Multimodality treatment of mesothelioma with cytoreductive surgery and HIPEC (program ID: 639641)

Helios Hospital Hildesheim

location_on Hildesheim, Germany
9.5/10 from 23 Votes
Specialized hospital
Andreas Pfeiffer

Head Physician
Dr. med.

Andreas Pfeiffer

Specialized in: thoracic surgery

Department of Thoracic Surgery

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • TSH-basal, fT3, fT4
    • tumor markers 
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
  • abdominal ultrasound scan
  • CT scan/MRI or PET-CT of abdomen
  • preoperative care
  • cytoreductive surgery to remove visible tumors
    inside the abdomen and HIPEC
  • histological and immunohistochemical
    examination of removed tissues
  • symptomatic treatment
  • cost of essential medicines
  • nursing services
  • stay in the hospital with a full board
  • accommodation in a 2-bedroom ward
  • elaboration of further recommendations

How program is carried out

During the first visit, the physician will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan and tomography of the abdominal organs. Based on the results of the examination, the physician will choose the surgical technique and the type of anesthesia. After that, preparation according to the preoperative standard will start.

Cytoreductive surgery begins with general anesthesia. The intervention is performed as open surgery, i.e. through the incision in the anterior abdominal wall, so that the surgeon can carefully examine the peritoneum and the surface of the abdominal organs. The surgeon removes affected by the malignant process areas of the peritoneum and metastases in other internal organs. This stage of the operation can take several hours, since the overall effectiveness of the treatment depends on the completeness of the malignant tissues removal.

At the next stage of the operation, the surgeon inserts several catheters into the abdominal cavity. Through the catheters, a heated solution of a chemotherapy drug is pumped inside. The special system maintains the required temperature (42-43 degrees Celsius), pressure and circulation rate of the medicinal solution. The solution mechanically flushes out blood clots and remnants of malignant tissues, and a heated chemotherapy drug destroys micrometastases in internal organs and lymph nodes (micrometastases can’t be detected by the naked eye).

After 1-1.5 hours, the chemotherapy drug is removed from the abdominal cavity and the abdominal cavity is washed with saline. After that, the surgeon removes the catheters and sutures the incision of the anterior abdominal wall.

After the completion of the operation, you will be transferred to the ward of the intensive care unit, under the round-the-clock supervision of doctors and nurses. In 1-3 days after the operation, your drains will be removed and you will be transferred to a regular ward for further recovery. The whole treatment takes 10-12 days on average.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents:

  • Medical records
  • X-ray examination, MRI/CT scan (if available)
  • Pleural biopsy (if available)
Type of program :
Expected duration of the program:

You may also book:


About the department

The Department of Thoracic Surgery at the Helios Hospital Hildesheim offers the full range of medical services in the field of its ​​competence. The department's experienced surgeons perform surgery for various diseases of the thorax, lungs and mediastinum. The department uses in its clinical practice both classic open surgical techniques and sparing minimally invasive interventions. The optimal surgical technique is determined by the surgeon individually for each patient, taking into account a particular clinical case and the patient's overall health status. The team of the department's thoracic surgeons cooperates closely with pulmonologists and oncologists. The department has created excellent conditions for the provision of high-quality medical care of the European level, and employs surgeons who performed thousands of successful operations. The treatment is provided in accordance with current clinical protocols, in advanced operating rooms equipped with all the necessary surgical instruments. The Chief Physician of the department is Dr. med. Andreas Pfeiffer.

The main focus of the department is on the surgical treatment of diseases of the lungs and other thoracic organs. The patients of the medical facility are most often diagnosed with benign and malignant tumors of the respiratory system, pleurisy, infectious diseases of the respiratory system, mediastinal pathologies and other diseases. The department's specialists have a perfect command of all modern surgical techniques, including minimally invasive ones. Whenever possible, surgeons prefer minimally invasive interventions, since such operations are performed through several small skin incisions. The main advantage of this type of surgery is that there is no need to perform thoracotomy. The use of minimally invasive surgical techniques can significantly reduce the hospital stay and the recovery period after surgery. In addition, the risks of infection and other postoperative complications are almost equal to zero.

The treatment of lung tumors is of particular interest to the department's medical team. If lung cancer is diagnosed in a patient, thoracic surgeons jointly with pulmonologists, oncologists and other doctors gather for a tumor board, during which they study the clinical case and determine the most effective course of treatment. The department's thoracic surgeons are responsible for the surgical resection of the malignant neoplasm, which in most cases forms the basis of the therapeutic process in the fight against lung cancer. When performing lung surgery, the department's surgeons strive to preserve healthy organ tissues as much as possible. Metastases in the lungs due to cancer of other organs are removed using the advanced laser devices.

The department's range of medical services includes:

  • Surgery for benign and malignant tumors of the respiratory system
  • Surgery for pleurisy
  • Surgery for infectious respiratory diseases
  • Surgery for mediastinal pathologies
  • Surgery for pneumothorax
  • Surgery for airway stenosis and obstruction
  • Other surgical options

Photo of the doctor: (c) Helios Kliniken GmbH

About hospital

Accommodation in hospital

There are 57 mesothelioma treatment hospitals on Booking Health website

Show all clinics


Need Help?

Thank you!

We received your treatment application in the best Europe clinics. Our manager will contact you within the next 24 hours.