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Duodenal Cancer | CRS and HIPEC - Hyperthermic Intraperitoneal Chemoperfusion in Germany . Hospital Prices, Ranking, Reviews - Bookinghealth

Duodenal Cancer — CRS and HIPEC - Hyperthermic Intraperitoneal Chemoperfusion: treatment in the Best Hospitals of Germany

➤Multimodality treatment of duodenal cancer with cytoreductive surgery and HIPEC in Germany ★ Direct prices from the best hospitals in Germany $ We will help you save money on treatment ✔ Patient support 24/7

Treatment prices are regulated by national law of the corresponding countries, but can also include additional hospital coefficients. In order to receive the individual cost calculation, please send us the request and medical records.

University Hospital of Ludwig Maximilian University of Munich
Specialized hospital
Germany, Munich

University Hospital of Ludwig Maximilian University of Munich

Overall rating 10 / 10

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 performed and their success. Of particular interest are operations for treating diseases of the bowel, stomach, esophagus, pancreas, liver, gallbladder, and bile ducts, and endocrine glands. The department's doctors have excellent skills in the surgical treatment of cancer, surgery for liver, kidney, pancreas, and small intestine transplants, and operations for morbid obesity. The department's operating rooms are the pride of the medical facility, since they have all the necessary technical options for performing operations with the da Vinci surgical system, image-guided interventions, and endoscopic surgical procedures, which are characterized by minimal trauma rates.

Jens Werner
Prof. Dr. med.Jens Werner
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Price: 68239
Charite University Hospital Berlin
Specialized hospital
Germany, Berlin

Charite University Hospital Berlin

Overall rating 9 / 10

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 department's doctors have expert knowledge and vast experience in the treatment of colorectal cancer, stomach, esophageal, pancreatic cancers, liver metastases, inflammatory bowel diseases (diverticular disease, Crohn's disease, ulcerative colitis). Also, they specialize in the surgical treatment of vascular pathologies and thyroid diseases.

Katharina Beyer
PD Dr. med.Katharina Beyer
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Price: 91985
University Hospital Ulm
Specialized hospital
Germany, Ulm

University Hospital Ulm

Overall rating 8.7 / 10

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, pancreas, liver, gallbladder, bile ducts, rectum, thyroid gland, and parathyroid glands in the department's operating rooms every day. The department's primary focus is the surgical treatment of malignant gastrointestinal tumors. The medical facility is certified in this area by the German Cancer Society (DKG). The team of endocrine surgeons specializes in the treatment of diseases of the thyroid gland, parathyroid glands, and adrenal glands. Patients with morbid obesity are also successfully operated on here. In their work, the department’s specialists primarily use minimally invasive surgical techniques, which virtually eliminate trauma to healthy tissue during the intervention. The department's operating suite is equipped with an innovative da Vinci Surgical System, which allows the doctors to perform sparing and high-precision surgical interventions. The specialists of the medical facility strictly adhere to hygiene and safety standards and create the most comfortable conditions for each patient during their hospital stays.

Nuh Rahbari
Prof. Dr. med.Nuh Rahbari
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Price: 64094
University Hospital Carl Gustav Carus Dresden
Specialized hospital
Germany, Dresden

University Hospital Carl Gustav Carus Dresden

Overall rating 9.1 / 10

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, thoracic organs, vascular system, rectum, anus and colon. In addition, the department performs bariatric interventions for the treatment of morbid obesity. A special focus is made on the treatment of gastrointestinal cancer. Minimally invasive surgical techniques are always preferred, if clinically indicated. The team of the department's surgeons has 8 progressive operating rooms equipped with everything necessary for successful treatment. The department also has the da Vinci Xi surgical system for high-precision minimally invasive robot-assisted interventions. The patient's health is in the safe hands of the best German surgeons who have gone through a rigorous selection and have vast clinical experience.

