Manipal Hospitals, l'un des plus grands prestataires de soins de santé en Inde, propose une chirurgie de Whipple spécialisée avec une approche multidisciplinaire. Le Dr Amrith Raj Rao, urologue certifié au Royaume-Uni avec _doctor_1709_years_ d'expérience, apporte son expertise acquise lors de fellowships au Roswell Park Cancer Institute et à l'University of Southern California. Le réseau hospitalier dessert plus de 2 millions de patients par an dans 15 établissements en Inde et à l'international.
Manipal Hospitals fait partie du Manipal Education & Medical Group, le troisième plus grand prestataire de soins de santé en Inde. Il détient les accréditations JCI, ISO et NABH. Le réseau dessert plus de 2 millions de patients par an provenant de 30 pays.
Le médecin est un urologue dynamique avec plus de 20 ans d'expérience, spécialisé dans les traitements peu invasifs des calculs rénaux et urétéraux, ainsi que dans les chirurgies de la prostate et de la vessie.<\\/p>
Il est certifié au Royaume-Uni (CCT) et a complété deux bourses de visite aux États-Unis. De plus, il est membre du Conseil Européen d'Urologie (FEBU).<\\/p>
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L'opération enlève des parties du pancréas, de l'estomac et des voies biliaires pour traiter le cancer du pancréas.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":10,"days_in_country":30,"rehabilitation_days":60,"satisfied_percent":78,"treatment_duration_hours":6},"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":42,"max":90,"unit":"days","qualifier":"Typical for office-type work after open pancreaticoduodenectomy without major complications; longer if adjuvant chemotherapy is given or complications occur."},"complication_rate_pct":{"min":40,"max":60,"unit":"percent","qualifier":"Any complication within 90 days, including fistula and delayed gastric emptying; severe ones about 15-25%."},"contraindications":["Distant metastases or unresectable tumor (e.g., SMA/celiac encasement)","Prohibitive cardiopulmonary or other comorbidity risk","Uncorrected severe coagulopathy or active uncontrolled sepsis","Uncorrected severe malnutrition (relative; usually optimized first)"],"days_in_clinic":{"min":7,"max":14,"unit":"nights","qualifier":"Typical uncomplicated inpatient stay after open standard pancreaticoduodenectomy; prolonged with 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; strenuous activity and heavy lifting usually avoided for about 6-12 weeks, guided by the surgeon."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to full functional recovery, stable weight, digestion and enzyme needs; longer with complications or adjuvant chemotherapy."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"Days after surgery; once drain removed, wound checked and surgeon clears travel; longer with complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Days after surgery; first postoperative check, usually shortly after discharge and before flying home."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of pathology results and planning of any adjuvant therapy."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Assessment of recovery, nutrition, digestive enzyme needs and glucose; ongoing oncologic surveillance depends on diagnosis."}}],"indications":["Resectable pancreatic head or uncinate process adenocarcinoma","Periampullary tumors: ampullary, distal bile duct and duodenal cancers","Pancreatic head neuroendocrine tumors or high-risk cysts (e.g., IPMN)","Chronic pancreatitis of the head with intractable pain or complications","Benign or premalignant head/duodenal lesions unsuitable for local resection"],"main_risks":["Postoperative pancreatic fistula","Delayed gastric emptying","Bleeding (including postpancreatectomy hemorrhage)","Intra-abdominal abscess, wound infection and sepsis","Bile leak or anastomotic leak","Pancreatic exocrine insufficiency and new or worsened diabetes","Weight loss and malnutrition","Venous thromboembolism, cardiopulmonary complications","Need for reoperation or readmission; perioperative mortality"],"pain":"Moderate to severe abdominal pain in the first days, controlled with multimodal analgesia (often epidural or regional blocks plus oral/IV medication); gradually improves over 2-4 weeks.","preparation":["CT/MRI staging, tissue diagnosis, multidisciplinary review","Preoperative labs, cardiopulmonary and anesthetic assessment","Nutritional optimization; biliary drainage only if cholangitis or delay","Smoking and alcohol cessation","Fasting and bowel/skin preparation per hospital protocol","Counseling on expected recovery, diabetes and enzyme replacement"],"recovery_timeline":[{"phase":"Hospital stay (about 1-2 weeks)","description":"Monitoring, pain control, gradual diet advancement, drain management and early mobilization.","restrictions":["Nothing by mouth initially, then staged diet","Walking encouraged; no heavy exertion"]},{"phase":"Early home recovery (weeks 2-6)","description":"Fatigue, reduced appetite and digestive adjustment; small frequent meals, enzyme replacement if needed. Seek care for fever, jaundice or wound drainage.","restrictions":["No heavy lifting or strenuous exercise"]},{"phase":"Later recovery (weeks 6-12)","description":"Gradual return to work and normal activity; weight and nutrition monitoring; adjuvant therapy may be given when indicated.","restrictions":["Progressive increase in activity as cleared by surgeon"]}],"rehabilitation_days":{"min":42,"max":84,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated open pancreaticoduodenectomy; no formal program required."},"result_longevity":"Surgical resection and reconstruction are permanent. Long-term outcome depends on diagnosis: benign disease is usually cured, while cancer carries recurrence risk requiring surveillance. 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