Le professeur Yoram Kluger est spécialisé en oncochirurgie au centre médical Rambam.
Le médecin est un oncochirurgien très expérimenté, spécialisé dans les techniques chirurgicales avancées pour le traitement du cancer. Avec une expertise étendue dans le domaine, le médecin a contribué de manière significative au développement de protocoles chirurgicaux innovants visant à améliorer les résultats des patients. Le médecin est reconnu pour son engagement envers l'excellence clinique et a publié de nombreux articles de recherche dans des revues médicales prestigieuses. En tant que professeur, le médecin participe activement à la formation de la prochaine génération de chirurgiens, en soulignant l'importance de la précision et des soins centrés sur le patient en oncochirurgie.<\\/p>
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Enzyme replacement or diabetes management may be lifelong.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Unplanned reoperation within 90 days, mainly for bleeding, leak or abscess."},"scars":"Open approach leaves a long upper abdominal midline or bilateral subcostal incision scar; laparoscopic or robotic approaches use several small scars plus one extraction incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation with resection and reconstruction in one stage."},"stages":[{"code":"resection_reconstruction","label":"Resection of pancreatic head, duodenum, bile duct and gallbladder (with partial stomach in classic form) and reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Standalone single-stage operation; adjuvant therapy is separate."},"success":{"metric":"Survival to 90 days after surgery","value":97,"unit":"percent","horizon":"90 days","population":"Adults undergoing pancreaticoduodenectomy at experienced high-volume centers","evidence_status":"limited"},"techniques":[{"name":"Classic Whipple (pancreaticoduodenectomy with distal gastrectomy)","suits_whom":"Patients whose tumor needs wider gastric resection.","recovery":"Open surgery; hospital stay about 1-2 weeks."},{"name":"Pylorus-preserving pancreaticoduodenectomy","suits_whom":"Most patients with resectable periampullary or pancreatic head lesions where the pylorus can be preserved.","recovery":"Similar to standard open recovery; delayed gastric emptying possible."},{"name":"Minimally invasive (laparoscopic or robotic) pancreaticoduodenectomy","suits_whom":"Selected patients at experienced high-volume centers.","recovery":"Possibly smaller incisions; overall recovery broadly similar to open in many series."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Operative time for standard open pancreaticoduodenectomy; longer with vascular resection or minimally invasive approach."},"initial_assessment_documents":["Contrast-enhanced pancreatic protocol CT scan","Abdominal MRI/MRCP report and images","Biopsy or EUS-FNA pathology report","CA 19-9 and liver function blood tests","Recent ECG and cardiopulmonary test reports","Prior oncology treatment records, if any"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage operation; stay 2-3 weeks including hospital and recovery. Second trip only for adjuvant therapy or surveillance."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise 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":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Yellowing of eyes or skin","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/15796-biliary-stricture&rut=570fa34325ab7a467a5590b8ed5305a71ac9ae6ba0b1eb56853f69e19212d8c7","host":"my.clevelandclinic.org","quote":"Yellowing of the whites of your eyes or skin (jaundice).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Returning upper abdominal pain","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/15796-biliary-stricture&rut=570fa34325ab7a467a5590b8ed5305a71ac9ae6ba0b1eb56853f69e19212d8c7","host":"my.clevelandclinic.org","quote":"Recurrent (returning) upper abdominal 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vomiting.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want radiation to kill cancer cells without an operation","name":"Radiation therapy for pancreatic cancer","source":{"url":"https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq","host":"cancer.gov","quote":"Radiation therapy uses high-energy x-rays or other types of radiation to kill cancer cells or keep them from growing.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You need drug treatment to stop cancer cell growth","name":"Chemotherapy for pancreatic cancer","source":{"url":"https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq","host":"cancer.gov","quote":"Chemotherapy (also called chemo) uses drugs to stop the growth of cancer 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(incision).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=israel/city=hajfa/procedure=operaciya-uippla/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":5,"name":"Ramat Gan","alias":"ramat-gan","country_iso_code":"IL"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":3},"manualSeo":[],"updatedAt":"2026-11-12T12:15:41.000Z","activeCountries":["IL","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}