Le Dr Alberto Diez-Caballero Alonso possède _doctor_866_years_ d'expérience en chirurgie gastro-intestinale et hépatique, ayant été pionnier des techniques laparoscopiques à orifice unique. L'opération de Whipple au Centro Médico Teknon peut coûter environ 35 280 $ – couvrant généralement l'intervention, le séjour en soins intensifs, l'anesthésie, le suivi et les services de traduction. La clinique accréditée par la JCI utilise le système robotique Da Vinci pour des approches mini-invasives. Le Dr Alonso a été formé à l'Université du Michigan et à l'Université de Navarre, et occupe le poste de spécialiste en chef de la chirurgie gastro-intestinale.
L'hôpital Teknon (Centro Medico Teknon) est un établissement médical privé situé à Barcelone, en Espagne. Des médecins de renommée mondiale assurent le diagnostic et le traitement à Teknon.
L'épileptologie (traitement de l'épilepsie), la neurochirurgie, l'oncologie, la chirurgie cardiaque et la thérapie par cellules souches sont les principales spécialités de l'hôpital Teknon.
L'hôpital Teknon est le premier choix des célébrités, des sportifs et des politiciens. Les médecins de Teknon ont accouché du bébé de Shakira (célèbre chanteuse), opéré Andrés Iniesta (footballeur professionnel espagnol), Thomas Röhler (athlète allemand participant au lancer du javelot), et fourni une thérapie par cellules souches aux joueurs de football du FC Barcelone.
La clinique Teknon est un centre médical moderne qui propose une gamme complète de services médicaux. Les patients du monde entier peuvent y trouver des soins de premier ordre pour divers besoins médicaux, allant des consultations en ligne aux interventions chirurgicales complexes. Notre équipe de médecins et de coordinateurs médicaux hautement qualifiés travaille ensemble pour assurer la plus haute qualité de soins et la satisfaction des patients.
Les 5 principaux avantages de la clinique Teknon sont :
L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
HM Hospitales est un groupe de 7 établissements médicaux à Madrid offrant des services dans toutes les spécialités. Il comprend 4 centres intégrés spécialisés dans le traitement du cancer, les neurosciences, la chirurgie cardiovasculaire et la fertilité.
\n\nEn 2018, le groupe a été récompensé par la Société espagnole d’informatique de santé (SEIS) pour sa révolution dans la prise en charge des patients et ses solutions technologiques innovantes dans le secteur médical.
\n\nChaque année, l’équipe médicale HM prend en charge environ 75 000 patients hospitalisés et 2,3 millions de patients externes.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":600,"price_to":2000,"currency":"USD","id":13630},"diagnostic":{"id":39,"name":"Biopsie","alias":"biopsy"}},{"prices":{"price_from":400,"price_to":850,"currency":"USD","id":13486},"diagnostic":{"id":455,"name":"IRM cérébrale","alias":"brain-mri"}}],"reviews":[],"clinic":{"id":310,"alias":"hm-hospitales","name":"HM Hospitales","short_description":"HM Hospitales est un groupe de 7 établissements médicaux à Madrid offrant des services dans toutes les spécialités. Il comprend 4 centres intégrés spécialisés dans le traitement du cancer, les neurosciences, la chirurgie cardiovasculaire et la fertilité.
\n\nEn 2018, le groupe a été récompensé par la Société espagnole d’informatique de santé (SEIS) pour sa révolution dans la prise en charge des patients et ses solutions technologiques innovantes dans le secteur médical.
\n\nChaque année, l’équipe médicale HM prend en charge environ 75 000 patients hospitalisés et 2,3 millions de patients externes.
\n","images":[{"base_url":"clinic/5c618a022f30f","title":"Façade moderne de la clinique HM Sanchinarro Hospital à Madrid, Espagne"},{"base_url":"clinic/5c618a022f236","title":"Façade moderne de la clinique universitaire HM Hospitales Madrid"},{"base_url":"clinic/5c618a0209e17","title":"Accélérateur linéaire Versa HD pour radiothérapie à HM Hospitales"},{"base_url":"clinic/5c618a021880a","title":"Bloc opératoire avancé chez HM Hospitales Madrid avec équipement chirurgical"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Espagne","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Montepríncipe, 25, 28660 Boadilla del Monte, Madrid, Spain"},"rating":{"rating":4.7,"google":2.1,"percent_of_satisfied_clients":94},"statistics":{"number_of_reviews":17,"doctors_number":0,"year_foundation":1990},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"Fondation Européenne pour la Gestion de la Qualité","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72be5c3ae.jpeg","name":"Certificat de Recherche et d'Investissement de l'Entreprise TÜV AG","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Meilleurs hôpitaux du monde 2021 par Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"La Clinica Universidad de Navarra est le premier hôpital en Espagne à recevoir la certification JCI pour des services médicaux de haute qualité, traitant plus de 700 000 patients de 70 pays. L'hôpital est un leader en oncologie et en services de transplantation d'organes.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":450,"price_to":650,"currency":"USD","id":14596},"diagnostic":{"id":102,"name":"Consultation avec un oncologue","alias":"consultation-of-oncologist"}},{"prices":{"price_from":400,"price_to":600,"currency":"USD","id":29038},"diagnostic":{"id":523,"name":"Consultation en ligne avec un oncologue","alias":"online-consultation-with-oncologist"}}],"reviews":[],"clinic":{"id":339,"alias":"clinica-universidad-de-navarra-navarra-hospital","name":"Clinica Universidad de Navarra (Navarra Hospital)","short_description":"La Clinique Universitaire de Navarre (CUN) a été élue meilleur hôpital privé espagnol en 2018 selon MERCO (organisation de suivi de la réputation médicale).
