Rambam Medical Center is a JCI-accredited academic hospital in Haifa, Israel. Recognized among Newsweek's World's Best Hospitals and Smart Hospitals. Its top specialties include pediatrics, bone marrow transplantation, and IVF – with Nobel Prize-winning doctors on staff.
Rambam Medical Center is a JCI-accredited academic hospital in Haifa, Israel. Recognized among Newsweek's World's Best Hospitals and Smart Hospitals. Its top specialties include pediatrics, bone marrow transplantation, and IVF – with Nobel Prize-winning doctors on staff.
Newsweek ranked Sheba Medical Center #7 among the world’s best hospitals for 2026, after eight consecutive years in the global Top 10. Its Sheba Pancreatic Cancer Center brings surgical oncology and integrated cancer care together. Options include NanoKnife IRE and minimally invasive procedures using the Da Vinci robotic system. A multidisciplinary tumor board includes oncologists, surgeons, pathologists, and radiologists. Sheba holds JCI and ISO accreditation.
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The operation removes parts of the pancreas, stomach, and bile ducts to treat pancreatic cancer.
"},"340":{"operation":{"name":"Distal Pancreatectomy","alias":"distal-pancreatectomy","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IL":{"amount":24000,"max_amount":36000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":13000,"max_amount":19500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14500,"max_amount":23500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":21000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"IL":false,"TR":true,"TH":false,"AT":false},"description":"The procedure involves removing the tail-end of the pancreas, to treat diseases like cancer, preventing further spread.
"},"476":{"operation":{"name":"Enucleation of tumor on pancreas","alias":"enucleation-of-tumor-on-pancreas","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":80000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IL":{"amount":17000,"max_amount":25000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":15500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":16500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":17500,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"IL":false,"TR":true,"TH":false,"AT":false},"description":"The procedure involves surgically removing pancreatic lumps, preserving organ function, and offering quicker recovery.
"},"727":{"operation":{"name":"Pancreatic cancer surgery ","alias":"pancreatic-cancer-surgery","use_for_listing":true},"country_price":{"US":{"amount":85000,"max_amount":135000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IL":{"amount":35000,"max_amount":52000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TR":{"amount":10000,"max_amount":15800,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":16000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":28000,"max_amount":46000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":true,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"AZ":true,"RO":true},"description":"The procedure removes malignant cells, aiming to alleviate symptoms, improve life quality, and increase survival rates.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"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 years of experience\nMedical oncologist, ESMO certified","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncology","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 desk work after uncomplicated Whipple; longer with adjuvant chemotherapy or complications."},"complication_rate_pct":{"min":40,"max":60,"unit":"percent","qualifier":"Any complication within 90 days after pancreatoduodenectomy; clinically relevant pancreatic fistula about 10-20%, mortality 1-3%."},"contraindications":["Distant metastatic disease (stage IV)","Unresectable locally advanced tumor with arterial encasement (SMA, celiac)","Unfit for major surgery (severe cardiopulmonary disease, poor status)","Uncontrolled sepsis or untreated biliary infection (relative; treat first)","Severe malnutrition not optimized (relative)"],"days_in_clinic":{"min":7,"max":14,"unit":"nights","qualifier":"Typical for open or minimally invasive pancreatoduodenectomy in uncomplicated course; complications prolong 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":"Walking earlier; heavy lifting and strenuous exercise after wound healing and surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to full functional recovery and stable digestion and weight; longer with complications or adjuvant chemotherapy."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"After discharge with drains removed and eating well; depends on surgeon clearance, complications and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Early postoperative check after discharge, including drain/wound review."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Pathology review and planning of adjuvant therapy."}},{"purpose":"assessment","requirement":"routine","after":{"min":84,"max":120,"unit":"days","qualifier":"Oncologic surveillance with clinical review, tumor markers and imaging."}}],"indications":["Resectable or borderline resectable pancreatic ductal adenocarcinoma without distant metastases","Resectable pancreatic neuroendocrine tumors and other malignant periampullary neoplasms","Locally advanced disease made resectable by neoadjuvant therapy"],"main_risks":["Postoperative pancreatic fistula","Delayed gastric emptying","Bleeding","Intra-abdominal abscess or wound infection","Biliary or enteric anastomotic leak","Diabetes or pancreatic exocrine insufficiency","Venous thromboembolism and cardiopulmonary complications","Postoperative mortality (higher in low-volume centers)"],"pain":"Moderate to severe pain in the first days after surgery, managed with epidural or IV/oral analgesia, then gradually easing over several weeks.","preparation":["Staging CT/MRI and multidisciplinary tumor board review","Biliary drainage only if needed (cholangitis, delayed surgery)","Cardiopulmonary and anesthetic fitness assessment","Nutritional assessment and optimization","Fasting before surgery per anesthesia instructions","Smoking and alcohol cessation","Discussion of medication management with the care team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-14)","description":"Pain control, gradual return to oral diet, drain management, mobilization and monitoring for fistula, bleeding or infection.","restrictions":["Early walking encouraged","Dietary progression under supervision"]},{"phase":"Early home recovery (weeks 2-6)","description":"Gradual increase in activity and appetite; pancreatic enzyme and glucose monitoring as needed; pathology review and adjuvant therapy planning.","restrictions":["No heavy lifting","Avoid driving while on opioids"]},{"phase":"Late recovery (weeks 6-12)","description":"Return to work and normal activity unless adjuvant chemotherapy is ongoing; weight and nutrition follow-up.","restrictions":["Gradual resumption of strenuous exercise after surgeon clearance"]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated pancreatoduodenectomy; longer with complications or adjuvant therapy."