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approach, drain removal, bleeding and clot risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"Early review, pathology results and wound check before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Renal function labs and imaging surveillance when performed for a tumor; schedule varies by risk."}}],"indications":["Small renal masses (T1a, selected T1b), suspected renal cell carcinoma","Solitary kidney, bilateral tumors or chronic kidney disease","Benign or indeterminate tumors needing removal (e.g., angiomyolipoma, oncocytoma)","Hereditary renal tumor syndromes such as von Hippel-Lindau"],"main_risks":["Bleeding, possibly requiring transfusion or embolization","Urine leak or urinoma from collecting system injury","Infection","Temporary or permanent reduction in kidney function","Positive surgical margin requiring further surgery","Conversion to open surgery or radical nephrectomy","Blood clots, anesthesia-related and general surgical risks","Injury to adjacent organs","Hernia or flank bulge at incision site"],"pain":"Moderate postoperative pain at port or flank incision, usually controlled with oral analgesics after the first days; open flank approach is typically more painful.","preparation":["Preoperative imaging (CT or MRI) and kidney function testing","Anesthesia and general fitness assessment","Blood tests and urine culture","Review of current medications with the surgical team","Fasting before general anesthesia as instructed","Discussion of surgical approach and possible conversion to radical nephrectomy"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Monitoring of pain, urine output, bleeding and kidney function; early mobilization; drain and catheter removed as appropriate.","restrictions":["No lifting or driving"]},{"phase":"Early home recovery (weeks 1-4)","description":"Gradual increase in walking and daily activity; pain declines; wound care.","restrictions":["Avoid heavy lifting","Avoid strenuous activity"]},{"phase":"Return to full activity (weeks 4-8)","description":"Most patients resume normal activity and exercise with surgeon approval.","restrictions":["Avoid heavy lifting until cleared"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated partial nephrectomy; no formal program usually needed."},"result_longevity":"Removal of the tumor and preserved kidney tissue are permanent. Cancer control is typically long-term for small tumors, but surveillance imaging continues for years because recurrence is possible.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Reoperation, embolization or completion nephrectomy within 90 days; excludes later recurrence surgery"},"scars":"Minimally invasive approach leaves several small port scars (about 0.5-1.5 cm) plus a slightly longer extraction site; open surgery leaves a longer flank or abdominal incision scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Partial nephrectomy (tumor excision with kidney reconstruction)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"One-stage surgery; follow-up checks are separate."},"success":{"metric":"Cancer-free survival after partial nephrectomy for small renal tumors","value":95,"unit":"percent","horizon":"5 years","population":"Adults with localized T1a renal cell carcinoma, complete excision","evidence_status":"limited"},"techniques":[{"name":"Robot-assisted laparoscopic partial nephrectomy","suits_whom":"Small to moderate renal tumors in patients suitable for minimally invasive surgery.","recovery":"Hospital stay about 2-3 nights; return to desk work in about 2-4 weeks."},{"name":"Laparoscopic partial nephrectomy","suits_whom":"Selected smaller, accessible tumors with an experienced laparoscopic team.","recovery":"Similar to robotic approach; about 2-4 nights stay."},{"name":"Open partial nephrectomy","suits_whom":"Larger, complex or central tumors, or when minimally invasive approach is unsuitable.","recovery":"Longer hospital stay and recovery, about 4-6 weeks before return to work."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for uncomplicated partial nephrectomy; varies with approach and tumor complexity."},"initial_assessment_documents":["Contrast-enhanced CT or MRI of kidneys","Radiology reports of kidney tumor","Biopsy report (if available)","Recent creatinine and eGFR results","List of blood thinners","Previous abdominal surgery report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-10 days including 2-4 hospital nights and early check. Later surveillance can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team who will treat 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":"C2","text":"Check that you can ask the treating 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":"C3","text":"Check that you are satisfied with the facilities and standards of the clinic or hospital","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":"C4","text":"Check that you understand the possible complications and side effects of the 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":"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":"C5","text":"Check 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}},{"id":"C6","text":"Ensure medical records can be exchanged and aftercare arranged at home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home.","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":"Pressure to make a quick decision before booking treatment abroad","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":"No discussion of possible complications before booking","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":"No mention of aftercare before booking","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":"ok","items":[{"id":"W1","text":"Blood in your urine","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16214-open-partial-nephrectomy","host":"my.clevelandclinic.org","quote":"Blood in your urine ( hematuria )","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Heavy bleeding at your incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/24906-renal-cell-carcinoma","host":"my.clevelandclinic.org","quote":"Heavy bleeding at your incision","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Discolored drainage from your incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16214-open-partial-nephrectomy","host":"my.clevelandclinic.org","quote":"- Discolored drainage from your cuts (incisions)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Skin separation at your stitches","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16214-open-partial-nephrectomy","host":"my.clevelandclinic.org","quote":"- Skin separation at your stitches","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever over 100 degrees Fahrenheit or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/diseases/24906-renal-cell-carcinoma","host":"my.clevelandclinic.org","quote":"Infection symptoms, including a fever over 100 degrees Fahrenheit (37.38 degrees Celsius) or higher, or pus draining from your incision","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":"Summarises the admission and operation for the home doctor's follow-up care","document":"discharge summary","source":{"url":"https://www.cuh.nhs.uk/patient-information/robotic-assisted-da-vinci-laparoscopic-partial-removal-of-the-kidney/","host":"cuh.nhs.uk","quote":"When you leave hospital, you will be given a discharge summary of your admission.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","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":"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 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cm","name":"Cryotherapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/24906-renal-cell-carcinoma","host":"my.clevelandclinic.org","quote":"It’s an option if the tumor measures up to 4 cm (about 1 1/2 inches).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":412}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"robot-assisted-laparoscopic","name":"Robot-assisted laparoscopic partial nephrectomy","how_it_works":{"text":"Surgeons use robotic tools for greater precision, flexibility and control","source":{"url":"https://my.clevelandclinic.org/departments/urology-kidney/depts/robotic-laparoscopic-surgery","host":"my.clevelandclinic.org","quote":"It allows surgeons to perform many complex operations with more precision, flexibility and control than can be accomplished with conventional techniques.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":6,"unit":"weeks","label":"2–6 weeks","source":{"url":"https://www.cuh.nhs.uk/patient-information/robotic-assisted-da-vinci-laparoscopic-partial-removal-of-the-kidney/","host":"cuh.nhs.uk","quote":"It will take 10 to 14 days to recover fully from the procedure and most people can return to normal activities after two to six weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"laparoscopic-partial","name":"Laparoscopic partial nephrectomy","how_it_works":{"text":"Small cuts allow a camera and surgical tools to reach the kidney","source":{"url":"https://www.mayoclinic.org/tests-procedures/nephrectomy/about/pac-20385165","host":"mayoclinic.org","quote":"A wand-like device tipped with a tiny video camera, called a laparoscope, is placed through the cuts to see inside the 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belly.","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/procedure=rezekcia-pocki/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Туреччина","alias":"turkey","iso_code":"TR"},{"id":50,"name":"Чеська Республіка","alias":"czech-republic","iso_code":"CZ"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53946},"manualSeo":[],"updatedAt":"2026-11-04T02:25:18.000Z","activeCountries":["RO","TR","UA","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}