Liver Cancer — Unilateral Hepatectomy: 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.
University Hospital of Ludwig Maximilian University of Munich
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 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 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 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, 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 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.
Department of General, Abdominal, Endocrine, Colorectal and Bariatric Surgery
According to the Focus magazine, the Department of General, Abdominal, Endocrine, Colorectal and Bariatric Surgery ranks among the top German departments specializing in colon cancer treatment! The department offers the full range of modern surgical interventions. The priority field of clinical activity is cancer surgery, in particular, sparing minimally invasive procedures and robot-assisted interventions. Each patient receives an individual therapy regimen, which is discussed at daily medical boards with doctors from other medical fields. In addition, the responsibility of the medical facility includes surgeries for endocrine disorders and bariatric interventions for morbid obesity. The team of the department's surgeons has a wealth of experience in classical open and minimally invasive procedures on the abdominal organs, as well as specializes in the innovative da Vinci robot-assisted surgery. The department also successfully performs cytoreductive interventions.
Department of General and Abdominal Surgery, Hernia Surgery, Endocrine, Hepatopancreatobiliary, Colorectal, Bariatric, Vascular and Pediatric Surgery
The Department of General and Abdominal Surgery, Hernia Surgery, Endocrine, Hepatopancreatobiliary, Colorectal, Bariatric, Vascular and Pediatric Surgery provides the full range of services in these medical fields. The highly qualified team of the department's surgeons specializes in performing operations of any degree of complexity in the treatment of pathologies of the liver, pancreas, gallbladder, and bile ducts, and diseases of the colon, rectum, and anus, as well as endocrine disorders. The department also performs all modern interventions for vascular pathologies, including aneurysms, carotid stenosis, and intermittent claudication. Patients with morbid obesity can undergo surgical treatment using the most modern and effective techniques. In addition, the medical facility employs experienced pediatric surgeons who provide surgical care to young patients. Operations are performed both on an inpatient and outpatient basis, in accordance with the best recommendations of professional societies. Doctors at the department's state-of-the-art operating rooms perform major interventions, navigation-guided surgery, and minimally invasive surgery to ensure fast recovery of patients.
Department of General and Abdominal Surgery, Hernia Surgery, Colorectal Surgery
According to the Focus magazine, the Department of General and Abdominal Surgery, Hernia Surgery, Colorectal Surgery ranks among the top German medical facilities specializing in the surgical treatment of gallbladder and biliary tract pathologies! The team of the department's surgeons admits patients with benign and malignant gastrointestinal diseases, namely stomach, liver, esophageal, gallbladder and biliary tract, pancreatic, colon and rectal pathologies. The department also carries out treatment for all types of hernias – the medical facility has a quality certificate from the German Hernia Society (DHG). Of particular interest is the resection of malignant tumors of the digestive system. The department's operating rooms have state-of-the-art medical equipment, therefore, in most cases, surgeons can perform interventions without extensive incisions in the skin and soft tissues, but with the use of minimally invasive techniques. Such an approach to surgical treatment greatly facilitates the patient's postoperative recovery process, reduces the risk of complications and excludes severe pain syndrome. The department's surgeons cooperate closely with gastroenterologists, hepatologists, oncologists, radiologists and other doctors from related medical fields. Doctors demonstrate high treatment success rates, use advanced surgical techniques, and observe hygiene and safety standards. Patients can be sure that their health is in the safe hands of leading European specialists.
Department of General, Abdominal and Minimally Invasive Surgery
The Department of General, Abdominal and Minimally Invasive Surgery offers the full range of services in these medical fields. The department specializes in the surgical treatment of abdominal organs: esophagus, stomach, small and large intestine, liver, pancreas, gallbladder and bile ducts, thyroid gland. Here are used only proven and sparing surgical treatment methods, which guarantee a rapid recovery of patients.
Department of General, Abdominal, Endocrine, Minimally Invasive and Bariatric Surgery
The Department of General, Abdominal, Endocrine, Minimally Invasive and Bariatric Surgery offers the full range of services in the areas of its specialization. The department's surgeons perform interventions on the abdominal organs, thyroid gland and adrenal glands. Of particular interest is the treatment of cancers. The department is certified as the Colon, Esophageal and Pancreatic Cancer Center by the German Cancer Society. In addition, the department provides the surgical treatment of morbid obesity. The specialists of the medical facility keep pace with innovations, so most of the operations in the department are performed using sparing minimally invasive techniques. When performing laparoscopic operations, surgeons make only a few small skin incisions, which significantly reduces the risk of complications during and after surgery, while postoperative recovery takes less time. Such surgical procedures contribute to mild pain and almost do not leave scars. The department also offers robot-assisted surgery. Medical care is provided in cooperation with gastroenterologists and endocrinologists, which guarantees an integrated approach.
