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Plastic surgeon Oleg S. Tkach, can be found in Kyiv, Kiev, Ukraine and offers its patients Stomach Cancer Surgery procedures as well as 17 other procedures, across 6 different procedure categories. At present, there is no pricing information for Stomach Cancer Surgery procedures at Plastic surgeon Oleg S. Tkach. The pricing information is quite specialised, so it's only available on request. The lead specialist at the Hospital will be carrying out all the treatments, and Plastic surgeon Oleg S. Tkach is not accredited by any recognised accreditations institutions.
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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 Kiev 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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Kiev or Kyiv is the capital of Ukraine and is one of the oldest cities in Eastern Europe. It is an important educational, cultural, industrial, and scientific center. The city is overflowing with beauty, from religious history, astonishing architecture, vintage cafes, to urban art.
Kiev sees an increasing number of medical tourists each year and the city even hosts an annual medical tourism fair called The Healthcare Travel Expo. The fair gives an opportunity for medical services to present and inform health care. Visitors can get comprehensive information about medical tourism around the world, particularly in Kiev.
The city offers a wide range of medical treatments with almost no waiting list. Affordable treatments that cost significantly less than other European countries are a strong factor in Kiev’s medical tourism. The city also offers experienced doctors, caring staff, as well as world-class clinics and hospitals. One of the best medical facilities in Kiev is Dobro Clinic. Breast Augmentation procedures, dentistry, and laser eye surgery are among the most sought after medical procedures.
Kiev is a magical city. The city is plagued with its history and filled with golden dome churches. It is also known to be a good value. Tourists can dine in restaurants and drink at cocktail bars for a fraction of what they would cost in the West. Kiev is fast becoming a thriving tourist destination.
Kiev has a humid continental climate.
Located 29km east of Kiev, Boryspil International Airport is the largest airport in the city. The airport serves domestic flights connects the city with Europe and several cities in Asia. Boryspil International Airport is the hub for Ukraine International Airlines and serves budget airlines including Lauda, Ryanair, and Sky Up airlines.
Airport taxis are available for tourists who want to go to the city center. The taxis use meters and are relatively cheap. Some taxis accept payment by credit cards. Buses are a more affordable option to get to the city center; Sky Bus departs from Terminal D and Terminal B. The bus will take tourists from Boryspil International Airport and should cost around 60 UAH or 100 UAH depending on the destination.
Taxis are easily available in Kiev but metered taxis are very rare. Make sure to agree on the fare before getting in. A long journey in Kiev should cost around 70 UAH. Shortstops start from 15 to 20 UAH. Taxis can be ordered by phone, and the prices are usually fixed. Uber and Uklon are available in Kiev.
Trolleybuses, trams, and buses are a nice way to get around Kiev while providing a better view of everyday Ukrainian life. Single tickets can be purchased from the street kiosk; 30-day combo-passes are also available. The Kiev Metro is the least expensive and most reliable mode of transport. There are three metro lines that go through the city center. Maps in metro stations are written in both Ukrainian and English.
Citizens of the European Union, Canada, the United States, and several other nations are granted visa-free entry and can stay in Kiev for up to 90 days. Other countries nationals (including China, India, and Thailand) need to apply and obtain a visa before entering the country. Visa-on-arrival arrangements are available for tourists at major airports and seaports. e-Visa is also available for only 52 specified countries. All visitors need to have a passport valid for at least 3 months after the intended date of departure from Ukraine.