Prof. Ido Wolf has _doctor_1072_years_ of oncology experience with 100+ scientific publications and chairs Israel's National Cancer Council. The comprehensive package for pancreatic cancer may include Whipple surgery or radical pancreatectomy with 12 days hospitalization – 2 in ICU and 10 in general ward – plus pre-op testing and interpreter services. Sourasky Medical Center is JCI-accredited and ranked among the world's top 10 hospitals for medical tourism by Newsweek (2023).
Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.
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.
","text_type":"mt_wow_description","best_texts":{"techniques":"Whipple procedure, total pancreatectomy, NanoKnife IRE, Da Vinci robotic system","why_its_ranked":"Largest dedicated pancreatic cancer center in Israel. Performs Whipple and total pancreatectomy. Over 500 HIPEC procedures. Access to POLO trial for BRCA mutations."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1000,"price_to":1200,"currency":"USD","id":55783},"diagnostic":{"id":6,"name":"MRI of one area","alias":"mri-one-department"}},{"prices":{"price_from":1040,"price_to":0,"currency":"USD","id":55995},"diagnostic":{"id":455,"name":"Brain MRI","alias":"brain-mri"}},{"prices":{"price_from":220,"price_to":420,"currency":"USD","id":55784},"diagnostic":{"id":96,"name":"CT (computer tomography)","alias":"ct"}}],"reviews":[],"clinic":{"id":9,"alias":"sheba-medical-center","name":"Sheba Medical Center","short_description":"Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
Dr. Riad Hadad, head of the liver, pancreas, and gallbladder department at Assuta Medical Center, specializes in surgical treatment of gastrointestinal and liver cancers. He trained in gastrointestinal oncology at the University of Toronto and is a member of the European Society of Surgical Oncology. The clinic offers personalized treatment plans with patient choice in surgical options and accommodations.
Assuta Medical Center is the largest private medical complex in Israel, with 11 hospitals and 1,500 doctors. Its main specialties are oncology, surgery, cardiology, neurosurgery, gynecology, and IVF treatment. JCI-accredited since 2011, it was the first Israeli hospital to earn this recognition.
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
","images":[{"base_url":"clinic/6409a56465d06","title":"Hadassah Medical Center exterior in Jerusalem, modern hospital building amid greenery"},{"base_url":"clinic/5ab24ad394c58","title":"Hadassah Medical Center modern hospital building in Jerusalem, Israel"},{"base_url":"clinic/5ab24ad44ec1c","title":"Atrium with indoor garden at Hadassah Medical Center, Jerusalem"},{"base_url":"clinic/5ab24ad4ca399","title":"Modern operating room at Hadassah Medical Center with advanced surgical equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Israel","id":1,"alias":"israel","iso_code":"IL"},"city":{"name":"Jerusalem","id":3,"alias":"jerusalem"},"address":"Kiryat Hadassah ,p.o.b 12000, Jerusalem, 91120, Israel "},"rating":{"rating":4.2,"google":3.7,"percent_of_satisfied_clients":76},"statistics":{"number_of_reviews":13,"doctors_number":900,"year_foundation":1918},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb728103c6f.jpeg","name":"Nobel Peace Prize","country_code":"NO"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"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.
Da Vinci robotic surgery is available at Herzliya Medical Center, alongside minimally invasive laparoscopic techniques. A multidisciplinary team of oncologic surgeons handles pancreatic cancer surgery. The hospital reports 20,000+ surgeries each year and has 350 specialists. Its Israeli Ministry of Health patient safety score is 100, with an infection prevention score of 99. International patient support includes a personal coordinator, translation help, and VIP comfort.
","text_type":"mt_wow_description","best_texts":{"techniques":"Robotic surgery, laparoscopic surgery","why_its_ranked":"Uses Da Vinci robotic system for precise, minimally invasive pancreatic cancer surgery. Multidisciplinary team of oncologic surgeons manages each case."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":119,"alias":"herzliya-medical-center","name":"Herzliya Medical Center ","short_description":"Herzliya Medical Center is a private hospital with 350 specialists and 20,000 surgeries each year. It treats patients from 50 countries. Its strongest specialties are orthopedics, neurosurgery, and oncology.