Jürgen Weitz
Prof. Dr. med.Jürgen Weitz
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Price: 79940
University Hospital Frankfurt am Main
Specialized hospital
Germany, Frankfurt am Main

University Hospital Frankfurt am Main

Overall rating 10 / 10

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 endocrine organs, proctological problems. The specialization also covers transplant surgery (liver, kidney and pancreas transplantation). The department is certified by the German Cancer Society for its outstanding results in the treatment of bowel, pancreatic, stomach and liver cancers.

Wolf Bechstein
Prof. Dr. med.Wolf Bechstein
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Price: 60230
University Hospital RWTH Aachen
Specialized hospital
Germany, Aachen

University Hospital RWTH Aachen

Overall rating 9.2 / 10

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 transplantation. Of particular interest are surgical oncology of the abdominal organs, as well as pancreatic and liver surgery. The department annually performs more than 3,000 surgical interventions, which contributes to its credibility at the national level.

Ulf Peter Neumann
Prof. Dr. med.Ulf Peter Neumann
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Price: 68415
University Hospital Marburg UKGM
Specialized hospital
Germany, Marburg

University Hospital Marburg UKGM

Overall rating 8.6 / 10

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 transplantation and pancreas transplantation are part of the surgeons' tasks. Whenever possible, operations are performed using minimally invasive techniques that have several advantages over classical interventions.

Detlef K. Bartsch
Prof. Dr. med.Detlef K. Bartsch
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Price: 55830
University Hospital Jena
Specialized hospital
Germany, Jena

University Hospital Jena

Overall rating 8.9 / 10

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 abdominal organs. The sparing minimally invasive surgical techniques are widely used in the clinical practice, which allow to provide treatment in simple and complex clinical cases by making small incisions and using special tiny surgical instruments. The exceptional experience and profound knowledge of the department's doctors are also an integral part of the high treatment success rates.

Utz Settmacher
Prof. Dr. med.Utz Settmacher
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Price: 52241
University Hospital Halle (Saale)
Specialized hospital
Germany, Halle

University Hospital Halle (Saale)

Overall rating 9.6 / 10

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 gastrointestinal inflammatory diseases, endocrine surgery and surgical correction of vascular diseases and defects. The treatment of patients is carried out in close cooperation with the experts from related fields, particularly, with oncologists, gastroenterologists, radiologists, angiologists, etc.

Jörg Kleeff
Prof. Dr. med.Jörg Kleeff
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Price: 60086
University Hospital Heidelberg
Specialized hospital
Germany, Heidelberg

University Hospital Heidelberg

Overall rating 9.8 / 10

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 specializes in the treatment of diseases of the abdominal cavity, esophagus and thyroid gland, transplantation of liver, kidney and pancreas. The medical facility has won the reputation of one of the three largest and most successful Transplant Centers in Germany. Also, within the clinical practice, doctors hold highly-specialized consultations on rare diseases and provide 24-hour emergency care. 

Markus W. Büchler
Prof. Dr. med.Markus W. Büchler
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University Hospital Hamburg-Eppendorf
Specialized hospital
Germany, Hamburg

University Hospital Hamburg-Eppendorf

Overall rating 9.2 / 10

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 possible, the preference is always given to sparing minimally invasive surgical techniques. The department performs more than 3,000 outpatient and about 2,600 inpatient interventions every year. The department has one of the largest interdisciplinary Obesity Centers, as well as one of three supraregional Centers for Pancreatic, Stomach and Esophageal Surgery.

Jakob Izbicki
Prof. Dr. med.Jakob Izbicki
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Price: 80196
University Hospital Würzburg
Specialized hospital
Germany, Würzburg

University Hospital Würzburg

Overall rating 9.2 / 10

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 overweight. In addition, the department is a recognized Center for Vascular and Pediatric Surgery.

