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Surgery Resection of Neuroendocrine Tumors (NETs) in Germany

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers the full range of diagnostics and surgical treatment in these fields. The department's surgeons perform about 2,000 surgical procedures annually. The therapeutic options cover not only operations on the digestive tract and abdominal organs, but also surgical treatment for soft tissue traumatic injuries, removal of skin and thyroid tumors, including the partial removal. With appropriate clinical indications, the preference is given to minimally invasive techniques, which guarantee the patient minimal postoperative risks and speedy recovery. Also, the department’s scope of activities includes the installation of port systems for chemotherapy and parenteral nutrition.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the best departments in Germany specializing in bowel cancer treatment! The department covers the full range of services in these medical fields and holds the leading position at the national and international level in terms of the number of surgical interventions performed and their success rate. Of particular interest are operations to treat cancer, organ transplants, as well as minimally invasive surgery.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

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.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers the full range of surgical treatment of diseases of the esophagus and abdominal organs, thyroid and parathyroid glands, as well as the interventions in bariatric surgery. The surgeons of the department have a deep knowledge in all open and minimally invasive surgical techniques, perform extensive operations of high complexity with maximum safety for the patient.

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

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.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

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.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

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. 

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

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.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

The Department of Surgery offers the full range of services in this field and specializes in general, abdominal, thoracic, transplant surgery. The medical team of the department, consisting of 10 specialized senior physicians, 30 medical specialists and assistant physicians, as well as highly motivated nursing staff, provides first-class treatment of tumors, inflammatory and degenerative diseases of the esophagus, stomach, intestines, pancreas, liver, gallbladder, spleen, lungs, thyroid and parathyroid glands. The department is headed by Prof. Dr. med. Helmut Friess.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

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.

HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

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.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

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.

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of General, Abdominal, Vascular and Pediatric Surgery

The Department of General, Abdominal, Vascular and Pediatric Surgery covers the full range of services in these medical fields. Surgical treatment is provided   both on an inpatient and outpatient basis, in accordance with the advanced recommendations of professional societies. The department is equipped with state-of-the-art operating theaters, in which surgeons perform extensive serious interventions, operations under the control of navigation systems and high-precision minimally invasive procedures that ensure the rapid recovery of patients.

Bundeswehr Academic Hospital Berlin

10/10
location_onGermany, Berlin

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers the full range of modern surgical interventions for the treatment of abdominal diseases, including endocrine surgery and surgical treatment of obesity. The department’s priorities are the therapy of cancers of the abdominal organs and hernia repair. The department actively uses sparing minimally invasive techniques allowing the patient to undergo the surgical treatment through skin incisions no longer than 2-3 cm, which contributes to minimal pain, the absence of scars and the fastest recovery.

HELIOS Clinic Krefeld

9.7/10
location_onGermany, Krefeld

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.

Hospital Bogenhausen Munich

7.8/10
location_onGermany, Munich

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.

Neuroendocrine tumors (NETs) are relatively rare neoplasms that develop from the hormone-producing cells of the neuroendocrine system. The biological nature of the pathology is diverse, from benign to metastatic disease.

Overview

Neuroendocrine tumors (NETs) consist of the cells of the neuroendocrine system. These cells are located throughout the body and represent the endocrine system. They are simultaneously similar to nerve cells and cells of the endocrine glands. Since they can respond to signals from the outside or changes in the state of the body, they can produce hormones that perform different functions.

Neuroendocrine cells are not attached to any particular organ. Although neuroendocrine cancer most often occurs in the digestive tract, more rarely it can be found elsewhere in the body.

Neuroendocrine tumors can produce hormones that cause certain effects, and because of this the patients with neuroendocrine cancer experience specific symptoms. If patients with NETs experience symptoms caused by hormone production, then the tumors are called functioning. If hormones are not produced, it is a dysfunctional tumor.

Neuroendocrine cancer is rare and difficult to diagnose due to the lack of information about it in the clinical practice. In about 15% of patients with neuroendocrine cancer, the primary tumor remains undiagnosed. Neuroendocrine cancer is often diagnosed at the advanced stages. In up to 50% of cases, the tumor has time to spread to the surrounding tissues, to regional lymph nodes, and to give distant metastases.

Most often cancer occurs in the gastrointestinal tract, but it can also affect other organs. The peculiarity of neuroendocrine neoplasms is that tumor cells produce an increased amount of hormones, and because of this, patients with neuroendocrine cancer may experience specific symptoms.

According to statistical information, the number of patients with neuroendocrine neoplasms is increasing every year.

Symptoms

Since there are different types of neuroendocrine tumors, and they can be located in different organs, the patients with NETs experience very diverse symptoms.

There are three main groups of manifestations.