Shaare Zedek Medical Center treats over 250,000 patients annually and features a dedicated oncology department. The hospital combines decades of experience with modern surgical techniques for pancreatic cancer.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":235,"alias":"shaare-zedek-medical-center","name":"Shaare Zedek Medical Center","short_description":"Shaare Zedek Medical Center is Jerusalem's top-ranked hospital and one of Israel's oldest, founded in 1902. It treats 600,000 patients across over 100 departments and specialties, including cardiology, maternity, and oncology. The hospital serves as a clinical base for Hebrew University and Ben-Gurion University.
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.
","text_type":"mt_wow_description","best_texts":{"techniques":"Whipple procedure, total pancreatectomy, NanoKnife IRE, Da Vinci robotic system","why_its_ranked":"Largest dedicated pancreatic cancer center in Israel. Performs Whipple and total pancreatectomy. Over 500 HIPEC procedures. Access to POLO trial for BRCA mutations."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1000,"price_to":1200,"currency":"USD","id":55783},"diagnostic":{"id":6,"name":"MRI of one area","alias":"mri-one-department"}},{"prices":{"price_from":1040,"price_to":0,"currency":"USD","id":55995},"diagnostic":{"id":455,"name":"Brain MRI","alias":"brain-mri"}},{"prices":{"price_from":220,"price_to":420,"currency":"USD","id":55784},"diagnostic":{"id":96,"name":"CT (computer tomography)","alias":"ct"}}],"reviews":[],"clinic":{"id":9,"alias":"sheba-medical-center","name":"Sheba Medical Center","short_description":"Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
Prof. Merimsky leads the Orthopedic Oncology Unit at Sourasky Medical Center, specializing in complex pancreatic cancer cases.
Dr. Ofer Merimsky heads the National Center for bone and soft tissue sarcomas at Sourasky Medical Center. He is a primary specialist in Israel for lung cancer and sarcoma treatment. Dr. Merimsky serves as Deputy Director of the Oncology Institute. He also specializes in complex Whipple surgery for pancreatic cancer cases. He works at JCI-accredited Sourasky Medical Center, ranked among the world's best hospitals by Newsweek.
Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.
Specializes in pancreatic cancer surgery, including the complex Whipple procedure, at Sourasky Medical Center (Ichilov).
Dr. Pelles Sharon is a clinical oncologist at Sourasky Medical Center in Israel. She specializes in gastrointestinal and hepatobiliary cancers. Dr. Sharon performs complex procedures like Whipple surgery and liver resections. She practices at a facility ranked among the top 10 clinics by Newsweek.
Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.
Dr. Ido Wolf is a specialist in Oncology, Internal Medicine, and the Army Medical Units with a degree from Ben Gurion University of the Negev. He is currently the Head of the Medical Oncology Division at Sourasky Medical Center and speaks English.
\n","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68ad6a68bc596.jpeg","name":"American Association for Cancer Research"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68ad6ad0efd30.jpeg","name":"American Society of Clinical Oncology"}]},"clinic":{"id":1,"alias":"sourasky-medical-center","name":"Sourasky Medical Center (Ichilov)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/1-6ac3c0e614474.png","short_description":"Sourasky Medical Center (Ichilov) is the largest multidisciplinary hospital in Israel and a JCI-accredited facility. It has been named a top medical tourism destination by Newsweek. Its core strengths are oncology, onco-hematology, neurosurgery, and rehabilitation.
Over 35+ years' experience in hematology and bone marrow transplantation – Prof. Nagler pioneered innovative transplant protocols at Sheba Medical Center.
Dr. Arnon Nagler is a hematologist at Sheba Medical Center in Israel. He is a professor at Tel Aviv University and a renowned transplant expert. Dr. Nagler founded Israel’s first public cord blood bank. He also performed the first cord blood transplantations in the country. He completed postdoctoral training at Stanford University and is board-certified in hematology.
Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
Recognized by Forbes as one of Israel's top physicians, Prof. Nachmany specializes in pancreatic cancer surgery at Sheba Medical Center.
Prof. Ido Nachmany heads the Second Surgical Department at Sheba Medical Center in Israel. He was recognized by Forbes as one of the country's top physicians. Prof. Nachmany specializes in robotic surgery for the liver, pancreas, and bile ducts. He focuses on treating gastrointestinal neuroendocrine tumors using minimally invasive techniques.
Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
15 years performing robotic-assisted prostatectomy using the da Vinci system
Dr. Almog Ben Yaacov is a senior surgical oncologist at Sheba Medical Center. He has performed over 200 HIPEC procedures for complex abdominal cancers. He focuses on treating gastric cancer, sarcoma, and colorectal malignancies. Dr. Ben Yaacov holds board certifications in both General Surgery and Surgical Oncology.
Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
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
","images":[{"base_url":"clinic/6409a56465d06","title":"Hadassah Medical Center exterior in Jerusalem, modern hospital building amid greenery"},{"base_url":"clinic/5ab24ad394c58","title":"Hadassah Medical Center modern hospital building in Jerusalem, Israel"},{"base_url":"clinic/5ab24ad44ec1c","title":"Atrium with indoor garden at Hadassah Medical Center, Jerusalem"},{"base_url":"clinic/5ab24ad4ca399","title":"Modern operating room at Hadassah Medical Center with advanced surgical equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Israel","id":1,"alias":"israel","iso_code":"IL"},"city":{"name":"Jerusalem","id":3,"alias":"jerusalem"},"address":"Kiryat Hadassah ,p.o.b 12000, Jerusalem, 91120, Israel "},"rating":{"rating":4.2,"google":3.7,"percent_of_satisfied_clients":76},"statistics":{"number_of_reviews":13,"doctors_number":900,"year_foundation":1918},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb728103c6f.jpeg","name":"Nobel Peace Prize","country_code":"NO"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}]}},{"doctor":{"id":1801,"alias":"riad-hadad","name":"Riad Hadad","clinic_id":8,"photo":"doctor/5d1b23d881b59","first_year_working":0,"created_at":"2019-07-02T09:24:40.000+00:00","short_description":"Dr. Riad Hadad heads the department for liver, pancreas, and gallbladder treatment at Assuta Medical Center. He is a surgeon and oncologist specializing in gastrointestinal and liver cancers. Dr. Hadad completed specialized oncology training at the University of Toronto in Canada.
Assuta Medical Center is the largest private medical complex in Israel, with 11 hospitals and 1,500 doctors. Its main specialties are oncology, surgery, cardiology, neurosurgery, gynecology, and IVF treatment. JCI-accredited since 2011, it was the first Israeli hospital to earn this recognition.
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.
","package_price":46000,"actual_price":46000,"calculated_price":{"from":0,"to":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":11673,"name":"Professor Ido Nachmany","alias":"ido-nachmany","photo":"doctor/69d822efe2393","first_year_working":1998,"short_description":"Prof. Ido Nachmany heads the Second Surgical Department at Sheba Medical Center in Israel. He was recognized by Forbes as one of the country's top physicians. Prof. Nachmany specializes in robotic surgery for the liver, pancreas, and bile ducts. He focuses on treating gastrointestinal neuroendocrine tumors using minimally invasive techniques.
Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
Prof. Ido Nachmany heads the Second Surgical Department at Sheba Medical Center in Israel. He was recognized by Forbes as one of the country's top physicians. Prof. Nachmany specializes in robotic surgery for the liver, pancreas, and bile ducts. He focuses on treating gastrointestinal neuroendocrine tumors using minimally invasive techniques.
Sheba Medical Center is the largest hospital in the Middle East and ranked 7th worldwide by Newsweek in 2026. It treats over 2 million patients annually and is a global leader in CAR-T and TIL immunotherapies. Core specialties include oncology, immunotherapy, precision medicine, and cardiology.
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 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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 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