Liver Cancer — Extensive Liver Resection: treatment in the Best Hospitals of Germany
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Department of General, Abdominal Surgery and Surgical Oncology
The Department of General, Abdominal Surgery and Surgical Oncology offers the full range of services in these medical fields. Whenever possible, operations are performed using minimally invasive techniques, which are the gold standard of modern surgery. The outstanding quality of medical care is confirmed by numerous prestigious certificates, including certificates from the German Cancer Society, the German Hernia Society, etc. In addition, the department provides innovative hyperthermic intraperitoneal chemotherapy (HIPEC), which is available only in the most progressive clinics in Europe.
Department of General and Abdominal Surgery, Colorectal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery and Bariatric Surgery
The Department of General and Abdominal Surgery, Colorectal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery and Bariatric Surgery provides the full range of surgical treatment in its field of competence. The department's highly qualified surgeons annually perform about 2,000 surgical interventions. Extensive clinical experience allows the specialists to perform even particularly complex operations. The department’s advanced operating rooms serve for surgery to treat gastrointestinal diseases, liver, gallbladder, bile duct, pancreatic, rectal, anal and colon pathologies. The medical facility also successfully performs operations to treat hernias: inguinal, umbilical, and anterior abdominal wall hernias. In addition, the department's doctors deal with the surgical treatment of morbid obesity. Minor traumatic laparoscopic interventions are considered the gold standard, which guarantee a patient minimal risks and rapid postoperative restoration. Surgeons tell the patient in detail about their upcoming treatment and, in every possible way, support them in their recovery.
Department of General and Abdominal Surgery, Colorectal Surgery, Endocrine Surgery and Hernia Surgery
The Department of General and Abdominal Surgery, Colorectal Surgery, Endocrine Surgery and Hernia Surgery offers the full range of modern surgical interventions in the areas of its specialization. Every year, the medical facility performs more than 2,500 surgical interventions on an inpatient and outpatient basis. The department has vast clinical experience in the field of minimally invasive surgery, which allows the patient to avoid severe pain and prolonged hospitalization. In addition, the department offers robotic surgery using the most modern models of the da Vinci surgical system. The medical facility has the status of the Reference Center for Minimally Invasive Surgery and Hernia Surgery. Surgical treatment of cancer is one of the department's clinical priority focuses. A large number of da Vinci robot-assisted interventions are performed here for gastrointestinal cancers. The department holds a leading position in the use of the da Vinci surgical system in the treatment of rectal and sigmoid cancer patients. The operating rooms of the medical facility are equipped with the very latest technology, while hygiene and safety standards are at the highest level as well. Prior to surgery, the patient undergoes a comprehensive examination. Doctors also assess the risks of the upcoming operation and its expected results. With appropriate clinical indications, preference is always given to minimally invasive surgery.
Liver cancer is still one of the most severe types of cancer. However, German surgeons are achieving phenomenal results in its treatment. The five-year survival rate for patients undergoing extensive liver resection is as high as 70-80% in some cancer centers. German surgeons are increasingly using minimally invasive techniques to remove tumors. These surgical procedures are just as effective as open surgery, but safer.
Content
- When can surgery be performed?
- The essence of the operation
- Minimal invasive treatment
- Liver cancer treatment in Germany with Booking Health
When can surgery be performed?
Whenever possible, the doctor treats liver cancer with a sparing resection. However, when this cannot be done, an extensive resection is the option of choice. It is required when the tumor is too large, has grown into neighboring anatomical structures, or has metastasized to the nearest lymph nodes.
At the same time, there are many limitations that make extensive liver resection for metastases impractical. German surgeons carefully select patients for this operation. The surgical tumor removal can be performed if:
- there is no cirrhosis or the disease is not severe (Child A);
- impairment of the absorption and excretion function of the liver is stage 2 at most (determined by radioisotope diagnostics);
- the size of the parenchyma after surgery is not less than 30%, otherwise liver failure may develop;
- in the case of cirrhosis, it is better if at least 50% of the parenchyma remains.
The doctor thoroughly examines the patient prior to the operation. A CT or MRI scan or angiography may be performed. Laboratory tests are done to assess liver function. The examination is required both for planning the operation and for detecting possible limitations and contraindications to it.
The essence of the operation
During the operation, the doctor removes several segments of the liver. In addition, the kidney, adrenal gland, pancreas, blood vessels, lymph nodes, and other organs that may be involved in the pathological process may be resected or removed. The operation is most often performed using an open approach, while minimally invasive procedures are less common.
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Minimal invasive treatment
German surgeons at the best cancer centers perform liver tumor removal during minimally invasive surgery. Laparoscopic liver resection, hybrid, and robot-assisted surgeries are used.
Minimally invasive surgical procedures for malignant liver tumors have not yet become widespread worldwide. Some clinics perform laparoscopic resection of a segment of the liver for small neoplasms with a marginal location. Only a few highly specialized cancer centers perform laparoscopic extensive liver resections. They report results that are equal to or even better than those of classic open surgery. The main advantage of this technique is the low risk of complications, low intraoperative and postoperative mortality, and a relatively short rehabilitation period.
Tranchart et al. compared the results of open and laparoscopic surgery for liver cancer. They analyzed the one-year, three-year, and five-year survival rates. It turned out that they were the same. The risk of recurrence was also comparable. The complication rate associated with the surgical removal of part of the liver was significantly lower after laparoscopic surgery.
Liver cancer treatment in Germany with Booking Health
You are welcome to contact the Booking Health specialists if you want to undergo liver resection in Germany. We will be happy to take care of arrangements for your treatment at one of the best cancer centers in Germany. Our benefits are as follows:
- Selection of a specialized clinic with good statistics on the results of liver cancer treatment. We take into account both the success rate of surgery and the intraoperative or postoperative mortality of patients, the risk of complications, etc.
- Reduced costs for surgical treatment methods due to the absence of surcharges and coefficients for international patients.
- Appointments with doctors for your preferred dates.
- Preparation of your treatment program, taking into account the results of your previous diagnostic tests.
- Direct communication with your surgeon in the German hospital.
- Control of all stages of the medical care program.
- Control of the costs of procedures and treatments and refund of unspent funds after the completion of the program.
- Organization of additional diagnosis or treatment of liver cancer in Germany.
- Buying and forwarding medications to your native country.
- Communication with the clinic after liver resection in Germany.
Booking Health is the perfect choice to provide you with first-class services. Our specialists will book your hotel and flight tickets and organize a transfer from the airport to the hospital in Germany and back.
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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