Christoph-Thomas Germer
Prof. Dr. med.Christoph-Thomas Germer
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Price: 60118
University Hospital Tuebingen
Specialized hospital
Germany, Tuebingen

University Hospital Tuebingen

Overall rating 9.2 / 10

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 (peritoneal carcinomatosis), liver, kidney, pancreas, bowel transplantations in children and adults, as well as the surgical treatment of obesity and general surgical interventions.

Alfred Königsrainer
Prof. Dr. med.Alfred Königsrainer
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Price: 63831
University Hospital Rechts der Isar Munich
Specialized hospital
Germany, Munich

University Hospital Rechts der Isar Munich

Overall rating 9.8 / 10

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 diseases of the thyroid and parathyroid glands, stomach, esophagus, intestines, pancreas, liver, biliary tract, lungs. The medical facility also performs surgery for inguinal, umbilical and incisional hernias. The department has four high-tech operating rooms equipped with advanced surgical instruments, computer systems, devices for intraoperative ultrasound scanning, radiography, etc. Whenever possible, the department's surgeons perform low-traumatic laparoscopic procedures, after which patients need to spend only a few days in the hospital. The department has 100 beds for patient hospitalization.

Helmut Friess
Prof. Dr. med.Helmut Friess
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Price: 68405
University Hospital Muenster
Specialized hospital
Germany, Muenster

University Hospital Muenster

Overall rating 9.8 / 10

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 oncopathology, robotic surgery, minimally invasive surgery, endoscopy, organ transplantation and intensive care after surgical treatment. The department's doctors have special competence in the treatment of intestinal, pancreatic, stomach and liver cancers (certification of the German Cancer Society).

Andreas Pascher
Prof. Dr. med.Andreas Pascher
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Price: 60396
University Hospital Duesseldorf
Specialized hospital
Germany, Duesseldorf

University Hospital Duesseldorf

Overall rating 9.5 / 10

Department of General, Abdominal and Pediatric Surgery

The Department of General, Abdominal and Pediatric Surgery offers the full range of surgical treatment of diseases of the organs of abdominal cavity, thorax, emergency surgical care in polytrauma, as well as many surgical interventions in children. Of particular interest is cancer surgery on the liver, gallbladder, and pancreas. In addition, the department's specialists masterfully manage all the methods of bariatric surgery. Many operations are performed using minimally invasive techniques, which facilitate the quickest possible recovery of the patient.

Wolfram Trudo Knoefel
Prof. Dr. med.Wolfram Trudo Knoefel
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Price: 68354

Duodenal cancer is a rare tumor that is often detected at an advanced stage and is difficult to treat. The prognosis for this type of cancer is unfavorable because the tumor is mostly detected only after the development of metastases and the spread of the tumor throughout the peritoneum. However, even such complex cases can be successfully treated in countries with advanced healthcare systems. Treatment in Germany for duodenal cancer involves cytoreductive surgery (CRS) followed by hyperthermic intraperitoneal chemotherapy (HIPEC).

Content

  1. What is the process of treatment for advanced stages of duodenal cancer?
  2. What are cytoreductive surgery and HIPEC for duodenal cancer?
  3. The effectiveness of CRS and HIPEC in Germany for duodenal cancer
  4. Where can I undergo duodenal cancer treatment?

What is the process of treatment for advanced stages of duodenal cancer?

 

In the vast majority of cases, duodenal cancer is detected in its advanced stages. This is due to the fact that small neoplasms do not cause any symptoms, and by the time they are detected, the tumor has already spread within the abdominal cavity.

The duodenum is located at the "intersection" of the digestive system. It is connected to the stomach and colon and surrounds the pancreas. Bile and pancreatic ducts flow into it. The surgical removal of the tumor is therefore complex and time-consuming. The success of the procedure varies from hospital to hospital. Much better results with a lower risk of complications are achieved at specialized centers in countries offering advanced medical services.

In the advanced stages of colon cancer, cytoreductive surgery with subsequent hyperthermic intraperitoneal chemotherapy is considered the best treatment option. The doctor first removes all tumor foci and then rinses the abdomen with a heated solution of cytostatics to eliminate the remaining cancer cells.

