{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>review of medical records<\/li>\n\t<li>physical examination<\/li>\n\t<li>urological examination<\/li>\n\t<li>laboratory tests:\n\t<ul style=\"list-style-type:circle\">\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t\t<li>tumor markers, PSA<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>ultrasound scan of the urogenital system<\/li>\n\t<li>CT scan\/MRI of the abdomen and pelvis<\/li>\n\t<li>preoperative care<\/li>\n\t<li>radical cystectomy&nbsp;and subsequent reconstruction<br \/>\n\tof the bladder with&nbsp;da Vinci robotic system<\/li>\n\t<li>histological&nbsp;and immunohistochemical<br \/>\n\texamination of the removed tissues<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>explanation of future recommendations<\/li>\n<\/ul>\n\n<p>&nbsp;<\/p>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>During the first visit<\/strong>, 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 of the genitourinary system, CT scan and MRI. Based on the results of an additional examination, the physician will clarify the stage of the oncological process, choose the surgical technique and the type of anesthesia.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgery with the da Vinci robot<\/strong> starts with general anesthesia. After anesthesia, the surgeon makes small incisions on the anterior abdominal wall, through which he inserts the da Vinci robot manipulators and a video camera into the abdominal cavity. With the help of manipulators, the doctor dissects the ligamentous apparatus of the bladder and removes it. After that the doctor forms a new bladder from a part of the small intestine. The video camera continuously transmits a three-dimensional image of the surgical area in 12-fold magnification to the monitor. The surgeon installs drainage into the abdominal cavity and finishes the operation.<\/p>\n\n<p style=\"text-align: justify;\">After tumor removal and forming a new bladder with the da Vinci robotic system, you will urinate naturally, through the urethra. The process of urination in this case will occur due to the work of the abdominal muscles.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. Due to the minimal invasiveness of the operation and the short duration of general anesthesia, you will not need to stay in the intensive care unit for a long time.<\/p>\n\n<p style=\"text-align: justify;\">Finally, the attending physician will evaluate the results of <strong>control examinations<\/strong>, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>review of medical records<\/li>\n\t<li>physical examination<\/li>\n\t<li>urological examination<\/li>\n\t<li>laboratory tests:\n\t<ul style=\"list-style-type:circle\">\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t\t<li>tumor markers, PSA<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>ultrasound scan of the urogenital system<\/li>\n\t<li>CT scan\/MRI of the abdomen and pelvis<\/li>\n\t<li>preoperative care<\/li>\n\t<li>radical cystectomy&nbsp;and subsequent reconstruction<br \/>\n\tof the bladder with&nbsp;da Vinci robotic system<\/li>\n\t<li>histological&nbsp;and immunohistochemical<br \/>\n\texamination of the removed tissues<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>explanation of future recommendations<\/li>\n<\/ul>\n\n<p>&nbsp;<\/p>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>During the first visit<\/strong>, 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 of the genitourinary system, CT scan and MRI. Based on the results of an additional examination, the physician will clarify the stage of the oncological process, choose the surgical technique and the type of anesthesia.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgery with the da Vinci robot<\/strong> starts with general anesthesia. After anesthesia, the surgeon makes small incisions on the anterior abdominal wall, through which he inserts the da Vinci robot manipulators and a video camera into the abdominal cavity. With the help of manipulators, the doctor dissects the ligamentous apparatus of the bladder and removes it. After that the doctor forms a new bladder from a part of the small intestine. The video camera continuously transmits a three-dimensional image of the surgical area in 12-fold magnification to the monitor. The surgeon installs drainage into the abdominal cavity and finishes the operation.<\/p>\n\n<p style=\"text-align: justify;\">After tumor removal and forming a new bladder with the da Vinci robotic system, you will urinate naturally, through the urethra. The process of urination in this case will occur due to the work of the abdominal muscles.<\/p>\n\n<p style=\"text-align: justify;\"><strong>After the completion of the operation<\/strong>, you will be transferred back to the ward, under the supervision of the attending physician and nursing staff. Due to the minimal invasiveness of the operation and the short duration of general anesthesia, you will not need to stay in the intensive care unit for a long time.<\/p>\n\n<p style=\"text-align: justify;\">Finally, the attending physician will evaluate the results of <strong>control examinations<\/strong>, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/p>\n<\/div>","is_ambulant":"0","bh_fee":"0","only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"60000ee592328.jpg","city":"Leverkusen","clinic_site":"http:\/\/www.klinikum-lev.de\/","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"Leverkusen Clinic","cinic_name":"Leverkusen Clinic","department_id":"1785","duration":"10","direction":"Urology","min_duration":0,"clinic_id":"1299","paketPrice":8900,"paket":"<ul>\n <li>Interpreter up to 20 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n\n<\/ul>","title":"Da Vinci treatment of bladder cancer with radical cystectomy and bladder reconstruction","price":{"val":33900.67,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"need_to_use_head_doctor","title":"Treatment by leading experts","type":"val","val":"5790.53","req":0},{"id":"1_person_room","title":" Single room (whole period)","parent":"duration","type":"count_val","val":"136.00"},{"id":"2_person_room","title":" double room (whole period)","parent":"duration","type":"count_val","val":"73.00"},{"id":"attendant_place","title":"Accommodation for the accompanying person ","parent":"duration","type":"count_val","val":"90.00"}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"7","distance":"21","airport_title":"Cologne-Bonn"},{"id":"4","distance":"47","airport_title":"Duesseldorf"},{"id":"25","distance":"82","airport_title":"Dortmund Airport"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}