Stomach Cancer — CRS and HIPEC - Hyperthermic Intraperitoneal Chemoperfusion: treatment in the Best Hospitals of Germany
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Stomach Cancer Treatment in Germany
- Stomach (gastric) cancer
- Diagnosis and conservative treatment with 1 course of chemotherapy
- Surgical partial resection of the stomach
- Surgical complete resection of the stomach and further plasty of intestinal tissue
- Embolization or chemoembolization
- Therapy with Lutetium-177-DOTATATE (Lu-177)
- Chemotherapy
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.
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.
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.
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.
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.
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.
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.
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.
Department of General and Abdominal Surgery, Hernia Surgery, Vascular Surgery, Endocrine Surgery and Bariatric Surgery
The Department of General and Abdominal Surgery, Hernia Surgery, Vascular Surgery, Endocrine Surgery and Bariatric Surgery offers a full range of surgical treatments in its areas of specialization at the highest level of university medicine. The department operates on patients with abdominal cancers, with a special focus on stomach, esophageal, colon, pancreatic, and liver cancers, inflammatory gastrointestinal diseases, hernias, and vascular diseases, as well as pathologies of the thyroid gland, parathyroid glands, adrenal glands, and neuroendocrine tumors. The department is certified in accordance with the standards of the German Cancer Society (DKG) for its high success rates in the surgical treatment of oncological diseases and has also been awarded the DGH Siegel certificate by the German Hernia Society. The department presents the direction of bariatric surgery, whose specialists excel in the treatment of morbid obesity with procedures such as gastric bypass, gastric banding, sleeve gastroplasty, and biliopancreatic diversion with duodenal switch. In their clinical practice, the department's surgeons mainly use modern minimally traumatic surgical techniques. The department performs minimally invasive, robotic (da Vinci Si® and Xi® systems), and endovascular surgery. It is important to the specialists at the medical facility to provide each patient with the best therapeutic results with a high degree of safety.
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.
Department of General and Abdominal Surgery, Hernia Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Endocrine Surgery, Thoracic Surgery and Bariatric Surgery
According to the Focus magazine, the Department of General and Abdominal Surgery, Hernia Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Endocrine Surgery, Thoracic Surgery and Bariatric Surgery is one of the best medical facilities in Germany for colorectal cancer treatment! The department offers a full range of surgical treatment in its areas of specialization. The department successfully operates on patients with diseases of the digestive tract, hernias, pathologies of the liver and gallbladder, colon and rectum, thyroid gland and parathyroid glands, as well as diseases of the lungs, pleura, and chest wall. The department offers all currently available surgical procedures for the treatment of morbid obesity. Bariatric surgery is performed in the Center of Excellence certified by the German Society for General and Visceral Surgery (DGAV). It should be noted that the department has a reputation as one of the best medical institutions in Germany with enormous experience in the field of pancreatic and esophageal surgery and resection of periampullary tumors. Almost all surgical procedures in the department are performed using minimally invasive and robotic techniques. This treatment provides good results while minimizing postoperative recovery time and eliminating serious surgical risks. The department also provides innovative treatment of peritoneal carcinomatosis using HIPEC, hyperthermic intraperitoneal chemotherapy. The department performs more than 5,100 surgical procedures of varying complexity each year, most of them on an outpatient basis.
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.
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.
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.
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).
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.
Peritoneal carcinomatosis is the most unfavorable type of stomach cancer progression. Metastases spread throughout the peritoneum, affecting organs and tissues. However, even in such cases, effective treatment options exist, and they are already being used in German hospitals. Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are used to treat stomach cancer in Germany. When performing surgery, doctors remove all detected malignant tumors and then rinse the abdominal cavity with a heated chemotherapy solution that destroys the remaining small clusters of cancer cells. You can benefit from this treatment method in a German hospital by making a treatment appointment through the Booking Health service. On our website, you can find out the cost of cancer treatment in Germany, compare the cost of services in different hospitals and departments of oncology, and choose the most suitable option at the best price.
Content
- When can CRS and HIPEC be used for stomach cancer?
- What is CRS and HIPEC for stomach cancer?
- When and how is CRS and HIPEC performed for stomach cancer?
- Where can I get treatment for stomach cancer?
When can CRS and HIPEC be used for stomach cancer?
In most hospitals worldwide, the standard treatment for stage IV stomach cancer that has spread to the peritoneum is systemic chemotherapy. However, only a quarter of patients respond positively to this treatment. The median survival rate with this method of cancer treatment is 10 months.