What are cytoreductive surgery and HIPEC for duodenal cancer?

 

It is believed that once the tumor has spread to the abdomen, it is impossible to completely remove it. Therefore, any surgical procedures performed in these cases are considered cytoreductive (aimed at shrinking tumor foci) rather than radical (potentially curing). As a rule, these are complex surgical interventions lasting many hours because doctors need to thoroughly examine the abdominal cavity and remove all the organs and tissues affected by the tumor.

When performing surgery for duodenal cancer, doctors may perform the total or partial removal of multiple organs. They remove parts of the small intestine, stomach, pancreas, gallbladder, bile ducts, spleen, the affected parts of the peritoneum, lymph nodes, greater omentum, and lesser omentum. They may sometimes also remove pelvic organs such as the ovaries, uterus, part of the sigmoid, rectum, bladder, etc. The extent of the operation will depend on the tumor's spread.

In hospitals in countries with advanced healthcare systems, including Germany, doctors complement surgery with intraperitoneal chemotherapy. It is carried out immediately after tumor removal, at the final stage of the surgical intervention. The abdominal cavity is rinsed through the drainage system with a heated solution of cytostatics. The concentration of drugs is very high, so the remaining cancer cells after surgery are quickly destroyed. The effectiveness of the procedure is also increased due to the heating of the solution to 39-43 degrees. At this temperature, the cytotoxic properties of drugs are enhanced, and the solution penetrates into the tumor foci to a depth of 2-3 mm.

As a rule, the perfusion lasts about an hour. The wound is then tightly sutured, thereby completing the operation.

The effectiveness of CRS and HIPEC in Germany for duodenal cancer

 

So far, there are no statistics on the survival rates achieved with this technique. This is because duodenal cancer is very rare, and not all patients with this cancer have peritoneal carcinomatosis. Even if it develops, most countries and hospitals do not treat these patients with HIPEC because the procedure is mainly used in countries with advanced healthcare systems.

Therefore, there are still no results from large studies assessing the effectiveness of CRS and HIPEC for duodenal cancer. Literature data is limited to descriptions of clinical cases. Only a few specialized centers have experience treating duodenal cancer with surgery and hyperthermic intraperitoneal chemotherapy. If you are looking for such a hospital, please leave your request on our website. The Booking Health specialists will find the most suitable Cancer Center for you.

Despite the lack of standard protocols and data from large clinical trials, in countries with developed medicine, including Germany, doctors use HIPEC for duodenal cancer. There is no doubt that this procedure is effective. Vast experience has already been gained in the use of hyperthermic intraperitoneal therapy for other cancers. While HIPEC is effective for most types of cancer, duodenal tumors are unlikely to be an exception. In addition, the experience of individual doctors working in specialized Cancer Clinics indicates positive outcomes with HIPEC for most patients with duodenal cancer.

Where can I undergo duodenal cancer treatment?

 

Intraperitoneal chemotherapy is used in countries with advanced medicine. You can undergo your treatment in Germany. This is one of the few countries in the world whose doctors have vast experience in the use of CRS and HIPEC for duodenal cancer.

You are welcome to use the Booking Health service to find out the cost of treatment. Our website presents direct prices offered by hospitals. You can choose the best Cancer Center and make an appointment for your treatment in Germany. You can compare prices offered by hospitals using filters and choose a favorable option.

The Booking Health specialists will help you select the most suitable hospital. We will make an appointment for your preferred dates, reduce the waiting time for the start of your treatment in Germany, and take care of all the arrangements for your trip. When you make an appointment for your treatment through Booking Health, prices for medical services will be lower for you due to the absence of additional fees for foreign patients.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Vadim Zhiliuk and Dr. Nadezhda Ivanisova. 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!

 

Sources:

Cancer Research Institute

Cancer. Net

Medical News Today