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шлунок для лікування захворювань шлунка, покращуючи якість життя.</p>"},"720":{"operation":{"name":"Гастректомія з роботом Да Вінчі","alias":"da-vinci-gastroectomy","use_for_listing":true},"country_price":{"UA":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":48000,"max_amount":78000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":21500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":15500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":11000,"max_amount":18500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":true,"TH":false,"CZ":true},"description":"<p>Ця операція, виконана роботом, націлена на проблеми зі шлунком шляхом видалення його частин або цілком, забезпечуючи точність і швидке відновлення.</p>"},"741":{"operation":{"name":"Резекція стравоходу","alias":"resection-of-the-esophagus","use_for_listing":true},"country_price":{"UA":{"amount":7000,"max_amount":10000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"US":{"amount":95000,"max_amount":145000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":26900,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":14000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":true,"US":false,"TR":true,"TH":false,"CZ":false},"description":"<p>Операція передбачає видалення частини харчової труби для лікування конкретних захворювань.</p>"}}},"cityPrices":{"operation_prices":{"216":{"operation":{"id":216,"name":"Езофагектомія","alias":"esophagectomy"},"city_price":[{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":109,"name":"Київ","alias":"kiev","profile":{"city_id":109,"city_type":"Capital and largest city of Ukraine","access":["No flights to Kyiv; travel overland from Poland"],"sources":["https://en.wikipedia.org/wiki/Kyiv","https://visitkyiv.com/visitor-essentials/how-to-get-from-poland-to-kyiv/"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"b8c75ace-4f1f-46d8-9887-d9e0b74bfdb6","link":"https://player.vimeo.com/video/1096293607?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"Мене й мого супутника зустріли з такою добротою — я щиро захоплююся всією 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абляція","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"68f3e3e81e946bc8760e6c1b","source":"google","clinic_id":1591},{"id":"68f3e3eea1ec9be6ca0b991f","source":"google","clinic_id":1591},{"id":"68f3e3f09c26ceb15303600b","source":"google","clinic_id":1591},{"id":"68f3e3f51e946bc8760e6c1c","source":"google","clinic_id":1591},{"id":"68f3e4059c26ceb15303600c","source":"google","clinic_id":1591}],"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 років досвіду Лікар-онколог, сертифікат ESMO","advisoryText":"20 років досвіду Лікар-онколог, сертифікат 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Later with adjuvant therapy, slow recovery, or heavy physical work."},"complication_rate_pct":{"min":40,"max":60,"unit":"percent","qualifier":"Any complication within 30 days, including arrhythmias and pneumonia. Severity varies with fitness and center."},"contraindications":["Metastatic disease or unresectable invasion of aorta or trachea","Severe cardiopulmonary disease making major surgery prohibitive","Poor performance status or severe frailty","Severe uncorrected malnutrition (relative; usually optimized first)","Uncontrolled sepsis, or severe liver disease with portal hypertension (relative)","Prior gastric surgery or radiation affecting the stomach conduit (relative)"],"days_in_clinic":{"min":7,"max":14,"unit":"nights","qualifier":"Counted from surgery day, including brief ICU/HDU monitoring. Leak or pneumonia extends the stay."},"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":"Strenuous exercise and heavy lifting after surgeon clearance. Walking starts within days and increases gradually."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Time for eating capacity, weight and energy to stabilize. Cancer outcome is judged by years of surveillance."},"fly_home_after_days":{"min":28,"max":42,"unit":"days","qualifier":"Only with surgeon clearance: stable eating, no fever, no leak or pneumonia concerns, clot-prevention advice followed."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"After hospital discharge: first postoperative review with pathology discussion."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"After surgery: review of nutrition, swallowing and adjuvant therapy planning, which depends on stage."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After surgery: first oncologic surveillance review; later schedule depends on stage and center."}}],"indications":["Resectable adenocarcinoma or squamous cell carcinoma of the distal esophagus","Resectable gastroesophageal junction cancer (Siewert type I, selected II)","Adult fit enough for major surgery, with adequate nutrition"],"main_risks":["Anastomotic leak in the chest (can be life-threatening)","Pneumonia and other pulmonary complications","Atrial fibrillation and other cardiac arrhythmias","Conduit ischemia or necrosis","Anastomotic stricture causing swallowing difficulty","Chylothorax","Recurrent laryngeal nerve injury with hoarseness","Bleeding, infection, venous thromboembolism","Delayed gastric emptying, reflux, dumping, early satiety and weight loss","Operative mortality, depending on fitness and center experience"],"pain":"Moderate to severe pain in the first days after surgery, controlled with thoracic epidural or paravertebral block plus multimodal analgesia. Pain usually eases over several weeks; chest wall discomfort may persist longer.","preparation":["Staging (endoscopy, CT, PET-CT, EUS) and multidisciplinary review","Neoadjuvant chemo- or chemoradiotherapy if indicated, then recovery","Cardiopulmonary fitness assessment","Nutritional assessment and optimization, sometimes with supplements or feeding support","Stopping smoking and alcohol","Prehabilitation and breathing exercises","Review of blood thinners and other medicines","Fasting before surgery per anesthesia instructions"],"recovery_timeline":[{"phase":"Hospital stay (nights 0-14)","description":"Brief ICU/HDU care, pain control, chest drain, early walking and breathing exercises. 