The first group of symptoms patients with NETs experience are symptoms common to any type of cancer, i.e. weakness, fatigue, decreased appetite, weight loss, etc.

The second group of symptoms is associated with the localization of the tumor and its size, compression of the neighboring anatomical structures, and dysfunction of the affected organ. Patients with NETs are usually disturbed by pain in a certain part of the body, nausea, chronic cough, diarrhea, frequent urination, and bleedings. With damage to the liver, bile ducts, and pancreas, obstructive jaundice may develop.

The third group of symptoms is caused by hormones that neuroendocrine cells produce. In this case, patients with neuroendocrine tumors may experience symptoms including:

  • Diarrhea (stools more than three times a day)
  • Thirst, hunger, frequent urination (signs of an increase in blood glucose levels)
  • Fatigue, irritability, trembling, dizziness, convulsions (possible signs of a decrease in blood glucose levels)
  • Peptic ulcer that does not respond to the conventional treatment
  • Anxiety
  • Skin rash

Diagnostics

In most cases, patients with neuroendocrine neoplasms have their diagnosis accidentally, when a person is being examined for another pathology. The tumor can be detected using visualizing diagnostic methods, including:

  • Ultrasound scanning
  • Endoscopic examinations: gastroscopy, colonoscopy, bronchoscopy
  • Contrast-enhanced CT scan

Before the examination, the patients with suspected NETs need to drink a solution which helps to see the contours of the stomach and intestines clearly.

In patients with neuroendocrine tumors the diagnosis is confirmed with the clinical information from the biopsy. Having found a pathological formation, the doctor takes a sample of tissue for further laboratory examination. If the tumor is suspected to be a pheochromocytoma, a biopsy is used only in extreme cases and only in the specialized hospitals, as it carries serious risks.

Treatment options

Surgery resection is the most preferred method in the treatment of patients with neuroendocrine tumors. It is complemented by other techniques for a more stable effect of therapy. The location of the neuroendocrine tumor and its size determines how the surgery resection will be carried out. As a rule, surgeons choose the endoscopic method of surgery resection as the most sparing one.

In the treatment of patients with neuroendocrine tumors that are located in the abdominal cavity, a laparoscopic operation can be performed with punctures in the peritoneal region. In the treatment of patients with neuroendocrine tumors located in the lungs the intervention is performed with punctures along the ribs. This method avoids significant blood loss, minimizes the risk of infection, and also reduces postoperative recovery time.

If the lesion is located in a hard-to-reach region, surgery resection requires the utmost precision due to the risk of damaging nearby nerves or blood vessels. In such cases, the Da Vinci robotic surgeon can be used. This is the innovative method of surgery resection that is used in modern hospitals. Since the device can reach even areas which it is physically impossible to reach with a conventional scalpel, the tumor is removed as accurately as possible, without damaging healthy tissues.

Where can I undergo treatment of NETs with surgery resection in Germany?

Health tourism is becoming more and more popular these days, as medicine in Germany often ensures a much better quality of treatment with surgery resection.

The following hospitals show the best success rates in treatment of NETs with surgery resection:

  1. Academic Hospital Brothers of Mercy Munich
  2. University Hospital of Ludwig Maximilian University of Munich
  3. Charite University Hospital Berlin
  4. University Hospital Ulm
  5. University Hospital RWTH Aachen

You can find more information about the hospitals on the Booking Health website.

The cost of treatment in Germany

The prices in hospitals on the Booking Health website are relatively low. With Booking Health, you can undergo surgery resection treatment in Germany at an affordable price.

The cost of treatment varies, as the prices depend on the hospitals, the specifics of the disease, and the complexity of its treatment.

The cost of treatment of neuroendocrine tumors with surgery resection is 18,602-30,583 EUR.

You might want to consider the cost of possible additional procedures and follow-up care. Therefore, the ultimate cost of treatment in Germany may differ from the initial price.

To make sure that the overall cost of treatment in Germany is suitable for you, contact us by leaving the request on the Booking Health website.

How can I undergo treatment in Germany?

It is not easy to self-organize any treatment abroad. It requires certain knowledge and expertise. Thus, it is safer, easier, and less stressful to use the services of a medical tourism agency.

As the largest and most transparent medical tourism agency in the world, Booking Health has up-to-date information about the treatment with surgery resection in the best hospitals in Germany. We will help you select the right clinic taking into account your wishes for treatment.

We want to help you and take on all the troubles. You can be free of unnecessary stress, while Booking Health takes care of all organizational issues regarding the treatment. Our services are aimed at undergoing treatment with surgery resection safely and successfully.

Medical tourism can be easy! All you need to do is to leave a request on the Booking Health website, and our manager will contact you shortly.




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