Hospital HM Nou Delfos is part of Spain's largest hospital network, providing advanced thoracic surgery including pneumonectomy with access to cutting-edge diagnostics like EOS, CT, and MRI. The clinic collaborates with Institut Guttmann for post-surgical rehabilitation, holding JCI, AQU Catalunya, and ISO quality certifications. Dr. Rodrigo Rocamora leads the epilepsy department, bringing expertise from his PhD at Bonn University and over 100 published articles on neurological conditions.
Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.
Dr. Rodrigo Rocamora is a neurologist who leads the epilepsy department at Hospital HM Nou Delfos. In 2019, he headed the team performing Spain's first laser interstitial thermal therapy for epilepsy. He focuses on drug-resistant epilepsy, sleep relations, and complex neurological syndromes. Dr. Rocamora is a professor at UPF University and a PhD graduate from Bonn University.
Hospital HM Nou Delfos is part of HM Hospitals, the largest private hospital network in Spain. This comprehensive medical-surgical center in Barcelona specializes in surgery, oncology, orthopedics, and cardiology. It holds EFQM excellence recognition and TÜV NORD ISO 9001 certification.
The operation removes an entire lung to treat lung diseases, enhancing breathing capacity and overall health.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"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":"Sedentary work after open or thoracoscopic surgery; physical jobs take longer, depending on cardiopulmonary reserve."},"complication_rate_pct":{"min":40,"max":60,"unit":"percent","qualifier":"Any postoperative complication within 90 days, mostly arrhythmia and pulmonary; major ones about 15-25%."},"contraindications":["Inadequate predicted postoperative lung function (FEV1, DLCO) or cardiopulmonary reserve","Severe pulmonary hypertension or significant right heart dysfunction","Recent myocardial infarction or unstable cardiac disease","Unresectable disease: extensive mediastinal invasion or distant metastases (cancer)","Severe uncontrolled comorbidity or poor performance status","Active uncontrolled infection outside the planned resection (relative)"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Typical uncomplicated inpatient stay including chest drain management and monitoring; longer if complications occur."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":12,"unit":"weeks","qualifier":"Walking early; strenuous activity and heavy lifting after about 2-3 months, with permanently reduced capacity."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Time to stable functional recovery and adaptation of breathing capacity; oncologic outcome is assessed separately."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"After discharge (day 5-10), flying usually cleared once chest imaging is stable, no air leak, and oxygen levels are adequate."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"First postoperative review with wound check and chest imaging, typical timing."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Surgical review with chest radiograph and symptom assessment."}},{"purpose":"result_review","requirement":"conditional","after":{"min":60,"max":120,"unit":"days","qualifier":"Pathology review and oncology planning or surveillance when performed for cancer."}}],"indications":["Central NSCLC not treatable by lobectomy or sleeve resection","Locally advanced lung cancer after multimodality treatment in selected patients","Destroyed lung from tuberculosis, bronchiectasis or chronic infection","Massive hemoptysis or uncontrollable infection localized to one lung","Selected malignant pleural mesothelioma (extrapleural pneumonectomy) in specialized centers","Extensive central trauma or vascular injury to the lung hilum"],"main_risks":["Postoperative arrhythmia, notably atrial fibrillation","Bronchopleural fistula","Empyema of the pneumonectomy space","Respiratory failure, pneumonia or ARDS","Postpneumonectomy pulmonary edema","Bleeding and need for reoperation","Right heart strain and pulmonary hypertension","Chronic post-thoracotomy pain","Cardiac herniation or mediastinal shift (rare)","Recurrent laryngeal nerve injury","Perioperative mortality, higher than for lobectomy"],"pain":"Moderate to severe pain in the first days, managed with epidural or paravertebral block or multimodal analgesia; improves over several weeks, though chronic post-thoracotomy pain can persist in some patients.","preparation":["CT, PET-CT and mediastinal staging when cancer suspected","Lung function tests with DLCO, predicted postoperative values, perfusion scan","Cardiac assessment (ECG, echocardiography, stress testing)","Smoking cessation and optimization of comorbidities","Preoperative anesthesia assessment and fasting","Respiratory physiotherapy training and prehabilitation","Multidisciplinary tumor board review for cancer cases"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Monitoring, chest drain management, pain control, early mobilization and breathing exercises; fluid intake kept cautious to avoid pulmonary edema.","restrictions":["Limited fluids as directed","No lifting","Close monitoring of heart rhythm and oxygen"]},{"phase":"Early home recovery (weeks 2-6)","description":"Gradual increase in walking; fatigue and breathlessness on exertion are common; wound and pain improve.","restrictions":["No heavy lifting or strenuous exertion","No driving while on opioids or until comfortable"]},{"phase":"Return to activity (weeks 6-12)","description":"Return to sedentary work and progressive exercise; pulmonary rehabilitation often helpful.","restrictions":["Avoid heavy lifting until cleared by surgeon"]},{"phase":"Late recovery (3-12 months)","description":"Stabilization of exercise capacity with a permanently reduced lung reserve.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated pneumonectomy; pulmonary rehabilitation may extend longer."},"result_longevity":"Removal of the lung is permanent, as is the reduced breathing capacity. Functional adaptation stabilizes within about 3-12 months. Long-term outcome for cancer depends on stage and pathology, not on the operation alone.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Unplanned return to theatre within 30-90 days, mainly for bleeding, bronchopleural fistula or empyema."},"scars":"Open posterolateral or anterolateral thoracotomy leaves a long chest-wall scar of about 15-25 cm; minimally invasive approaches use several small incisions plus a utility incision, though pneumonectomy is less commonly done that way.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; any adjuvant or neoadjuvant therapy is separate."},"stages":[{"code":"pneumonectomy","label":"Single-stage removal of the entire lung","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standalone single-stage surgery."},"success":{"metric":"90-day survival after surgery","value":92,"unit":"percent","horizon":"90 days after surgery","population":"Adults selected for pneumonectomy, mostly for lung cancer, with adequate cardiopulmonary reserve","evidence_status":"limited"},"techniques":[{"name":"Open pneumonectomy via posterolateral thoracotomy","suits_whom":"Most patients, especially with central tumors or hilar involvement requiring wide access.","recovery":"Hospital stay about 5-10 days; return to work about 6-12 weeks."},{"name":"Video-assisted or robotic pneumonectomy","suits_whom":"Carefully selected patients at experienced centers with tumors suitable for minimally invasive access.","recovery":"May lessen pain and shorten stay, but overall recovery remains weeks to months."},{"name":"Extrapleural pneumonectomy (with pleura, pericardium and diaphragm resection)","suits_whom":"Rare, highly selected mesothelioma cases in specialized centers.","recovery":"Longer and more demanding recovery than standard pneumonectomy."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operative time for a standard uncomplicated single pneumonectomy; longer for extended or redo resections."},"initial_assessment_documents":["Chest CT scan report and images","PET-CT report","Biopsy and pathology report","Pulmonary function tests with DLCO","Echocardiogram or cardiac stress test report","Quantitative lung perfusion scan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip usually suffices: surgery, 5-10 nights inpatient, then 2-4 weeks nearby before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the facility maintains rigorous infection control and adequate follow-up care","scope":"treatment_abroad","source":{"url":"https://stacks.cdc.gov/view/cdc/115458/cdc_115458_DS2.xml","host":"stacks.cdc.gov","quote":"Facilities may not maintain provider licensure, track 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