},"result_longevity":"Surgical resection and reconstruction are permanent, but cancer control varies with stage and margins. Recurrence is common, so long-term outcome depends on pathology and adjuvant therapy; enzyme replacement or diabetes management may be lifelong.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Unplanned reoperation or reintervention within 90 days, mainly for bleeding, leak or abscess."},"scars":"Open surgery leaves a midline or subcostal upper abdominal scar; laparoscopic or robotic approaches leave several small scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation (pancreatoduodenectomy); adjuvant or neoadjuvant therapy is separate."},"stages":[{"code":"resection_reconstruction","label":"Tumor resection with digestive reconstruction in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Describes the standard pancreatoduodenectomy for a pancreatic head tumor, performed in one operation."},"success":{"metric":"Median overall survival after resection plus adjuvant chemotherapy","value":28,"unit":"months","horizon":"Median, from surgery","population":"Adults with resectable pancreatic ductal adenocarcinoma without metastases, receiving adjuvant chemotherapy","evidence_status":"limited"},"techniques":[{"name":"Pancreatoduodenectomy (Whipple or pylorus-preserving)","suits_whom":"Tumors of the pancreatic head or uncinate process.","recovery":"Hospital stay about 1-2 weeks; return to normal activity over about 6-12 weeks."},{"name":"Distal pancreatectomy (usually with splenectomy)","suits_whom":"Tumors of the pancreatic body or tail.","recovery":"Often somewhat shorter hospital stay; recovery over weeks."},{"name":"Total pancreatectomy","suits_whom":"Extensive or multifocal tumors, or when a safe anastomosis is not possible.","recovery":"Longer recovery; lifelong insulin and enzyme replacement required."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Typical operating time for standard pancreatoduodenectomy; vascular resection or total pancreatectomy may take longer."},"initial_assessment_documents":["Contrast-enhanced pancreatic protocol CT scan","Abdominal MRI or MRCP","Biopsy or cytology report","CA 19-9 and other tumor marker results","Endoscopic ultrasound report (if available)","Recent blood tests including liver function"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay 2-3 weeks including hospital recovery. Follow-up and chemotherapy usually at home; second trip only for surveillance."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that a multidisciplinary team, not one surgeon alone, recommends your operation","scope":"procedure","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-whipple-operation-information-for-you-and-your-family-5958&rut=be533a60458e04a5855e2f547d78a32fd9203d86bc86eb560ac1f81ef4c7d3ae","host":"plymouthhospitals.nhs.uk","quote":"The recommendation for you to have a Whipple operation has come from the full ‘multi-disciplinary team’, consisting of pancreatic surgeons, oncologists (cancer specialists), radiologists (X-ray doctors) and specialist nurses; it will not be the recommendation of a single surgeon.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the team's skill and expertise, and how many patients it treats in one 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been given full information regarding the benefits and risks of the proposed operation, plus possible alternatives.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your individual risks are assessed, since risks differ for each patient","scope":"procedure","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-whipple-operation-information-for-you-and-your-family-5958&rut=be533a60458e04a5855e2f547d78a32fd9203d86bc86eb560ac1f81ef4c7d3ae","host":"plymouthhospitals.nhs.uk","quote":"Major surgery such as this places a strain on the body’s resources; the risks for any individual patient are different and are assessed person by person.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check a specialist team will monitor you for complications after surgery","scope":"procedure","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-whipple-operation-information-for-you-and-your-family-5958&rut=be533a60458e04a5855e2f547d78a32fd9203d86bc86eb560ac1f81ef4c7d3ae","host":"plymouthhospitals.nhs.uk","quote":"You will be under the care of a specialist team of doctors and nurses, who will monitor your condition to make sure that any complications that occur are treated as soon as possible.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check the surgeon’s qualifications and experience","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/specialist/","host":"nhs.uk","quote":"What qualifications and experience do they have?","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":"Consent pushed without time to 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38’C","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/services/pancreas-unit/what-is-the-pancreas/pancreas-surgery/","host":"leedsth.nhs.uk","quote":"– A fever (temperature above 38’C) Redness or leakage from the wound Nausea / vomiting Jaundice (yellowing of the skin) Any new or unexplained symptoms","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":"Shows injections the home doctor must continue for 28 days","document":"medicines list","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-whipple-operation-information-for-you-and-your-family-5958&rut=be533a60458e04a5855e2f547d78a32fd9203d86bc86eb560ac1f81ef4c7d3ae","host":"plymouthhospitals.nhs.uk","quote":"These injections are called Clexane and will need to continue for 28 days post-surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"It identifies the exact nature of the removed tissue and guides further treatment","document":"pathology report","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-whipple-operation-information-for-you-and-your-family-5958&rut=be533a60458e04a5855e2f547d78a32fd9203d86bc86eb560ac1f81ef4c7d3ae","host":"plymouthhospitals.nhs.uk","quote":"This is where specialist doctors look at the tissue under the microscope to determine the exact nature of the problem.","tier":"tier1_medical","fetched_at":"2026-11-13","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 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