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Shorter without neoadjuvant therapy; surgery usually follows it by several weeks."}},{"code":"surgery_and_early_recovery","label":"Hospital stay with early walking and breathing exercises","after":{"min":0,"max":0,"unit":"days","qualifier":"Starts on surgery day; discharge usually 7-14 days later."}},{"code":"oral_diet_progression","label":"Staged return from nil by mouth or feeding tube to small oral meals","after":{"min":3,"max":14,"unit":"days","qualifier":"After surgery: timing depends on surgeon protocol and leak assessment; jejunostomy feeding may continue after discharge."}},{"code":"first_review","label":"First planned postoperative review with pathology discussion","after":{"min":7,"max":21,"unit":"days","qualifier":"After hospital discharge."}},{"code":"nutrition_oncology_review","label":"Review of nutrition, swallowing and adjuvant treatment planning","after":{"min":42,"max":90,"unit":"days","qualifier":"After surgery; adjuvant therapy depends on stage and pathology."}}],"qualifier":"Plan for uncomplicated cases; timing varies with neoadjuvant therapy, pathology and recovery."},"success":{"metric":"Complete tumor removal with negative margins (R0 resection)","value":92,"unit":"percent","horizon":"Final pathology after surgery","population":"Adults with resectable distal esophageal or GE-junction cancer, usually after neoadjuvant therapy","evidence_status":"limited"},"techniques":[{"name":"Minimally invasive Ivor Lewis esophagectomy (laparoscopic abdomen, thoracoscopic right chest) with gastric conduit and intrathoracic anastomosis","suits_whom":"Resectable distal esophageal or GEJ cancer in patients fit for one-lung ventilation, treated at experienced centers.","recovery":"Hospital stay about 7-14 nights; walking within the first days; ordinary diet over weeks."},{"name":"Open Ivor Lewis esophagectomy","suits_whom":"Larger or more complex tumors, prior surgery, or when minimally invasive surgery is not feasible or conversion is needed.","recovery":"Often more pain and a longer recovery than the minimally invasive approach."},{"name":"Robotic-assisted Ivor Lewis esophagectomy","suits_whom":"Suitable patients at centers with robotic expertise.","recovery":"Broadly similar to minimally invasive surgery."},{"name":"McKeown three-field or transhiatal esophagectomy","suits_whom":"Mid or upper tumors (McKeown), or selected patients avoiding thoracotomy (transhiatal); neck anastomosis.","recovery":"Different risk profile, including more recurrent laryngeal nerve injury and neck anastomotic leak."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":5,"max":8,"unit":"hours","qualifier":"Operating time with reconstruction; longer if converted to open surgery or findings are complex."},"initial_assessment_documents":["Endoscopy report with biopsy pathology","Staging CT scan of chest and abdomen","PET-CT report","Endoscopic ultrasound report (if available)","Neoadjuvant chemoradiotherapy records (if available)","Recent cardiac and lung function tests"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 4-6 weeks including hospital. Second trip possible if neoadjuvant therapy is done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that tests confirm the condition can be successfully treated with surgery","scope":"procedure","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-oesophagectomy--4148","host":"plymouthhospitals.nhs.uk","quote":"Firstly there are tests to check that the condition you have can be successfully treated with surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that assessments confirm you are well enough to undergo major surgery","scope":"procedure","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-oesophagectomy--4148","host":"plymouthhospitals.nhs.uk","quote":"Secondly there are assessments to see if you are well enough to undergo major surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that a consultant anesthetist gives 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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}}],"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":"Chest pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/services/thoracic-surgery","host":"my.clevelandclinic.org","quote":"Keep an eye out for chest pain, shortness of breath, bleeding, fever or problems with your incisions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/services/thoracic-surgery","host":"my.clevelandclinic.org","quote":"Keep an eye out for chest pain, shortness of breath, bleeding, fever or problems with your incisions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/services/thoracic-surgery","host":"my.clevelandclinic.org","quote":"Keep an eye out for chest pain, shortness of breath, bleeding, fever or problems with your incisions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Fever","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/services/thoracic-surgery","host":"my.clevelandclinic.org","quote":"Keep an eye out for chest pain, shortness of breath, bleeding, fever or problems with your incisions.","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":"The home doctor needs the report describing the disease removed during surgery","document":"histopathology report","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-living-well-after-your-oesophagectomy-4140/","host":"plymouthhospitals.nhs.uk","quote":"At this first appointment after your operation your surgeon will have the report from the histopathologist which will give a clearer picture of how the operation went and may enable the surgeon to tell you more about the stage of the disease removed.","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":"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}},{"id":"T4","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":"T5","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 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