUR, and the minimal price for the diagnosis making is 6,569 EUR.

For more information about the prices for cancer treatment in German hospitals visit the Booking Health website.

How to go to Germany for treatment?

 

Booking Health provides the widest range of services related to medicine in German hospitals in general and the treatment of Klatskin tumor specifically.

If you want not only to get high-quality bile duct cancer treatment in Germany but also to conduct preventive measures related to the possible diseases you may have, know that Booking Health will help you arrange any medical program you need.

In Germany, treatment of bile duct tumors in children is performed as well. Of course, before the start of bile duct cancer treatment, it is necessary to undergo comprehensive examination in German hospitals.

If you have any questions regarding cancer treatment in Germany, leave the request on the Booking Health website for a medical consultant to contact you shortly.

Authors: Dr. Nadezhda IvanisovaDr. Sergey Pashchenko




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