Le Prof. Dr. Cătălin Copăescu, premier chirurgien d'excellence de Roumanie en chirurgie métabolique et bariatrique, titulaire de doubles certifications européenne et américaine, réalise plus de 1 000 interventions mini-invasives par an, y compris des chirurgies colorectales laparoscopiques. La résection rectale peut coûter environ 12 000 à 22 700 $. L'hôpital accrédité par la JCI propose des soins chirurgicaux complets utilisant des techniques laparoscopiques et robotiques avancées.
Ponderas Academic Hospital est un centre privé pluridisciplinaire accrédité par la JCI, situé à Bucarest. Il détient 10 accréditations internationales, notamment celles de la SRC et de la BSCE. Sa principale spécialité est la chirurgie bariatrique.
Le Dr Catalin Copaescu est le premier chirurgien en Roumanie à détenir à la fois les certifications européenne (IFSO-EC) et américaine (SRC) en chirurgie bariatrique. Il occupe le poste de directeur du Centre d'excellence en chirurgie bariatrique de l'hôpital universitaire Ponderas. Le Dr Copaescu réalise plus de 1 000 interventions mini-invasives chaque année. Il est spécialisé dans les chirurgies laparoscopiques et assistées par robot pour les maladies métaboliques, colorectales et les hernies.
Ponderas Academic Hospital est un centre privé pluridisciplinaire accrédité par la JCI, situé à Bucarest. Il détient 10 accréditations internationales, notamment celles de la SRC et de la BSCE. Sa principale spécialité est la chirurgie bariatrique.
La prise en charge du cancer rectal dépend de l'étendue de la tumeur, de son stade et de sa proximité avec l'anus. Dans la plupart des cas, les chirurgiens préservent la qualité de vie du patient et sa capacité à prendre soin de lui-même. Le taux de réussite du traitement des tumeurs à un stade précoce peut atteindre 98 %.
Les médecins utilisent les méthodes de diagnostic suivantes pour déterminer la taille de la tumeur, son emplacement et sa propagation métastatique :
Il existe les indications suivantes pour la chirurgie des tumeurs rectales :
Les contre-indications à l'opération comprennent :
La chirurgie est la principale et la plus efficace option de traitement des tumeurs. Le type d’opération privilégié dépend de la localisation de la tumeur et de sa taille.
Jour 1 - Arrivée
Jour 2 - Pré-opération
Jour 3 - Résection rectale
Jour 4-10 - Post-opération
Semaine 2 à 6 - Rééducation
À partir de la semaine 7
Veuillez noter que le délai peut varier en fonction de la situation de chaque patient et que le processus de rétablissement peut être différent pour chaque personne.
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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":"Understand the possible complications and side effects of the treatment before booking","scope":"treatment_type","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Get a second opinion from a doctor before deciding on the treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team treating you","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":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you can ask the team questions about your 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":"2026-11-13","http_status":200}},{"id":"C5","text":"Check the facilities and standards at the clinic or hospital where you will be treated","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Confirm how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell for treatment abroad is a warning sign","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"A lack of information about the treatment is a warning sign","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Pressure to make a quick decision is a warning sign","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"No discussion of possible complications is a warning sign","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"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 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surgery","name":"Chemotherapy for rectal cancer","source":{"url":"https://www.nhs.uk/conditions/bowel-cancer/treatment/","host":"nhs.uk","quote":"before surgery to shrink the cancer and make it easier to remove after surgery to try to stop the cancer coming back if you're unable to have surgery if cancer has spread to other parts of your body","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"anterior-resection","name":"Anterior resection (high or low) with total or partial mesorectal excision","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"abdominoperineal-resection","name":"Abdominoperineal resection","how_it_works":{"text":"The lower bowel and anus are removed and the area is closed","source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3536-colorectal-surgery-leaflet-abdominoperineal-excision-of-rectum","host":"ashfordstpeters.nhs.uk","quote":"In this type of surgery, the lower part of your large intestine and the anus are removed, and the area closed permanently.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"laparoscopic","name":"Laparoscopic or robotic approach","how_it_works":{"text":"Small cuts guide instruments that remove the rectum","source":{"url":"https://www.christie.nhs.uk/media/3bjhaeiu/1014-robotic-rectal-resections-march-2017.doc","host":"christie.nhs.uk","quote":"Minimally invasive, laparoscopic surgery (keyhole) or robotic surgery is carried out via 4 or 5 small cuts or incisions in your skin rather than a large opening to your body.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"weeks","label":"2–3 weeks","source":{"url":"https://chelwest.nhs.uk/your-visit/patient-leaflets/surgery-services/laparoscopic-colorectal-surgery","host":"chelwest.nhs.uk","quote":"You will be able to resume your usual activities in 2–3 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"open-resection","name":"Open resection","how_it_works":{"text":"The abdomen is opened to remove the rectum","source":{"url":"https://www.christie.nhs.uk/media/3bjhaeiu/1014-robotic-rectal-resections-march-2017.doc","host":"christie.nhs.uk","quote":"Other methods of rectal resection include either open or laparoscopic (keyhole) surgery.","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=rumuniya/city=buharest/procedure=rezekcia-pramoj-kiski/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":416,"alias":"rectal-cancer","name":"Cancer rectal"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}