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Whipple Procedure (pancreaticoduodenectomy) for Pancreatic Cancer treatment in Germany

Academic Hospital Asklepios Barmbek Hamburg

9.5/10
location_onGermany, Hamburg

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 focuses. The department provides high-quality surgical treatment of all abdominal diseases. The surgeons of the department have a huge experience in performing open and laparoscopic interventions.

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Chief physician
One-bed patient room
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people Interpreter up to 17 hours
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book Insurance against increased costs in case of complications with a cover of 200,000 €

Helios Hospital Berlin-Buch

9.7/10
location_onGermany, Berlin

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.

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 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 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 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 Erlangen

9.1/10
location_onGermany, Erlangen

Department of General and Abdominal Surgery

According to the Focus magazine, the Department of General and Abdominal Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of modern surgical treatment. The clinical priority is cancer surgery, especially sparing, minimally invasive procedures and high-precision robot-assisted interventions. Each patient receives an individually adapted treatment regimen, which is discussed at daily conferences with doctors from related disciplines. Particular attention is paid to the comprehensive counseling, including on non-operational, traditional treatment methods.

HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers treatment of all benign and malignant diseases of the abdominal cavity. These include diseases of the stomach, liver, gallbladder and pancreas, as well as those of the colon and rectum. Preference is given to sparing minimally invasive surgical techniques. The treatment of certain diseases is provided within the relevant interdisciplinary specialized centers (bowel, pancreatic, liver cancers, pelvic floor diseases and hernias).

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.

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.

Treatment of pancreatic cancer remains a complex problem in modern oncology. One of the reasons for this is a significant proportion of tumors diagnosed at the advanced stages when one has to fight not only the primary neoplasm but also its metastases, as well as the consequences of compression of the surrounding structures caused by a significant tumor volume.

What is pancreatic cancer?

Pancreatic cancer is a malignant tumor that develops in the tissues of the pancreas that is located near the stomach. Most often it occurs in the head (50-80% of cases), less often in the body or tail of the pancreas.

Although the reasons for its development are still largely unknown, smoking and excessive alcohol consumption can contribute to the development of this tumor, as well as diet high in fat and protein, obesity, and diabetes mellitus.

However, in many cases, cancer occurs in the absence of these factors, including in people over 50. In 5-10% of cases, there is a family predisposition. Certain genetic mutations also play a role, including mutations in the BRCA2 gene, which have already been proved to be contributing to the development of breast and ovarian cancers.

Pancreatic cancer symptoms

At the early stages of the pancreatic cancer diagnosis, symptoms are usually absent. Later, there is pain in the stomach area irradiating to the back or lower back. Weight loss and indigestion are also common. With cancer of the head of the pancreas, obstruction of the bile ducts and obstructive jaundice develop.

Diagnostics of pancreatic cancer in Germany

Diagnostics includes the following examinations:

  • Laboratory blood tests
  • Ultrasound examination 
  • Computed tomography and magnetic resonance imaging (CT, MRI)
  • Endoscopic retrograde cholangiopancreatography
  • Angiography

Cancer diagnostics and further treatment in Germany are based on the biopsy results. For pancreatic cancer, a biopsy is done percutaneously under CT or ultrasound guidance.

Pancreatic cancer treatment in Germany

Although pancreatic cancer is considered extremely serious, it is still curable. In the case when a tumor is found in the head of the pancreas, doctors use the Whipple procedure (pancreaticoduodenectomy) – the surgery that represents the most effective type of treatment. This is one of the most difficult surgical procedures in pancreatic cancer treatment in Germany, but it gives patients a chance to get rid of the disease.

Modern surgical techniques for treating pancreatic cancer can increase the survival rate and quality of life significantly. In Germany, Whipple procedure pancreaticoduodenectomy, is performed with minimally invasive laparoscopic access and is accompanied by powerful medical support. Due to this the postoperative period is significantly reduced, and patients can return to normal life within a few days after the surgery.

During the Whipple procedure, the head of the pancreas, the gallbladder, and part of the biliary tract, the duodenum, and sometimes stomach are removed. In some cases, partial gastric resection is performed during the surgery. After removal of the organs, the remaining segments of the gastrointestinal tract are sutured and its patency is restored.

In pancreatic cancer, surgery may also be palliative. If the tumor is inoperable, Whipple procedure is not advisable. In such cases, a surgery is aimed at eliminating obstructive jaundice: during surgery, a stent is implanted into the bile duct or an alternative pathway for the outflow of bile from the liver into the intestine is formed.

Cancer treatment in Germany is usually complex. It consists of surgery and chemotherapy and/or radiotherapy. With pancreatic cancer, chemotherapy is prescribed to almost all patients. Even in cases where surgery does not lead to a cure, chemotherapy can reduce the size of the tumor. Radiation therapy has the same effect and can be used to target large pancreatic tumors prior to surgery.

Complications of Whipple procedure (pancreaticoduodenectomy)

  • Diabetes mellitus

Surgery on the head of the pancreas can lead to the development of diabetes. The risk of developing diabetes is more significant in patients whose blood glucose levels were above normal before surgery. In any case, after Whipple surgery, it is recommended to follow a special diet and refrain from excessive consumption of sugar.

  • Fistula formation

After the surgery, where the head of the pancreas is removed, the rest of the pancreas is connected to the intestines. Pancreatic tissue has a soft texture and a tendency to tear at the suture site. Through the formed holes, gastric juice with digestive enzymes flows out. It damages the surrounding tissue and leads to the formation of a fistula. In most cases, the fistula heals on its own.

