Cytoreductive Surgery in Germany – treatment in the Best Hospitals
Here you will find most technologically advanced cytoreductive surgery hospitals in Germany
Focus of treatment:
Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery and Hernia Surgery
The Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery and Hernia Surgery offers the full range of services in the areas of its specialization. The department's surgical team successfully performs interventions for diseases of the stomach, esophagus, small intestine, large intestine, rectum, pancreas
Department of General, Abdominal, Transplant, Hepatopancreatobiliary, Colorectal, Endocrine, Bariatric Surgery and Hernia Surgery
The Department of General, Abdominal, Transplant, Hepatopancreatobiliary, Colorectal, Endocrine, Bariatric Surgery and Hernia Surgery provides the full range of services in the areas of its specialization and holds a leading position at the national and international levels in terms of the number of surgical interventions perfor
Department of General, Abdominal and Vascular Surgery
According to the Focus magazine, the Department of General, Abdominal and Vascular Surgery ranks among the top German medical facilities specializing in the treatment of bowel and lung cancer! The department offers all the modern surgical options for the treatment of diseases of the abdominal cavity and blood vessels. The depart
Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Endocrine Surgery, Hernia Surgery and Bariatric Surgery
The Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Endocrine Surgery, Hernia Surgery and Bariatric Surgery offers the full range of effective surgical treatments in accordance with modern medical standards. Operations of varying complexity are performed on the stomach, colon, pan
Department of Abdominal and Colorectal Surgery, Hepatobiliary Surgery, Hernia Surgery, Bariatric Surgery, Endocrine Surgery, Thoracic and Vascular Surgery
The Department of Abdominal and Colorectal Surgery, Hepatobiliary Surgery, Hernia Surgery, Bariatric Surgery, Endocrine Surgery, Thoracic and Vascular Surgery offers the full range of services in these medical fields. It provides surgical treatment of diseases of the gastrointestinal tract, thyroid and parathyroid glands, thorac
Department of General and Abdominal Surgery
According to the Focus magazine, the Department of General and Abdominal Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of classical and minimally invasive methods for the treatment of common surgical diseases, cancer pathologies, diseases of the endocr
Department of Adult and Pediatric General, Abdominal, Transplant Surgery
According to Focus magazine, the Department of Adult and Pediatric General, Abdominal, Transplant Surgery ranks among the top German medical facilities specializing in bowel cancer treatment! The department performs surgical treatment of general surgical diseases, abdominal pathologies, and also specializes in organ transplantat
Department of Abdominal, Thoracic and Vascular Surgery
The Department of Abdominal, Thoracic and Vascular Surgery offers all modern surgical interventions in these fields. Specialization covers the treatment of diseases of the abdominal organs, endocrine glands, pathologies of the lungs and chest wall, pathological vascular lesions of all parts of the body. In addition, kidney trans
Department of General, Abdominal, Vascular and Endocrine Surgery
The Department of General, Abdominal, Vascular and Endocrine Surgery offers the full range of medical services in these fields. The department specializes in the surgical treatment of gastrointestinal cancers (surgical treatment of pancreatic, liver, stomach, esophageal and colon malignancies), hernia repair, treatment of gastro
Department of General, Abdominal and Transplant Surgery
According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of services in these medical fields and guarantees the first-class medical care at the university level. The department s
Department of General, Abdominal and Vascular Surgery
According to the Focus magazine, the Department of General, Abdominal and Vascular Surgery ranks among the top German medical facilities specializing in the treatment of bowel cancer! The department offers the full range of surgical treatment of diseases of the abdominal organs and blood vessels, including the transplantation of
Department of General, Abdominal and Thoracic Surgery
According to the Focus magazine, the Department of General, Abdominal and Thoracic Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of surgical treatment of diseases of the thorax and abdomen, endocrine glands, blood vessels and morbid obesity. If possibl
Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery
The Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery covers the whole range of services in these fields. The department specializes in the treatment of diseases of the upper and lower gastrointestinal tract, liver, gallbladder, pancreas, thyroid and parathyroid glands, adrenal glands, as well as overw
Department of General, Abdominal, Adult and Pediatric Transplant Surgery
According to the Focus magazine, the Department of General, Abdominal, Adult and Pediatric Transplant Surgery ranks among the top German departments specializing in the treatment of bowel cancer! The department specializes in the treatment of tumors of the gastrointestinal tract, pancreas, liver, and retroperitoneal space (perit
Department of Adult and Pediatric General, Abdominal, Hepatobiliary, Endocrine, Thoracic and Hernia Surgery
The Department of Adult and Pediatric General, Abdominal, Hepatobiliary, Endocrine, Thoracic and Hernia Surgery offers the full range of services in these fields. The team of the department's surgeons is rightfully proud of their high professionalism and successfully performs operations of varying degrees of complexity for d
Department of General, Abdominal and Transplant Surgery
According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery is ranked among the top German medical facilities specializing in the bowel cancer treatment! The department offers the full range of services in these medical fields. The main clinical focuses include the surgical treatment of abdominal
Malignant tumors located in the pelvic organs may spread to the peritoneum. In this case, patients have multiple metastases that are not well controlled with systemic therapy. As a rule, the prognosis in such cases is unfavorable. If left untreated, the median survival rate of patients is 2-3 months, and with systemic chemotherapy, it reaches 5-10 months.
