Rectal Cancer — Da Vinci treatment in the Best Hospitals in the World
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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.
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 and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Hernia Surgery
According to the Focus magazine, the Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Hernia Surgery is one of the best medical facilities in Germany for the treatment of colon, stomach, esophageal, pancreatic, and liver cancers! The main specialization is surgical procedures for malignancies in the intestines, stomach, esophagus, liver, pancreas, and rectum. The department also successfully operates on patients with chronic inflammatory bowel disease such as Crohn's disease and ulcerative colitis. The department's therapeutic capabilities are complemented by the treatment of gastroesophageal reflux disease, sigmoid diverticulum, umbilical and inguinal hernias, cholelithiasis, and anorectal disorders. Nearly all surgical procedures are performed using minimally invasive surgical techniques – the department has the status of a Center of Excellence for Minimally Invasive Surgery certified by the German Society for General and Vascular Surgery (DGAV). The medical facility also offers innovative da Vinci robot-assisted surgery. These procedures have become the standard of care for colon cancer, rectal cancer, and colonic diverticulosis. Each clinical case is evaluated individually and the surgical procedure is carefully planned. Surgeries are performed in high-tech operating rooms in compliance with hygiene and safety standards.
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 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 and Abdominal Surgery, Hernia Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Thoracic Surgery, Endocrine Surgery and Bariatric Surgery
The Department of General and Abdominal Surgery, Hernia Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Thoracic Surgery, Endocrine Surgery and Bariatric Surgery offers a full range of surgical treatments for diseases of the intestine, stomach, esophagus, pancreas, liver, gallbladder, bile ducts, rectum, anus, thyroid gland, parathyroid glands, and adrenal glands. The department's surgeons are also skilled in inguinal, umbilical, femoral, and incisional hernia repair. An integral part of the department's daily clinical practice is the surgical treatment of diseases of organs in the chest: lung cancer, mediastinal tumors, chest wall tumors, pulmonary emphysema, myasthenia gravis, and pneumothorax. The medical facility also successfully performs bariatric surgery for morbid obesity. The department is part of the Robotic Surgery Center, which performs operations on the small intestine, rectum, stomach, and pancreas, as well as bariatric surgery using the innovative da Vinci robotic system. The department has been awarded the quality certificate by the German Cancer Society (DKG), which indicates outstanding success in the treatment of oncological diseases. Most surgical interventions are performed through a minimally invasive approach with minimal risks. The department's surgeons annually perform over 3,000 operations of varying complexity in inpatient and outpatient settings.
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.
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.
Department of General and Abdominal Surgery, Endocrine Surgery, Colorectal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery, Bariatric Surgery and Thoracic Surgery
The Department of General and Abdominal Surgery, Endocrine Surgery, Colorectal Surgery, Hepatopancreatobiliary Surgery, Hernia Surgery, Bariatric Surgery and Thoracic Surgery provides all modern treatment options in the areas of its specialization. The department's team of general and abdominal surgeons performs operations for stomach, esophageal, small, and large intestine diseases, as well as bone and soft tissue sarcomas. In the field of colorectal surgery, special attention is given to the surgical treatment of rectal neoplasms, hemorrhoids, anal fistulas, and anal abscesses. The department's hepatopancreatobiliary surgeons specialize in surgery for liver, pancreatic, and gallbladder diseases. The department also offers hernioplasty for patients with inguinal and umbilical hernias, anterior abdominal wall hernias, and diaphragmatic hernias. In addition, the department has vast experience in bariatric surgery for morbid obesity. The department also has a team of thoracic surgeons who successfully perform operations for lung, tracheal, pleural, mediastinal, and diaphragmatic diseases. The team of about 50 specialists takes care of the patients' health. More than 4,170 inpatients and over 2,860 outpatients receive medical care here annually.
Department of Abdominal Surgery, Colorectal Surgery, Endocrine Surgery and Hernia Surgery
The Department of Abdominal Surgery, Colorectal Surgery, Endocrine Surgery and Hernia Surgery offers the full range of surgical procedures in its areas of expertise. The department's progressive operating rooms are used to successfully perform operations for diseases of the stomach, intestines, esophagus, rectum, pancreas, thyroid gland, parathyroid glands, and adrenal glands. Priority attention is paid to operations for gastrointestinal cancers. The department's surgical team is exceptionally competent in the treatment of peritoneal carcinomatosis. The clinicians perform cytoreductive operations followed by hyperthermic intraperitoneal chemotherapy (HIPEC) and pressurized intraperitoneal aerosol chemotherapy (PIPAC) for this type of cancer. The therapeutic offer is complemented by the surgical treatment of hernias, with the key interest being in operations for inguinal hernias and anterior abdominal wall hernias. The department also has extensive experience in the surgical removal of soft tissue and bone sarcomas. The department's team of surgeons uses sparing laparoscopic techniques and da Vinci robotic technology in their work. The specialists regularly demonstrate high treatment success rates, confirmed by multiple quality certificates, including certificates from the German Cancer Society (DKG) and recognition of the department as a Center of Excellence for Minimally Invasive Surgery by the German Society of General and Abdominal Surgery (DGAV).
Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Hernia Surgery and Endocrine Surgery
The Department of General and Abdominal Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Hernia Surgery and Endocrine Surgery provides the full range of medical services in the areas of its specialization. The medical center performs surgery for diseases of the stomach, colon, esophagus, pancreas, liver, gallbladder, and biliary tract. The department's surgeons also operate on patients with hernias, rectal diseases, anal pathologies, thyroid, parathyroid, and adrenal gland disorders. The specialists have rich clinical experience in the surgical treatment of oncological diseases. More than 80% of surgical interventions are performed using sparing minimally invasive techniques. In addition, the department holds leading positions in the field of da Vinci robotic surgery. The health facility is part of the specialized da Vinci Robotic Surgery Center Hamburg, equipped with the da Vinci Xi system. The team of the department's doctors brilliantly performs robot-assisted interventions for rectal, sigmoid colon, esophageal, and pancreatic malignancies, as well as gastroesophageal reflux disease, diverticular disease, and rectal prolapse. When treating patients diagnosed with cancer, the doctors adhere to an interdisciplinary approach. Twice a week, a tumor board is held here with the participation of surgeons, gastroenterologists, oncologists, radiologists, and radiation therapists. Considering the clinical case of a patient by the interdisciplinary board allows for the development of the most effective treatment regimen, taking into account the slightest details.
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.
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. The cost of da Vinci surgery for rectal cancer ranges between 19,700 EUR and 39,100 EUR.
Content
- Principles of rectal cancer treatment
- Specificities of robot-assisted rectal surgery
- 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!
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