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Surgery is a treatment option for numerous different stages of stomach cancer, particularly in its early stages. If a patient has a stage 0, I, II, or III cancer and is generally healthy enough, surgery often offers the only realistic chance for cure.
The aim of surgery is to remove all of cancer in the stomach while keeping as much normal tissue as possible. In some cases, some nearby tissues and lymph nodes may also be removed, depending on the stage and type of stomach cancer. Sometimes the surgeon may need to remove other organs as well.
There are several different types of surgery for stomach cancer. The type of surgery you have will depend on the type and stage of your cancer, as well as its location in your stomach.
Endoscopic resection
Endoscopic resection is used to treat very early-stage tumors that have not spread from the stomach walls. The goal of this procedure is to effectively remove the body of stomach cancer. For some people, this type of procedure is the only treatment needed.
During this procedure, no incision is made in the skin. Instead, your surgeon inserts a flexible tube with a small camera on its end (called an endoscope) through your mouth down into your stomach. Through the endoscope, surgical tools are passed to remove all cancerous tissue and some of the normal stomach wall around it.
Gastrectomy
Gastrectomy is carried out to remove part or all of the stomach while leaving as much healthy tissue as possible. The goal of the surgery is to completely remove cancer from the stomach, as well as the nearby lymph nodes. Gastrectomy is commonly performed on those whose stomach cancer has advanced. There are two types of gastrectomy:
Subtotal (partial) gastrectomy – this type of gastrectomy is usually recommended if the cancer is located only in the lower part of the stomach. Sometimes, it is used for cancers that are located only in the upper portion of the stomach as well. Subtotal gastrectomy involves removing part of the stomach, sometimes along with the first part of the small intestine or part of the esophagus. The surgeon may also remove part of the tissue that holds your stomach in place (the omentum). How much of your stomach and other organs removed depends on the position of cancer. After the surgery, you will have a smaller stomach.
Total gastrectomy – total gastrectomy is done if cancer has spread throughout the stomach. It is also recommended if the cancer is located near the esophagus in the upper part of the stomach or in the middle of the stomach. During the surgery, your surgeon removes the entire stomach, the omentum, nearby lymph nodes, and sometimes, parts of the nearby organs (such as the esophagus, pancreas, and intestines). In order to enable you to continue swallowing and eating normally, your surgeon then attaches the esophagus to part of the small intestine.
A gastrectomy, both subtotal and total, can be performed in three ways:
Laparotomy (open surgery) involves creating a large incision in the abdomen. This procedure may be needed if your abdomen contains scar tissue from previous surgery, making creating a small incision difficult.
Laparoscopy (keyhole surgery) involves making several tiny incisions in the skin above the abdomen. Through one incision, the surgeon inserts a laparoscope (a thin, lighted tube with a small camera on its end). Through the other incisions, the surgeon inserts small surgical tools to perform the surgery.
Robotic-assisted surgery uses a robotic surgical tool. The surgeon operates the robot using a console displaying a magnified 3-D image of the inside of your abdomen, which has been highlighted with a special fluorescent dye.
Placement of a feeding tube
After stomach cancer surgery, some patients experience trouble taking in enough nutrition. Other treatments, such as radiation therapy and chemotherapy can make the problem even worse. To help you take in enough nutrition, your surgeon can place a tube into the intestine during gastrectomy. The end of this tube remains on the outside of the skin. Through the end of the tube, you can put liquid nutrition directly into the intestine, preventing, and treating malnutrition.
Your length of stay depends on the type of surgery you underwent. In general, you need to stay in the hospital for a few days. Plan to stay in Germany for at least 7 days for initial recovery and follow-up checkups.
The recovery time can vary, depending on the type of surgery and the technique your surgeon used. After endoscopic resection, many patients are able to return to work 2-3 days after surgery. For gastrectomy, it generally takes around 4 to 6 weeks until you can resume your normal routine, including work. However, if your doctor uses the laparoscopic technique, the recovery period can be shorter.
Your surgeon will give you a set of post-operative instructions that you need to follow. These include wound care and medications to take. You may need to attend regular follow-up checkups to ensure cancer has not come back.
After stomach cancer surgery, you may need to change your diet and you’re eating patterns. You need to eat smaller, more frequent meals instead of three big meals a day, particularly after total gastrectomy. Your surgeon will advise you to eat a low-carb and high-protein diet to help you feel better after eating.
The success rate for stomach cancer surgery depends on the stage of cancer and the type of stomach cancer you have. In general, surgery is very effective, particularly in the early stages of stomach cancer.
As with any major surgery, stomach cancer surgery has risks and side effects. These include bleeding, infection, and damage to nearby organs.
In many cases, surgery is necessary to treat stomach cancer, so there are no other alternatives. However, your doctor may recommend radiation therapy, chemotherapy, or targeted therapy instead of surgery, but it often depends on the stage of cancer you have. These types of treatments are usually needed along with surgery.