Peritoneal carcinomatosis is the worst type of stage IV stomach cancer. About 80% of patients die in the first year after the detection of metastases. This form of the disease causes malignant ascites (fluid accumulation in the abdominal cavity), intestinal obstruction, and patient debilitation due to malnutrition.
However, medicine continues to advance, particularly in economically developed countries like Germany. Modern hospitals are implementing new treatment methods that can deal with even the most severe forms of stomach cancer. Cytoreductive surgery and HIPEC are considered the optimal options to help a patient with peritoneal carcinomatosis.
What is CRS and HIPEC for stomach cancer?
CRS is the surgical removal of all visible tumors. In medical and oncological terms, "cytoreduction" means that during the surgery, doctors strive to reduce the size of tumors.
In the case of stomach cancer, CRS involves the removal of the entire stomach along with the small and large omentum, lymph node dissection, and excision of the affected peritoneal areas.
The developer of cytoreductive surgery techniques for stomach cancer is P.H. Sugarbaker. During his research, CRS increased median patient survival by more than one and a half times.
Subsequently, these results were further improved after treatment with HIPEC. This is the injection of chemotherapy agents heated to 39-43 degrees Celsius into the abdominal cavity. The high temperature makes cancer cells more sensitive to cytostatics and allows the drugs to penetrate up to 3 mm deep into the peritoneum. The concentration of cytostatics in the abdominal cavity during treatment is 20 times higher compared to blood plasma because the absorption of drugs into the bloodstream is impeded by the hemoperitoneal barrier. As a result, doctors in cancer clinics are able to destroy cancer cells without any severe systemic side effects.
When and how is CRS and HIPEC performed for stomach cancer?
HIPEC has shown its effectiveness not only for disseminated stomach cancer but also for resectable (removable) stomach cancer. Rinsing the abdominal cavity with cytostatics reduces the risk of malignancy recurrence after stomach removal.
HIPEC is used in most hospitals after cytoreductive surgery for disseminated cancer. It makes sense to perform it if all tumor foci have been removed (complete cytoreduction in CC-0 volume) and the initial spread of cancer throughout the peritoneum was minimal (peritoneal carcinomatosis index less than 7).
Once a patient with stomach cancer is admitted to the hospital, a diagnosis is carried out to determine if cytoreductive surgery can be performed. If there are many tumors and they are too large, systemic chemotherapy is indicated to shrink the tumor foci. Cytoreductive surgery is then performed. Based on its results, a decision is made about whether to perform intraperitoneal chemotherapy. If the surgeon at the cancer clinic is able to remove all the tumor foci, HIPEC is performed immediately after surgery. The abdominal cavity is rinsed with cytostatics for 1-1.5 hours.
In medicine, there is another approach to the combination of CRS and HIPEC for stomach cancer. Since 2014, specialized cancer centers have been using the following sequence of these procedures:
- LS-HIPEC, laparoscopic hyperthermic intraperitoneal chemotherapy
- Cytoreductive surgery
It is assumed that if the tumor foci are initially shrinked with HIPEC, it will be easier to remove them completely, further reducing the cost of surgery. However, the clinical outcomes of this approach are not yet fully known, and only a limited number of medical facilities employ it. The more common approach in medicine and oncology is to perform the surgery first and then apply HIPEC. Research shows that surgery and hyperthermic intraperitoneal chemotherapy can achieve a median survival rate of more than a year and a half.
Where can I get treatment for stomach cancer?
You can undergo treatment in Germany. This country is known for its top-class healthcare and oncology services. Cancer treatment in Germany with CRS and HIPEC is available in many clinics. The specialists in German cancer centers have vast experience in these techniques and therefore achieve excellent results.
Cancer treatment in Germany is effective due to the experience and skill of surgeons. In most cases, doctors manage to perform complete cytoreduction, which creates prerequisites for follow-up successful HIPEC. After cancer treatment in Germany using a combination of these methods, systemic chemotherapy is performed, which further increases the survival rate of patients.
You can make an appointment for your treatment in Germany on the Booking Health website. On our website, you can find the best German hospitals, find out the cost of treatment in Germany, compare prices at different hospitals, and select the best option based on the combination of cost and quality of oncology services. If you make your appointment for stomach cancer treatment in a German hospital through the Booking Health website, the prices will be lower than usual. The cost of services in German hospitals is reduced due to the lack of additional coefficients from 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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