Shefaa Al Orman International Oncology Hospitals est un centre accrédité par l'ESMO avec des hôpitaux séparés pour adultes et enfants. Il est spécialisé dans le diagnostic oncologique, le traitement et l'oncologie pédiatrique. Il traite environ 6 000 patients par an.
Shefaa Al Orman International Oncology Hospitals est un centre accrédité par l'ESMO avec des hôpitaux séparés pour adultes et enfants. Il est spécialisé dans le diagnostic oncologique, le traitement et l'oncologie pédiatrique. Il traite environ 6 000 patients par an.
Une partie ou la totalité du côlon est retirée pour traiter des maladies, améliorant ainsi la digestion et la santé globale.
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"},"493":{"operation":{"name":"Mésorectumctomie laparoscopique","alias":"laparoscopic-mesorectumrctonomy","use_for_listing":true},"country_price":{"US":{"amount":55000,"max_amount":82000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":37900,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":9500,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":18900,"max_amount":21000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true}},"1011":{"operation":{"name":"Hémicolectomie","alias":"hemicolectomy","use_for_listing":true},"country_price":{"US":{"amount":42000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":14000,"max_amount":20000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":9200,"max_amount":18500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 ans d'expérience Oncologue médical, certifié ESMO","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncologie","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":60,"unit":"days","qualifier":"Typical for desk work after uncomplicated rectal resection; physical jobs take longer. Varies with surgical approach and stoma."},"complication_rate_pct":{"min":25,"max":45,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; anastomotic leak about 5-15%, serious complications fewer."},"contraindications":["Unfit for anesthesia or major surgery due to severe comorbidity","Unresectable or widely metastatic disease with no resection benefit","Uncorrected coagulopathy or active uncontrolled sepsis, unless surgery is urgent"],"days_in_clinic":{"min":4,"max":7,"unit":"nights","qualifier":"Typical with enhanced recovery; longer with open surgery or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; gradually resume strenuous exercise and heavy lifting after surgeon clearance, especially with incision or stoma."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Bowel function adaptation (e.g., low anterior resection syndrome) often improves over months; any stoma reversal is a separate later procedure."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After discharge and surgeon clearance; longer with open surgery, stoma, complications, or thrombosis risk. Long-haul flights need clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"First postoperative review after surgery; often done remotely."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of histopathology and decision on further oncological treatment, if the indication was cancer."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Functional and recovery assessment; later surveillance depends on diagnosis."}}],"indications":["Rectal cancer, particularly when resectable","Large rectal polyps or tumors not suitable for endoscopic removal","Rectal prolapse (in selected patients)","Selected inflammatory bowel or diverticular disease involving rectum or rectosigmoid","Severe radiation injury, stricture or fistula in selected cases"],"main_risks":["Anastomotic leak","Infection (wound, pelvic abscess)","Bleeding","Bowel dysfunction (low anterior resection syndrome)","Urinary and sexual dysfunction from pelvic nerve injury","Temporary or permanent stoma","Venous thromboembolism","Postoperative ileus or bowel obstruction","Incisional hernia","Adhesions and anesthesia-related risks"],"pain":"Moderate to significant pain in the first days, managed with multimodal analgesia (often epidural or regional blocks plus oral medication); typically settles over 1–3 weeks.","preparation":["Preoperative staging and fitness assessment (imaging, colonoscopy, labs, anesthetic review)","Multidisciplinary team discussion when cancer is the indication","Stoma counselling and site marking","Bowel preparation and fasting before surgery","Smoking cessation and nutrition optimization","Individual instructions on regular medications from surgical team"],"recovery_timeline":[{"phase":"Hospital stay (days 0–7)","description":"Early mobilization, gradual diet resumption, pain control, return of bowel function, stoma teaching if present.","restrictions":["No heavy lifting","Follow staged diet advice"]},{"phase":"Early home recovery (weeks 1–4)","description":"Increasing walking, fatigue gradually improving, bowel habits adjusting. Report fever, wound problems or worsening abdominal pain promptly.","restrictions":["Avoid heavy lifting and straining"]},{"phase":"Return to work and normal activity (weeks 4–12)","description":"Gradual return to work and exercise; bowel function continues to adapt.","restrictions":["No heavy lifting until surgeon clearance","Strenuous exercise only after surgeon clearance"]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated resection; full bowel-function adaptation takes longer."},"result_longevity":"Removal of the diseased rectum is permanent. Long-term outcome depends on diagnosis and stage; for cancer, oncological surveillance continues for about 5 years. Bowel function usually stabilizes within 3-12 months.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Unplanned reoperation within 30-90 days, mainly for anastomotic leak, bleeding or obstruction; excludes planned stoma reversal."},"scars":"Several small port scars with laparoscopic or robotic approach plus a small extraction incision; a longer midline incision with open surgery; a stoma site if a stoma is created.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for uncomplicated resection with primary anastomosis."},"stages":[{"code":"resection","label":"Rectal resection with reconstruction (anastomosis) or end stoma","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Staged stoma reversal or neoadjuvant therapy are separate treatments and not included."},"success":{"metric":"Local recurrence-free survival after curative rectal cancer resection","value":95,"unit":"percent","horizon":"5 years","population":"Adults with resectable stage I-III rectal cancer undergoing total mesorectal excision","evidence_status":"limited"},"techniques":[{"name":"Anterior resection (high or low) with total or partial mesorectal excision","suits_whom":"Most rectal tumors where the sphincter can be preserved","recovery":"Hospital stay about 4–7 days; possible temporary diverting stoma."},{"name":"Abdominoperineal resection","suits_whom":"Very low tumors involving the sphincter complex","recovery":"Permanent end colostomy; perineal wound healing may extend recovery."},{"name":"Laparoscopic or robotic approach","suits_whom":"Selected patients with suitable anatomy and surgeon expertise","recovery":"Often shorter hospital stay and quicker early recovery than open surgery."},{"name":"Open resection","suits_whom":"Complex, bulky or previously operated cases","recovery":"Longer incision and typically somewhat longer recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for uncomplicated elective rectal resection; varies with approach and complexity."},"initial_assessment_documents":["Colonoscopy report with biopsy histology","Pelvic MRI report and images","CT chest and abdomen report","CEA blood test result","Recent blood tests and ECG","Previous abdominal surgery operative reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 7-14 days including hospital stay and discharge clearance. Follow-up usually done at home; stoma reversal is separate."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the medical team’s qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask the treating team questions about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the clinic or hospital’s facilities and standards satisfy 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concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Wound or port-site 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