Liver cancer is one of the most common and aggressive oncological diseases and usually develops due to viral hepatitis and cirrhosis. Surgery is considered to be the best treatment option, providing the highest survival rates. You can travel to Germany to undergo a safe surgical procedure with good results. The specialists at the Booking Health company will help you choose the most suitable clinic and organize your trip.
Content
- What is a right/left hepatectomy?
- How is the operation performed?
- Minimally invasive operations
- Where can I get treatment?
What is a right/left hepatectomy?
The liver consists of two lobes: the right lobe and the left lobe. Surgery to remove one of them is called a liver lobectomy (lobe removal) or hemihepatectomy, which can be right-sided or left-sided.
During a simple hemihepatectomy, doctors remove one lobe of the liver and leave the other lobe.. Subsequently, it overgrows, so the volume of functioning tissue increases. A healthy liver has a high ability to regenerate, although this may be reduced due to cirrhosis.
A partial hepatectomy for treating liver cancer is a complex operation. For this reason, it is recommended to have it performed at a specialized German clinic. The best hospitals in Germany ensure excellent success rates with a low risk of complications.
Hemihepatectomy is an effective surgical procedure that ensures the long-term survival of patients, even with large and multiple tumors. After the operation, there is a long-term remission of the disease for many years, and there is also a chance to be cured of cancer. The five-year survival rate after liver tumor surgery is as high as 70%.
How is the operation performed?
A unilateral hepatectomy in Germany is performed under general anesthesia. The doctor makes an incision under the ribs, applies clamps to the large blood vessels, crosses the liver parenchyma, and stops the bleeding using clamps, bipolar coagulation, or fibrin glue. The closure of the crossed bile ducts, which continue to secrete bile, is also required.
Although the liver is one of the organs that bleed a lot when incisions are made, adequate coagulation avoids significant blood loss. During hepatectomy surgery in Germany, the average blood loss is 200-300 ml, and only 3-4% of patients require blood transfusions.
Hepatectomy can be not only simple but also extended. This is an even more complex operation, as it involves the complete or partial removal of other tissues and organs, lymph nodes, and large blood vessels. Some patients will require vascular prosthetic repair. Such operations are performed in cases of portal vein thrombosis, tumors growth into large blood vessels, lymph node involvement, and tumor spread to adjacent tissues and organs. Even in these severe cases, surgical liver cancer treatment in Germany can still be successful, although survival rates for patients with advanced tumors are lower.
Minimally invasive operations
While segmentectomy (removal of one of the eight liver segments) and atypical resections are often performed using minimally invasive surgical techniques, such operations are uncommon for hemihepatectomy. They are technically challenging, but possible. The best German specialists perform both right-sided (more often) and left-sided (less often) laparoscopic hemihepatectomy. This operation involves several small incisions and one longer incision to extract the removed tissue from the abdominal cavity.
Oncological outcomes and survival rates of patients after laparoscopic hemihepatectomy are the same as after open surgery, but only if laparoscopy is performed by experienced surgeons and at a specialized center. The advantages of laparoscopy are less blood loss (100 ml on average), no need for blood transfusion, faster rehabilitation, shorter hospital stays, and less postoperative discomfort.
Where can I get treatment?
You can have a hemihepatectomy in Germany. You will be treated by proficient doctors from the top hospitals in this country. The advantages of treatment in Germany are as follows:
- Extensive experience with hemihepatectomy
- Successful performance of even complex surgeries for large, multiple, and widespread tumors
- High patient survival rates
- Low risk of complications
- High-quality postoperative care
- Possibility to perform laparoscopic hemihepatectomy at specialized centers
Get the best of the Booking Health service to find out the average cost of treatment in Germany, choose the most suitable clinic, and make your treatment appointment for your preferred dates. On our website, you can find current prices, compare the cost of services in different hospitals, and choose a suitable option. The Booking Health specialists will advise you on all questions, help you choose a medical center for liver cancer treatment, and take care of your travel arrangements. When you make your treatment appointment through Booking Health, the prices will be lower compared to directly contacting the clinic 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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