\n\nNavarra est un centre de référence pour le traitement des sarcomes. 74 % des patients guérissent d’un sarcome osseux, et dans jusqu’à 95 % des cas, le membre affecté est conservé.
\n\nLes spécialités principales de l’Hôpital de Navarra sont : oncologie, onco-hématologie, transplantation d’organes, neurochirurgie et chirurgie cardiaque.
\n\nL’Hôpital de Navarra est le premier en Espagne à avoir obtenu la certification JCI, le certificat américain attestant de la haute qualité des services médicaux.
\n\nPlus de 700 000 patients provenant de 70 pays ont été pris en charge à Navarra.
\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Bâtiment moderne de la Clinica Universidad de Navarra à Pampelune, Espagne"},{"base_url":"clinic/5c618b62c6ade","title":"Hall d'accueil moderne à la Clinica Universidad de Navarra avec escalier en verre et mur artistique"},{"base_url":"clinic/5c618b62d5bbe","title":"Espace d'attente moderne à la Clinica Universidad de Navarra avec sièges et design ouvert"},{"base_url":"clinic/5c618b62ef71f","title":"Bloc opératoire avancé à la Clinica Universidad de Navarra avec équipement chirurgical robotisé"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Espagne","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Pampelune","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"Société Européenne d'Oncologie Médicale","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"Meilleurs hôpitaux du monde 2020 par Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Meilleurs hôpitaux du monde 2021 par Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"Meilleurs Hôpitaux Intelligents du Monde 2021 par Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"Meilleurs hôpitaux du monde 2022 par Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Meilleurs Hôpitaux Intelligents du Monde 2023 par Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Le Dr Santos Jiménez de los Galanes réalise des chirurgies de Whipple assistées par robot à l'aide de la plateforme da Vinci 5 pour une haute précision. L'équipe chirurgicale utilise la reconstruction 3D pour la planification préopératoire afin d'aider à l'ablation sûre de la tumeur. Cette clinique propose une technique de préservation splénique pour aider à réduire les complications immunitaires après l'opération. Cette approche peu invasive contribue généralement à raccourcir la durée d'hospitalisation et le temps de récupération. L'intervention est réalisée à l'hôpital accrédité Ruber Internacional à Madrid, en suivant des normes de sécurité strictes pour la chirurgie pancréatique complexe.
","text_type":"mt_wow_description","best_texts":{"techniques":"Chirurgie de Whipple assistée par robot, préservation splénique, reconstruction 3D","good_fit_for":"Préservation splénique lors d'une opération de Whipple robotisée","why_its_ranked":"Procédure de Whipple assistée par robot utilisant le da Vinci 5 pour plus de précision. La technique de préservation de la rate permet de maintenir la fonction immunitaire. La reconstruction 3D permet une planification personnalisée pour une ablation sécurisée de la tumeur."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8240,"alias":"dr-santos-jimenez-de-los-galanes","name":"Dr. Santos Jiménez de los Galanes","short_description":"Le Dr Santos Jiménez de los Galanes exerce en chirurgie privée à Madrid, en Espagne. Sa clinique est spécialisée en chirurgie générale, pathologie digestive et proctologie. Parmi ses prestations phares figurent la chirurgie abdominale robotique et les interventions oncologiques de pointe. Le cabinet est situé au sein de l'hôpital Ruber Internacional. L'équipe réalise des interventions complexes en chirurgie colorectale et hépatobiliaire pancréatique par des techniques mini-invasives.
Le Dr Jiménez de los Galanes a été nommé Médecin de l'année pour l'innovation. Ce prix récompense ses travaux en chirurgie digestive robotique. Son équipe de six spécialistes est membre de la Société de chirurgie robotique et de l'Association internationale hépatobiliaire et pancréatique. La clinique utilise le système robotique Da Vinci 5 pour une précision optimale.