In such severe cases, cytoreductive surgery comes to the rescue. This is a complex operation to remove multiple tumors in the abdominal cavity, but its successful performance allows doctors to achieve long-term remission of the disease. It increases the life expectancy of patients by several years. Doctors at modern Oncology Centers usually complement cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC).
Content
- What is cytoreductive surgery?
- When can cytoreductive surgery be used?
- How is cytoreductive surgery performed?
- Where can I undergo cytoreductive surgery at the best price?
What is cytoreductive surgery?
Cytoreductive surgery is the general term for operations aimed at reducing the tumor foci in the body as much as possible.
These surgical procedures are performed for multiple tumor foci in the same anatomical area, most often in the peritoneum, which covers the abdominal and pelvic organs.
The best results are achieved when all tumor foci can be removed. Such a cytoreduction is called a complete cytoreduction. It provides patients with good long-term survival rates. In leading hospitals in Germany, the frequency of achieving complete cytoreduction reaches 90% of all operations performed.
When can cytoreductive surgery be used?
Cytoreductive surgery is most often used to treat cancer that has spread to the peritoneum. It is used if radical (potentially curing) surgery cannot be performed. Cytoreductive surgery thus refers to methods of treating stage III-IV cancer.
The primary cancers for which cytoreductive surgery is used include ovarian cancer, colorectal cancer, small intestine cancer, large intestine cancer, stomach cancer, appendix cancer, and primary peritoneal tumors. Such surgical interventions are less often performed for duodenal cancer, gallbladder cancer, pancreatic cancer, and liver cancer.
Candidates for cytoreductive surgery are patients who can tolerate complex traumatic surgery, have a low peritoneal cancer index, and do not have any distant metastases outside the abdominal cavity.
How is cytoreductive surgery performed?
There is no generally accepted technique for performing cytoreductive surgery. It is a general term for surgical interventions of different types. They have only one common goal: maximum shrinkage of the tumor mass. The specific organs that the surgeon will remove, the need for additional stages of the surgical procedure, and other factors depend on the type of cancer, its location, size, and number of tumors.
A large study involving more than a thousand patients who underwent cytoreductive interventions showed that, on average, two organs and four sections of the peritoneum are removed in one person. Soft tissue and lymph nodes involved in the malignant process are also often removed.
In most cases, the surgery is performed through a long incision in the anterior abdominal wall (laparotomy). As a rule, it lasts 5-6 hours, although the duration can vary significantly from patient to patient.
After creating a surgical approach, doctors thoroughly examine the abdominal cavity to find out and remove all tumor foci. As a rule, the organs in which the primary tumor appeared are totally or partially removed. For example, for ovarian cancer, the uterus and appendages are removed, and for colorectal cancer, intestinal resection is performed. Adjacent organs involved in the cancer process are also often partially or totally removed.
Many patients require a reconstructive stage of the operation, such as suturing the intestine after resection to restore its continuity, creating a urinary bladder from segments of the small intestine, etc., depending on the organs removed. In any case, doctors strive to achieve maximum restoration of the functions of the affected organs and systems to improve the quality of life of the patient.
Leading hospitals worldwide have begun to perform laparoscopic cytoreductive surgery. The possibility of minimally invasive treatment is being explored for colon and appendix cancer, but only in patients with a low peritoneal cancer index. The initial results are promising because doctors have been able to achieve survival rates comparable to open surgery with a low risk of complications and a relatively short recovery period. The laparoscopic technique allows for intraoperative hyperthermic intraperitoneal chemotherapy to destroy the remaining cancer cells, if necessary. So far, this approach to cytoreductive surgery is not considered standard. It is practiced only in some specialized Oncology Centers.
Where can I undergo cytoreductive surgery at the best price?
You can undergo your treatment in Germany. You are welcome to use the Booking Health website to find out prices, compare the cost of treatment in German hospitals, and choose an affordable option.
There are a few reasons for you to undergo cytoreductive surgery in Germany. These are as follows:
- Higher efficiency: complete cytoreduction is achieved in 90% of cases, while the world average is 60-70%
- Patient mortality rate is 1.5% compared to the world average of 4%
- Lower risk of complications
- Reconstructive surgery is performed to improve the quality of life of patients after cancer treatment
- Intraoperative hyperthermic intraperitoneal chemotherapy is used to destroy remaining cancer cells after surgical removal of tumors
- Some hospitals perform minimally invasive laparoscopic cytoreductive surgery for patients with colon cancer who have a low cancer index
On the Booking Health website, you can find current prices for medical services at leading hospitals in Germany. You can make an appointment for your treatment in Germany for your preferred dates. The Booking Health specialists will help you select the most suitable hospital and arrange your trip to Germany for treatment. When using our service, prices for therapy will be lower for you than usual. The cost of treatment will be reduced due to the absence of additional fees for foreign patients.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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