background_img

Rectal Cancer — Da Vinci treatment in the Best Hospitals in the World

Marien Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

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.

Include:
people Interpreter up to 17 hours
list Translation up to 10 pages
card_membership Visa support
book Insurance against increased costs in case of complications with a cover of 200,000 €

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, 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.

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 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 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.

Samsung Medical Center Seoul

9.8/10
location_onSouth Korea, Seoul

Department of Adult and Pediatric General Surgery

The Department of Adult and Pediatric General Surgery offers the full range of services in this medical field. The department specializes in gastrointestinal surgery, hepatobiliary surgery, colorectal surgery, breast surgery, endocrine, vascular and pediatric surgery. The department is equipped with the state-of-the-art equipment for performing laparoscopic, minimally invasive and robotic interventions that guarantee excellent treatment results.

Municipal Hospital Karlsruhe

9.8/10
location_onGermany, Karlsruhe

Department of General and Abdominal Surgery, Colorectal Surgery, Hepatobiliary Surgery, Endocrine Surgery, Hernia Surgery and Bariatric Surgery

The Department of General and Abdominal Surgery, Colorectal Surgery, Hepatobiliary Surgery, Endocrine Surgery, Hernia Surgery and Bariatric Surgery offers the full range of surgical treatment of diseases of the stomach, bowel, esophagus, liver, gallbladder and biliary tract, thyroid gland and all types of hernias. The department's surgical team also specializes in the surgical treatment of morbid obesity. In most cases, the specialists use sparing minimally invasive techniques. In addition, the medical facility successfully performs da Vinci® robot-assisted surgery, which is only available in 40 hospitals throughout Germany. Robot-assisted interventions are most often performed for the resection of the sigmoid colon, rectum, liver, esophagus, etc. In total, the department provides treatment to about 3,500 inpatients and more than 1,500 outpatients every year. The department has 70 beds, as well as 16 beds in the interdisciplinary Surgical Intensive Care Unit. The department provides top-class surgical services in compliance with modern standards. The medical facility also offers high professionalism and rich experience of the best German surgeons. It is important for the department's specialists to surround the patient with attention and care, thereby supporting them on their path to recovery.

Academic Hospital Nuremberg

9/10
location_onGermany, Nuremberg

Department of General, Abdominal and Thoracic Surgery

According to Focus magazine, the Department of General, Abdominal and Thoracic Surgery ranks among the top German medical facilities specializing in the treatment of intestinal and lung cancer! The department offers the full range of surgical treatment for general surgical diseases, abdominal and thoracic pathologies. Another priority field of ​​the department's work is bariatric surgery, which helps the patients with morbid obesity successfully lose weight. The department's specialists give preference to sparing minimally invasive techniques.

University Hospital Mainz

9.7/10
location_onGermany, Mainz

Department of General, Abdominal and Transplant Surgery

The Department of General, Abdominal and Transplant Surgery offers the full range of surgical treatment of the gastrointestinal organs, endocrine and transplant surgery. Surgical interventions are performed in the modern operating rooms equipped with the state-of-art technology. The outstanding quality of medical services is confirmed by prestigious certificates of the German Society for General and Abdominal Surgery, German Cancer Society.

Vivantes Neukölln Hospital Berlin

10/10
location_onGermany, Berlin

Department of Minimally Invasive Surgery and Abdominal Surgery

The Department of Minimally Invasive Surgery and Abdominal Surgery offers the full spectrum of surgical treatment of all internal diseases. One of the main focuses of the department is the treatment of cancer. To minimize the risk of surgical intervention, preference is given to minimally invasive techniques that allow patients to recover quickly and cause minimal pain.

Rectal cancer is one of the most common oncological diseases. In standard cases, the tumor is removed by open surgery. However, doctors abroad increasingly prefer minimally invasive techniques such as laparoscopy and robot-assisted surgery. Treatment outcomes with a minimally invasive technique are no worse than those of classic abdominal surgery. Moreover, the risk of complications is lower and the recovery of patients is easier and faster.

Content

  1. Principles of rectal cancer treatment
  2. Specificities of robot-assisted rectal surgery
  3. Benefits of robot-assisted surgery

All manipulations are carried out by the arms of a robot-assisted surgical system: they make incisions, hold instruments, and a tiny video camera with lighting. A doctor controls the robot remotely using a console.

You can seek medical attention from one of the following hospitals: University Hospital of Ludwig Maximilian University of Munich, Charite University Hospital Berlin, or University Hospital RWTH Aachen.