Stomach cancer can be life-threatening and cause uncomfortable symptoms. After surgery, the symptoms you felt before should be gone and the chance of your cancer spreading to other organs is reduced. In some cases, you may also be put in remission, meaning no cancer is found in your body.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Germany, a titan in Central Europe and a vital constituent of the European Union, enjoys the reputation of having the finest healthcare system across the continent. Medical tourists often choose Germany due to its unrivaled service quality over cost, with Stomach Cancer Surgery procedures being the most in-demand.
Prices here exhibit a significant hike when compared to the neighboring countries of Poland and Hungary. Germany, despite housing just two JCI accredited facilities, places considerable trust in its local accreditation bodies.
This includes institutions such as the German Institute for Standardisation, the Telemedicine for the Mobile Society (TEMOS), and the Cooperation for Quality and Transparency in Healthcare (KTQ-GmBH). The language barrier is virtually non-existent as the majority of the doctors and medical staff exhibit proficiency in English. Beyond the capital city of Berlin, Munich, Hamburg, and Frankfurt are popular delectations among medical tourists.
Home to an approximate 83 million inhabitants, Germany stands tall as the second most populated nation in Europe. The country presents a fascinating blend of deep-rooted history and cutting-edge technology. Visitors can pay their respects at numerous WWII memorials and museums, bask in the allure of the country's picturesque natural landscapes, or surrender to the tantalizing array of culinary delights that Germany has to offer. Truly, Germany embraces diverse interests, ensuring every traveller finds something to cherish.
The four distinct seasons make Germany a year-round destination for tourists. The summer starts in June and ends in August. The average temperature is 24 °C, sometimes even as high as 30 °C. People tend to enjoy outdoor activities during this season. This is also the most popular time to visit and peak travel season, so prices can be higher than usual.
Autumn graces Germany in the months of September and October. During this time, the weather is comfortably warm, closely mirroring that of summer. However, by mid-November, a notable drop in temperatures can be expected. This period is particularly popular among tourists owing to the much-celebrated Oktoberfest.
Winter in Germany, which runs from December through February, can be chilling with temperatures dropping to as low as -10°C. Yet, the festive vibrancy brought on by the Christmas season often offsets the cold. Visitors planning a trip during winter must ensure to pack ample warm clothing for a comfortable experience.
Spring in Germany marks the delightful bloom of cherry blossoms and typically spans from March through May. The transition into this season often ushers in a rapid rise in temperatures, making it a beautiful and warm period to visit.
Frankfurt Airport is the largest airport in Germany. The airport serves domestic flights as well as international flights. It connects the country with almost every country in the world. The airport is the hub for Condor and Lufthansa. It also serves budget airlines such as Ryanair, Euro wings, Wizz Air. Düsseldorf International Airport and Munich Airport also receive their shares of international flights.
Train, bus, and taxi are the best options to get to the city center from Frankfurt Airport. A trip by train usually costs 4.65 EUR and takes around 40 minutes. Train tickets need to be punched, otherwise, you can get a 50 EUR fine. The bus costs 4.35 EUR and takes around 30 minutes. Buses that take tourists to the city center are No. 61, 77, 72, 58, 62, N81 and N7. Taxis are not very cheap, it will cost around 25 EUR and will take approximately 20 to 30 minutes to the city center.
As the creator of the first highway system, Germany has some of the best public transportation in the world. The public transportation is integrated with one ticket that gives tourists access to buses, trams, U-Bahn trains, and S-Bahn trains. A one-way fare starts from 2.90 EUR. It is better to get a one-day unlimited pass for 7 EUR or three days for 17 EUR.
Train travel is very efficient and affordable. Germany rail system has both high-speed trains and regular trains. High-speed trains are very fast but much more expensive. It’s advised to book train tickets in advance. Buses are the most cost-effective way to get around Germany although it is not as efficient as the train. Buses here are comfortable with air-conditioning and rest stops.
Taxis in Germany are expensive. All taxis are metered and start with a base fare of around 3.70 EUR. There is no Uber in the country, but tourists can use the MyTaxi App. If you want to get around the city, the best way is to rent a bicycle. Most cities are equipped with well-marked bicycle lanes.
Germany extends a cordial welcome to citizens from numerous nations, offering them visa-free entry. This privilege applies to travelers from Australia, New Zealand, Canada, Israel, Japan, Poland, the United States, and Switzerland, who are invited to stay for up to 90 days without the need for a visa.
Moreover, as a member of the European Union (EU), Germany adheres to the policy of open borders with its fellow EU nations. Consequently, EU citizens can freely travel to and enter Germany without any requirement for a visa. This ease of movement provides an added advantage for those wishing to visit Germany, whether for business, leisure, or medical purposes.
Citizens of other countries need a Schengen Visa. The application for a Schengen Visa must be filed with the embassy of the country of your primary destination. It is best to always check the requirements for Germany Visa Application before applying.