  • Gastroparesis (gastric paralysis)

In the first days after the Whipple procedure (pancreaticoduodenectomy), until the restoration of gastrointestinal peristalsis has occurred, the patient is prohibited from taking any food or drinking fluids. He receives all the necessary nutrients in the form of intravenous infusions. Approximately 25% of patients experience gastroparesis after Whipple procedures, the average duration of gastroparesis is 4-6 weeks. Then the adaptation of the gastrointestinal tract takes place, and the peristalsis of the stomach is restored.

  • Disorders of intestinal absorption and digestion

The pancreas secretes enzymes that play an important role in the digestion process. The long-term effects of pancreatic surgery can manifest as digestive disorders. Patients may have diarrhea, undigested food in the feces, abdominal pain, and weight loss. In such cases, it is necessary to follow the diet recommended by the nutritionist and take medications containing pancreatic enzymes.

Postoperative period

In pancreatic cancer treatment, proper care and diet in the postoperative period are very important. On the first day after the surgery, fasting is recommended, only mineral still water and herbal tea without sugar are allowed.

On the second and third days, it’s allowed to eat soup. Thicker food is given to the patient only on the fifth day and according to the doctor's recommendations.

The patient's recovery depends not only on the skill of the surgeon but also on the own desire of the patient and the attitude towards the recovery.

Prognosis

A positive outcome depends on the time the disease was detected. The earlier the disease is diagnosed, the more successful and effective the surgery will be. The Whipple procedure does not give a complete guarantee of recovery, because this disease is prone to recurrence, and the type of tumor directly affects the life prognosis of patients.

Surgical treatment of pancreatic cancer is possible if the tumor is located within the organ, there are no metastases, and vital arteries and veins are not affected.

The goal of Whipple procedure for pancreatic cancer is a partial or total removal of the organ. It depends on the size of the neoplasm, as well as on its location. Surgical intervention is performed by a multidisciplinary team consisting of a surgeon, oncologist, anesthesiologist, and, if necessary, a radiation therapy specialist. Due to this, all aspects of the surgery are under complete control.

After the Whipple procedure (pancreaticoduodenectomy) in Germany, a patient can expect a hospital stay of 10 to 14 days to recover and prevent postoperative risks and complications, which sometimes include infection and bleeding. Since pancreatic tissue is removed during pancreatoduodenectomy, reduced enzyme production can cause digestive problems, so long-term enzyme supplementation may be necessary after Whipple procedure.

Besides, in some cases, the patient also needs chemotherapy or radiotherapy, before or after the surgery. Additional treatment is prescribed whether before Whipple procedure in order to shrink the tumor or after Whipple procedure to reduce the risk of recurrence of the disease. The combination of therapies for pancreatic cancer increases the five-year survival rate from 25% (with exclusively surgical treatment) to more than 60% at stage I and 50% at stage II (with combined treatment).

The statistics in this area has shown that the Whipple procedure performed in a certified medical center, which employs experienced doctors who often perform the Whipple procedures, triples a patient's chances of survival. This refers to both survivors in the first days after surgery and the overall likelihood of recovery.

Due to this fact, thousands of foreign patients with malignant neoplasms of the pancreas come to Germany every year and they all undergo professional surgery.

The cost of the Whipple procedure (pancreaticoduodenectomy)

Even though the surgery is very complicated and complex, the cost in hospitals listed on the Booking Health website is relatively low. As a rule, you can save up to 30-40% of the price here.

The hospitals that are represented by Booking Health are trying to make high-tech and complex types of surgery available to the largest possible number of foreign patients with pancreatic cancer at a lower price. Therefore, they are pursuing a cost policy focused primarily on the interests of the patients.

With Booking Health, you can book the Whipple procedure for pancreatic cancer treatment in Germany at an affordable price. The cost of the procedure varies in different countries, but we can arrange a trip to Germany at a fair price.

The cost of Whipple procedure for treatment in Germany varies between 32,181 EUR and 52,560 EUR.

Where can I undergo the Whipple procedure (pancreaticoduodenectomy) in Germany?

Among hospitals, the best success rates in Whipple procedure for pancreatic cancer treatment in Germany are shown by:

  1. Academic Hospital Asklepios Barbek Hamburg
  2. Academic Hospital Brothers of Charity Munich
  3. University Hospital of Ludwig Maximilian University of Munich
  4. Charite University Hospital Berlin
  5. University Hospital Ulm

How can I undergo the Whipple procedure (pancreaticoduodenectomy) in Germany?

When the decision to treat pancreatic cancer in Germany has already been made, a huge number of questions arise.

Answering those questions requires specific knowledge and experience in medical tourism. It is safer, easier, and less stressful to shift some responsibility onto a medical tourism agency that can support you throughout your journey.

Booking Health is the largest and the most transparent medical tourism agency in the world. Treatment abroad is arranged by direct cooperation with leading foreign hospitals.

To undergo the Whipple procedure for pancreatic cancer treatment, please leave a request on our website. We will contact you and provide you with all the information necessary.

You can be sure that by deciding to undergo the treatment of pancreatic cancer with the Whipple procedure in Germany, you will be undergoing treatment in the best hospitals in the country, doctors of which save the lives of many patients with pancreatic cancer.




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