L'hôpital Manipal de Goa est le plus grand centre médical de la côte occidentale de l'Inde. Manipal Goa est spécialisé dans l'oncologie, la neurologie, la neurochirurgie, les bilans de santé, l'orthopédie et la laparoscopie (chirurgie mini-invasive).
\n\nIBM Watson, un programme informatique permettant de choisir la méthode de traitement la plus efficace pour les patients atteints de cancer, est disponible à l'hôpital Goa Manipal.
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\n\nIBM Watson, un programme informatique permettant de choisir la méthode de traitement la plus efficace pour les patients atteints de cancer, est disponible à l'hôpital Goa Manipal.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":4,"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":28,"max":60,"unit":"days","qualifier":"Typical for desk work after open or moderate resection; laparoscopic or minor resection may be earlier, major hepatectomy later."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any postoperative complication within 90 days; major complications and mortality are much lower, higher in major hepatectomy or cirrhosis."},"contraindications":["Insufficient predicted future liver remnant volume or function","Severe decompensated cirrhosis or significant portal hypertension (relative)","Unresectable disease: unreconstructable vessel/bile duct involvement or extrahepatic spread","Medical unfitness for general anesthesia and major abdominal surgery","Uncorrectable coagulopathy","Active uncontrolled sepsis"],"days_in_clinic":{"min":4,"max":10,"unit":"nights","qualifier":"Typical uncomplicated open or laparoscopic anatomical or segmental resection; minor laparoscopic wedge resections may be shorter and major hepatectomy longer."},"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; avoid heavy lifting and strenuous exercise until cleared by the surgeon, usually longer after open surgery."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Liver regenerates largely within weeks to a few months; full functional recovery varies with resection extent."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"From surgery, after discharge and surgeon clearance; longer after open or major resection, or with bile leak or clots."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"From surgery; first check before flying home."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of pathology and liver function tests."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Recovery assessment and, for cancer, oncologic surveillance imaging planning."}}],"indications":["Primary liver cancer (hepatocellular carcinoma) in suitable candidates","Colorectal and other liver metastases that are resectable","Intrahepatic cholangiocarcinoma and selected gallbladder or hilar tumors","Symptomatic or complicated benign liver tumors (e.g., large adenoma, hemangioma)","Selected hydatid or other cysts, abscesses, or localized intrahepatic stones/strictures","Selected traumatic liver injuries not controlled non-operatively"],"main_risks":["Bleeding and need for transfusion","Bile leak or biliary fistula","Post-hepatectomy liver failure, especially with small remnant or cirrhosis","Infection, abscess or wound complications","Fluid collection, ascites, pleural effusion","Venous thromboembolism","Pulmonary complications","Anesthesia-related risks and, rarely, death"],"pain":"Moderate to significant postoperative pain for the first days, managed with multimodal analgesia (epidural or regional blocks and oral medication); laparoscopic approach typically less painful. Discomfort gradually improves over several weeks.","preparation":["Imaging (CT/MRI) and liver volumetry and function assessment","Blood tests including liver function and coagulation","Cardiopulmonary fitness and anesthesia assessment","Multidisciplinary tumor board review where relevant","Fasting before surgery as instructed","Smoking and alcohol cessation","Review of current medications with the surgical team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Monitoring of liver function, pain control, early mobilization, diet resumed gradually and drains removed if used.","restrictions":["No driving","Gradual progressive walking only"]},{"phase":"Early home recovery (weeks 1-4)","description":"Fatigue and incisional discomfort improve; wound healing and gradual return to daily activities.","restrictions":["No heavy lifting","Avoid alcohol and hepatotoxic substances unless cleared"]},{"phase":"Late recovery (weeks 4-12)","description":"Return to work and progressive return to exercise; liver regenerates.","restrictions":["Avoid strenuous exercise and heavy lifting until cleared by surgeon"]},{"phase":"Long-term (3-12 months)","description":"Full energy return and ongoing follow-up, with surveillance if performed for cancer.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated resection; longer after major hepatectomy or open surgery."},"result_longevity":"Resected tissue does not regrow; the remaining liver regenerates within months. For cancer, outcome depends on recurrence risk and surveillance; benign lesions rarely recur.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned reoperation or reintervention within 90 days, such as for bleeding or bile leak."},"scars":"Open surgery leaves a larger subcostal, J-shaped or midline abdominal scar; laparoscopic or robotic approach leaves several small port scars with possibly one slightly larger extraction incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation in typical uncomplicated cases."},"stages":[{"code":"resection","label":"Liver resection in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial surgery."}}],"qualifier":"Staged hepatectomy or portal vein embolization are exceptions for selected extensive disease and are not the typical protocol."},"success":{"metric":"Complete resection with negative margins (R0)","value":85,"unit":"percent of patients","horizon":"At surgical pathology review","population":"Adults with resectable liver tumors in experienced centers","evidence_status":"limited"},"techniques":[{"name":"Open liver resection (wedge, segmentectomy, anatomical hepatectomy)","suits_whom":"Larger or complex tumors, major resections, or tumors near major vessels.","recovery":"Hospital stay about 5-10 nights; return to work around 6-8 weeks or more."},{"name":"Laparoscopic or robotic liver resection","suits_whom":"Selected smaller, peripherally located lesions, often in left lateral or anterior segments, in experienced centers.","recovery":"Often shorter stay of about 4-6 nights and faster return to activity."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Operative time for a single typical resection; minor wedge resections are shorter and major hepatectomies may be longer."},"initial_assessment_documents":["Contrast CT or MRI of the liver","Biopsy or 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