We will take care of all the arrangements for your trip if you make your treatment appointment through the Booking Health service. The Booking Health team will help you to select a hospital and a doctor, take care of applying for a visa and a flight to the hospital, agree on an appointment with a doctor in the near future, control the cost of medical services rendered, arrange insurance, and provide interpreting services. You are welcome to contact Booking Health with any questions regarding your treatment abroad.

Principles of rectal cancer treatment

 

Rectal cancer is usually treated with surgery. The operation is performed immediately after the establishment of the diagnosis or after chemotherapy if the diagnosis is made at an advanced stage.

Doctors abroad use many effective treatment methods, including surgical transanal excision of the tumor, radiation and chemotherapy, and embolization or chemoembolization to suppress liver metastases. When there is a significant spread of the tumor process in the abdominal cavity, doctors perform cytoreductive surgery with hyperthermic intraperitoneal chemoperfusion (CRS and HIPEC). Surgeons remove all tumor foci, and then rinse the abdominal cavity with a heated solution of cytostatics to destroy the remaining cancer cells. The advanced stages are treated with palliative care, including endoscopic dilation in stenosis.

If cancer is detected at the early stages, doctors can remove the tumor in many patients with a minimally invasive laparoscopic technique. Doctors at clinics abroad increasingly prefer this surgical option since it is less traumatic. In addition, in the world's leading clinics, even laparoscopy is gradually becoming an outdated technique, as even more advanced robot-assisted operations have appeared.

Specificities of robot-assisted rectal surgery

 

Minimally invasive surgery for rectal cancer remains a challenge for physicians due to the peculiarities of the topographic location of the organ and problems with rectal mobilization. The problem is exacerbated by the narrow pelvis in men and the presence of obesity. It is therefore important to be treated by highly professional surgeons to expect good oncological results and, at the same time, avoid complications.

The use of new technologies that help doctors to improve treatment outcomes is equally important. Surgeons in developed countries use the da Vinci surgical system. This device performs the operation with "robotic arms", and a doctor controls the system remotely with a console. The Da Vinci treatment makes it possible to overcome most of the indicated complexities due to the excellent overview of the surgical field and the very high manipulativeness of the instruments.

Robot-assisted surgery is performed in the same way as laparoscopic surgery, that is, through short incisions. However, it has a number of advantages. When performing laparoscopy, a doctor can see the surgical field on the screen in two-dimensional mode, while robotic surgery creates a 3D image. The 3D camera system creates stable images. Robotic arms never tremble, thereby performing movements as accurately as possible.

Benefits of robot-assisted surgery

 

Robot-assisted surgery is safer, which is confirmed by studies.

A recent analysis showed that when using a robot-assisted surgical system, the risk of converting a minimally invasive operation to an open one is reduced from 13% to 5%. Moreover, many studies showed that the conversion rate was zero. This is due to the fact that during a robot-assisted operation, obesity, a narrow pelvis, adhesive disease, bleeding or intestinal expansion no longer interfere with a minimally invasive intervention.

When performing a robot-assisted operation, its duration is reduced by an average of 42 minutes. The faster the operation is completed, the lower the risk that a person will suffer from complications. In addition, a patient feels better in the postoperative period.

In many patients, robot-assisted surgery is almost bloodless due to the instant coagulation of blood vessels in the incision area. Studies show that blood loss ranges from 16 to 400 mL. Even at the maximum rate, patients do not need any blood transfusions.

Robot-assisted surgery has a lower complication rate. For example, the incidence of the most common complication of colorectal resection, namely anastomotic leaks, is 5%, while for laparoscopic surgery this figure reaches 7%.

General rehabilitation after robot-assisted surgery is faster and a hospital stay is shorter. Intestinal peristalsis is restored on average 2 days earlier than after a laparoscopic intervention. Sexual function and bladder control are restored earlier as well.

You are welcome to use the Booking Health service to undergo your colon cancer diagnostics and surgical treatment, postoperative colostomy closure and other interventions at one of the hospitals abroad. On our website, you can find prices, compare the cost of operations at different medical centers, and make your appointment on the preferred dates. Our specialists will advise on all issues and help with selecting a hospital and organizing a trip.

 

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!

 

Sources:

National Cancer Institute

Cancer Support Community

Sience Direct




Need Help?

Thank you!

We received your treatment application in the best Europe clinics. Our manager will contact you within the next 24 hours.