Les soins proctologiques comprennent le traitement des hémorroïdes au laser avec des incisions de 1 mm. Les interventions chirurgicales de la thyroïde utilisent la technologie PTeye pour protéger les glandes parathyroïdes. L'équipe recourt à la reconstruction 3D pour planifier les opérations robotiques du pancréas. Les patients internationaux bénéficient d'une prise de rendez-vous via WhatsApp et d'une assistance pour leurs déplacements. Un deuxième avis médical est disponible en moins de 72 heures.
","images":[{"base_url":"clinic/6a4babae7985f","title":"Bâtiment moderne de la clinique Hospital Ruber Internacional à Madrid, Espagne"},{"base_url":"clinic/6a4babb026300","title":"Bloc opératoire à la clinique Dr. Santos Jiménez de los Galanes avec chirurgien et équipement moderne"},{"base_url":"clinic/6a4babb1cc215","title":"Chirurgien avec robot Da Vinci à la clinique Dr. Santos Jiménez de los Galanes"},{"base_url":"clinic/6a4babb395e95","title":"Modèles anatomiques 3D du foie et des voies biliaires à la clinique Dr. Santos Jiménez de los Galanes"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Espagne","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Ruber Internacional - Centro doctor Habana, P.º de La Habana, 43, Chamartín, 28036 Madrid, Spain"},"rating":{"rating":4.7,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":6},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":5,"total_pages":1}},"promoSlots":[{"card":{"text":"Centro PAD est associé à l’Hôpital universitaire HLA Moncloa, à Madrid. L’établissement se spécialise dans les évaluations médicales à distance réalisées par des chirurgiens digestifs spécialisés. Une consultation en ligne coûte généralement environ 200 $. Ce service comprend un rapport écrit détaillé, remis dans les 72 heures. Le chirurgien examine personnellement tous les dossiers médicaux et les images diagnostiques soumis. Les consultations sont proposées en anglais et en espagnol. Ce format à distance permet d’obtenir un deuxième avis sans avoir à se déplacer à l’étranger. La clinique respecte des normes strictes du RGPD en matière de sécurité des données.
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Le Dr Xavier Centeno Fornies a été formé au département de chirurgie colorectale de la Mayo Clinic, apportant une expertise de classe mondiale à la chirurgie de Whipple au Centro Médico Teknon.
Le Dr Xavier Centeno Fornies est chirurgien colorectal et gastro-intestinal au Teknon Medical Center. Il a suivi une formation spécialisée à la Mayo Clinic de Rochester, aux États-Unis. Le Dr Centeno se concentre sur le traitement des hémorroïdes, des hernies et des tumeurs gastro-intestinales. Sa pratique à Teknon est soutenue par les accréditations de qualité JCI et EFQM de la clinique.
L'hôpital Teknon (Centro Medico Teknon) est un établissement médical privé situé à Barcelone, en Espagne. Des médecins de renommée mondiale assurent le diagnostic et le traitement à Teknon.
L'épileptologie (traitement de l'épilepsie), la neurochirurgie, l'oncologie, la chirurgie cardiaque et la thérapie par cellules souches sont les principales spécialités de l'hôpital Teknon.
L'hôpital Teknon est le premier choix des célébrités, des sportifs et des politiciens. Les médecins de Teknon ont accouché du bébé de Shakira (célèbre chanteuse), opéré Andrés Iniesta (footballeur professionnel espagnol), Thomas Röhler (athlète allemand participant au lancer du javelot), et fourni une thérapie par cellules souches aux joueurs de football du FC Barcelone.
La clinique Teknon est un centre médical moderne qui propose une gamme complète de services médicaux. Les patients du monde entier peuvent y trouver des soins de premier ordre pour divers besoins médicaux, allant des consultations en ligne aux interventions chirurgicales complexes. Notre équipe de médecins et de coordinateurs médicaux hautement qualifiés travaille ensemble pour assurer la plus haute qualité de soins et la satisfaction des patients.
Les 5 principaux avantages de la clinique Teknon sont :
Le docteur est spécialiste en chirurgie générale avec un accent sur le tractus digestif et les chirurgies mini-invasives, en particulier les techniques laparoscopiques. Avec une vaste expérience d'enseignement, le docteur a été maître de conférences clinique associé à la Faculté de médecine de l'Université de Navarre de 1996 à 2003, et a donné des conférences dans des cours de doctorat sur la chirurgie laparoscopique en 2002 et 2003. Le docteur est membre actif de plusieurs associations professionnelles, y compris l'Association espagnole des chirurgiens, la Société espagnole de chirurgie de l'obésité et l'Association européenne de chirurgie endoscopique.<\\/p>
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L'hôpital Teknon est le premier choix des célébrités, des sportifs et des politiciens. Les médecins de Teknon ont accouché du bébé de Shakira (célèbre chanteuse), opéré Andrés Iniesta (footballeur professionnel espagnol), Thomas Röhler (athlète allemand participant au lancer du javelot), et fourni une thérapie par cellules souches aux joueurs de football du FC Barcelone.
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Les 5 principaux avantages de la clinique Teknon sont :
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. 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 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