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Multimodality treatment of peritoneal carcinomatosis with cytoreductive surgery and HIPEC (program ID: 372637)

University Hospital RWTH Aachen

location_on Aachen, Germany
9.2/10 from 41 Votes
Specialized hospital
Ulf Peter Neumann

Head Physician
Prof. Dr. med.

Ulf Peter Neumann

Specialized in: adult and pediatric general, abdominal, transplant surgery

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • TSH-basal, fT3, fT4
    • tumor markers 
    • inflammation indicators (CRP, ESR)
    • indicators blood coagulation
  • abdominal ultrasound
  • CT/MRI or PET-CT examination of abdomen
  • preoperative care
  • cytoreductive surgery to remove visible tumors
    within the abdomen and HIPEC
  • histologically and immunohistochemically
    examination of removed tissue
  • symptomatic treatment
  • cost of essential medicines
  • nursing services
  • stay in the hospital with a full board
  • accommodation in a 2-bed room
  • elaboration further recommendations
Type of program :
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About the department

According to Focus magazine, the Department of Adult and Pediatric General, Abdominal, Transplant Surgery at the University Hospital RWTH Aachen 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. The Chief Physician of the department is Prof. Dr. med. Ulf Peter Neumann.

The department has four high-tech operating rooms with advanced equipment, for example, CUSA and LIMAX systems for liver surgery, modern high-resolution HD technology for minimally invasive surgery and special instruments for laparoscopic surgery.

Preference is always given to sparing minimally invasive surgery, which is characterized by several advantages, namely the absence of large scars, quick recovery of the patient, minimal blood loss and the risk of infections. At the moment, minimally invasive surgery has reached a high level of development and it is increasingly used for the treatment of abdominal tumors, which previously could be removed exclusively through laparotomy access.

Individually adapted treatment concept is important for the department's doctors. The patient's wishes will be necessarily taken into account. A crucial role is also given to the interdisciplinary approach, namely, the specialists from the Departments of Internal Medicine, Radiology and Anesthesia are involved in the treatment process. The patient medical care meets the requirements of the specialized societies. Only modern, reliable and proven treatment methods are used in clinical practice.

Since the key to successful treatment is accurate diagnostics, the doctors offer patients the most informative imaging examinations, such as computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET). These techniques allow not only to carry out the accurate diagnostics, but also to plan the surgical intervention in detail. Thus, the department's doctors have the opportunity to treat those surgical diseases, which until recently were considered incurable.

The surgical service range of the department includes:

  • Obesity and metabolic surgery
    • Gastric bypass surgery
    • Endoscopic sleeve gastroplasty
    • Mini-gastric bypass surgery (Omega-loop Gastric Bypass)
  • Hepatobiliary surgery (liver surgery)
    • Surgery to resect hepatocellular carcinoma
    • Surgery to resect cholangiocellular carcinoma
    • Surgery to resect Klatskin tumor
    • Liver metastasis surgery
  • Surgical treatment of malignant peritoneal diseases
    • Cytoreductive surgery in combination with hyperthermic intraoperative peritoneal chemotherapy (HIPEC) in adults and children
  • Endocrine surgery
    • Thyroid surgery
      • Enucleation of palpable abnormalities
      • Resection of palpable abnormalities
      • Thyroid isthmus resection
      • Subtotal thyroid lobe resection
      • Total thyroid lobe resection
      • Hemithyroidectomy (removal of one thyroid lobe)
      • Hemithyroidectomy with contralateral subtotal resection (Hartley-Dunhill operation)
      • Bilateral subtotal resection
      • Total thyroidectomy
    • Parathyroid surgery
    • Adrenal surgery
    • Surgery for neuroendocrine tumors of the gastrointestinal tract
  • Sparing endoscopic diagnostics
    • Endoscopic examinations and procedures
      • Esophagogastroduodenoscopy
      • Complete endoscopic examination of the esophagus, stomach and duodenum
      • Proctoscopy/colonoscopy
      • Complete endoscopic examination of the rectum
      • Endosonography
    • Ultrasound examination of the upper gastrointestinal tract and rectum
      • Endoscopic retrograde cholangiopancreatography
      • Examinations of the bile ducts, gallbladder ducts and pancreatic ducts
      • Enteroscopy (examination of various sections of the small intestine)
      • Esophageal manometry
      • Anorectal manometry
      • Contrast-enhanced diagnostic and therapeutic sonography for targeted puncture of the liver or abscess drainage
  • Hernia repair (inguinal and umbilical hernias)
  • Pediatric surgery
    • Hernia repair (inguinal and umbilical)
    • Correction of undescended testicles
    • Phimosis correction
    • Tissue sampling procedures for further examination
    • Sparing surgery (laparoscopy)
      • Surgery to treat reflux esophagitis
      • Splenectomy
      • Cholecystectomy
      • Appendectomy
      • Colectomy
      • Operations on the small and large intestine
      • Diagnostic procedures
      • Neonatal surgery (treatment of children weighing more than 500 grams): operations for the treatment of atresia, necrotizing enterocolitis and spontaneous intestinal perforations, as well as hernia repair, cancer surgery, complex liver interventions, including liver transplantation, interventional procedures (bougienage, drainage placement, etc.)
      • Surgery for traumatic injuries of the abdominal organs (ruptures of the liver and spleen, intestinal and pancreatic injuries)
  • Colorectal surgery
    • Inflammatory bowel diseases in adults and children (diverticulitis, Crohn's disease, ulcerative colitis)
    • Colorectal cancer
  • Minimally invasive surgery
    • Diagnostic laparoscopy
    • Cholecystectomy
    • Atypical liver resection
    • Splenectomy (spleen removal)
    • Adrenalectomy (adrenal gland removal)
    • Fundoplication
    • Partial gastrectomy
    • Inguinal and incisional hernia repair (TAPP, IPOM)
    • Colorectal surgery
    • Appendectomy
    • Bariatric interventions (gastric bypass surgery, gastric banding)
  • Liver transplantation
  • Surgical treatment of benign and malignant diseases of the esophagus, stomach
  • Pancreatic surgery
  • Surgical treatment of sarcomas (for example, retroperitoneal sarcomas)
  • Other medical services

Curriculum vitae

Education

  • October 1986 - May 1987 Study of Human Medicine at the Free University of Berlin.
  • May 1987 Preliminary Medical Examination (Physics), Free University of Berlin.
  • 14.03.1989 Part 1 of Medical Examination, Free University of Berlin.
  • 10.04.1990 Part 2 of Medical Examination, Free University of Berlin.
  • 20.03.1992 Part 3 of Medical Examination, Free University of Berlin.

Professional Сareer

  • May 1993 Preliminary admission to medical practice.
  • May 1993 - November 1994 Intern, Department of General, Abdominal and Transplant Surgery.
  • November 1994 Admission to medical practice, Research Fellow in the Department of General, Abdominal and Transplant Surgery.
  • 1998 Thesis defense at the Free University of Berlin. Subject: "The value of nitric oxide in human liver transplantation".
  • May 1999 - May 2000 Research Fellow in the Department of Traumatology and Reconstructive Surgery, Charite University Hospital Berlin, Campus Virchow.
  • September 2000 Specialization in Surgery.
  • March 2003 Surgical Rehabilitation, Faculty of Medicine, Humboldt University of Berlin.
  • March 2003 Venia legendi in Surgery, Faculty of Medicine, Humboldt University of Berlin. Subject of the habilitation work: "Examination of the effectiveness of CTLA-4Ig therapy in combination with adoptive cell transfer for the prevention of rejection reactions in rat orthotopic transplantation models".
  • Since June 2002 Senior Physician, Department of General, Abdominal and Transplant Medicine, Charite University Hospital Berlin.
  • Since 2006 Deputy Head of the Department of General, Abdominal and Transplant Medicine, Charite University Hospital Berlin.
  • August 2006 Specialization in Abdominal Surgery, Head of the Department of Adult and Pediatric General, Abdominal, Transplant Surgery at the University Hospital RWTH Aachen.

Membership in Professional Societies

  • German Society of Surgery (DGCH).
  • German Society for General and Abdominal Surgery (DGAV).
  • Berlin Surgical Society.
  • German Transplantation Society (DTG).
  • German Association for the Study of the Liver (GASL).
  • German Society for Digestive and Metabolic Diseases (DGVS).
  • North Eastern German Society of Gynecologic Oncology (NOGGO).
  • International Liver Transplantation Society (ILTS).
  • Gastroenterology Society of the Federal Government of North-Rhine-Westphalia.
  • German Cancer Society (DKG).

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