Hadassah Medical Center performs over 35,000 surgeries annually with particular expertise in oncology, including pancreatic cancer procedures that may cost around $22,000. Dr. Auala Hubert, Head of the Gastrointestinal Cancer Center, brings _doctor_2820_years_ of specialized experience in gastrointestinal oncology and radiation therapy, trained at Hadassah University Hospital and holding USMLE certifications.
Hadassah Medical
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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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Dr. Auala Hubert leads the Gastrointestinal Cancer Center at Hadassah Medical Center. He is a senior oncologist and radiotherapist specializing in digestive system malignancies. He graduated from Hadassah University Hospital in Jerusalem. Dr. Hubert has over 30 years of clinical experience in radiotherapy and oncology.
Hadassah Medical
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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 place","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":"This is due to the increased skill and expertise of the multi-disciplinary team involved in all aspects of your care, and the increased number of patients being treated in one place.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check you get full information on benefits, risks and alternatives before signing consent","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":"No treatment can be given to you without your consent and before you are asked to sign you should have 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 examine information and ask questions","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/specialist/","host":"nhs.uk","quote":"This is to ensure you have plenty of time to examine any information about the procedure and ask questions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Surgery offered before tests, careful assessment and weighing of all options","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/specialist/","host":"nhs.uk","quote":"The consultant will make this decision after carrying out tests, making a careful assessment, and weighing up all the treatment options available to you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The surgeon does not provide qualifications or experience information","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},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Redness or leakage from the wound","urgency":"contact_clinic","general":false,"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}},{"id":"W2","text":"Nausea or vomiting","urgency":"contact_clinic","general":false,"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}},{"id":"W3","text":"Yellowing of the skin (jaundice)","urgency":"contact_clinic","general":false,"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}},{"id":"W4","text":"Fever with temperature above 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 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":"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":"T5","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer cannot be removed by surgery","name":"Chemotherapy","source":{"url":"https://www.nhs.uk/conditions/pancreatic-cancer/treatment/","host":"nhs.uk","quote":"to control symptoms if you're not able to have surgery because you are very unwell, or the cancer cannot be removed by surgery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":37}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"pancreatoduodenectomy","name":"Pancreatoduodenectomy (Whipple or pylorus-preserving)","how_it_works":{"text":"Surgery removes tumors in the head of the pancreas","source":{"url":"https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq","host":"cancer.gov","quote":"A Whipple procedure, also called pancreaticoduodenectomy, is surgery to remove tumors in the head of the pancreas.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"distal-pancreatectomy","name":"Distal pancreatectomy (usually with splenectomy)","how_it_works":{"text":"Surgery removes the body and tail of the pancreas","source":{"url":"https://www.cancer.gov/types/pancreatic/patient/pancreatic-treatment-pdq","host":"cancer.gov","quote":"Distal pancreatectomy is a surgery used for tumors in the body and tail of the pancreas.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"total-pancreatectomy","name":"Total pancreatectomy","how_it_works":{"text":"Surgery removes the entire pancreas and several nearby organs","source":{"url":"https://www.royalmarsden.nhs.uk/private-care/news-and-blogs/treating-pancreatic-cancer-what-are-my-options","host":"royalmarsden.nhs.uk","quote":"Total pancreatectomy – This operation involves removing the whole pancreas, duodenum, part of the stomach, gallbladder, part of the bile duct, spleen, and some lymph nodes.","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=israel/city=ierusalim/procedure=operacia-pri-rake-podzeludocnoj-zelezy/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":5,"name":"Ramat 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