Advance Health Medical Center in Tijuana offers treatment at 3–4 times lower cost than US clinics. Core specialties are spinal surgery, ophthalmology, and obstetrics/gynecology. It holds AMCPER accreditation from Mexico's plastic surgery association.
Advance Health Medical Center in Tijuana offers treatment at 3–4 times lower cost than US clinics. Core specialties are spinal surgery, ophthalmology, and obstetrics/gynecology. It holds AMCPER accreditation from Mexico's plastic surgery association.
IMED - Elche is an ISO-certified hospital in Alicante, Spain. It specializes in pediatric neurosurgery, neurology, and therapy. Patients from the US, Canada, and the UK choose it for reliable care.
IMED - Elche is an ISO-certified hospital in Alicante, Spain. It specializes in pediatric neurosurgery, neurology, and therapy. Patients from the US, Canada, and the UK choose it for reliable care.
Phuket Plastic Surgery Institute is a JCI-accredited plastic surgery clinic. It specializes in aesthetic, reconstructive, breast, and gender affirmation surgery. Winner of the International Finance Health Care Award for aesthetic plastic surgery.
Phuket Plastic Surgery Institute is a JCI-accredited plastic surgery clinic. It specializes in aesthetic, reconstructive, breast, and gender affirmation surgery. Winner of the International Finance Health Care Award for aesthetic plastic surgery.
Aster Medcity is a JCI and NABH-accredited hospital in Kochi, India. Its strongest specialties are pediatric neurosurgery, neurology, and dentistry. Prices here are 3-4 times lower than in US clinics.
Aster Medcity is a JCI and NABH-accredited hospital in Kochi, India. Its strongest specialties are pediatric neurosurgery, neurology, and dentistry. Prices here are 3-4 times lower than in US clinics.
Hospital Real San Jose offers prices up to 4 times lower than US hospitals for the same procedures. Patients from the United States, Canada, and the UK choose this Guadalajara hospital for neurosurgery, mammology, and gastroenterology. Its quality is certified by the Consejo de Salubridad General (CSG).
Hospital Real San Jose offers prices up to 4 times lower than US hospitals for the same procedures. Patients from the United States, Canada, and the UK choose this Guadalajara hospital for neurosurgery, mammology, and gastroenterology. Its quality is certified by the Consejo de Salubridad General (CSG).
IMED - Levante is an ISO-accredited medical center in Alicante, Spain. Its core strengths are pediatric neurosurgery, neurology, and therapy. Prices run 3 to 4 times lower than in US clinics.
IMED - Levante is an ISO-accredited medical center in Alicante, Spain. Its core strengths are pediatric neurosurgery, neurology, and therapy. Prices run 3 to 4 times lower than in US clinics.
Hospital San José Tecnológico de Monterrey is a JCI-accredited multispecialty hospital with top specialties in neurology, dentistry, and weight loss surgery. Prices run 3–4 times lower than US clinics. Patients come from the United States, Canada, and the UK.
Hospital San José Tecnológico de Monterrey is a JCI-accredited multispecialty hospital with top specialties in neurology, dentistry, and weight loss surgery. Prices run 3–4 times lower than US clinics. Patients come from the United States, Canada, and the UK.
Avicenna Med Medical Center in Kyiv handles over 5,000 patients and 1,000 surgeries each year. It focuses on bariatric surgery, gynecology, urology, and plastic surgery. The clinic uses 3D laparoscopic techniques for faster recovery.
Avicenna Med Medical Center in Kyiv handles over 5,000 patients and 1,000 surgeries each year. It focuses on bariatric surgery, gynecology, urology, and plastic surgery. The clinic uses 3D laparoscopic techniques for faster recovery.
SYSTEM HOSPITAL is a private multi-specialty medical center in Kayseri, Turkey. It treats 50,000 patients each year, both adults and children. Its strongest areas are neurosurgery, orthopedics, weight loss surgery, and reproductology.
SYSTEM HOSPITAL is a private multi-specialty medical center in Kayseri, Turkey. It treats 50,000 patients each year, both adults and children. Its strongest areas are neurosurgery, orthopedics, weight loss surgery, and reproductology.
Dr. Raj Nagarkar has performed 50,000+ cancer surgeries, specializing in gastrointestinal oncology with _doctor_2241_years_ of experience. The NABH-accredited HCG Manavata Cancer Centre offers comprehensive stomach cancer treatment with a team of 40+ oncologists and 700+ trained staff.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Hisar Hospital Intercontinental holds JCI accreditation for quality and safety. A PET/CT scan typically costs around $700. This price covers the procedure, hospital transfers, and a professional interpreter. A combined package including an oncologist consultation costs around $900. Dr. Mustafa Solak oversees oncology cases with over 15 years of experience. He completed an international fellowship at the MD Anderson Cancer Center. Patients must refrain from eating for 8 hours before this outpatient exam.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Liv Bona Dea Hospital Baku holds a JCI accreditation with 100% compliance for patient safety. A PET/CT scan here typically costs around $1,000. This scan serves as a mandatory step in the oncology pathway at the facility. The 37,500 square meter hospital has dedicated oncology and radiology departments on site. It is part of the Turkish Liv Hospital brand. Patients can also get oncology consultations and pathology re-reviews at the same location. This facility has 156 beds, including 28 for intensive care.
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50,000+ cancer surgeries performed – Dr. Raj Nagarkar brings vast expertise to stomach cancer surgery at HCG Manavata Cancer Centre.
Dr. Raj Nagarkar has performed over 50,000 cancer surgeries at HCG Manavata Cancer Centre. He specializes in breast and thoracic surgical oncology. Dr. Nagarkar trained at the prestigious Tata Memorial Hospital in Mumbai. He is a Member of the Royal College of Surgeons in Edinburgh.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Borde has handled 30,000+ PET scans and 1,000 thyroid cancer patients, demonstrating extensive experience in nuclear medicine.
The doctor is an experienced nuclear medicine specialist at HCG Manavata Cancer Centre with 12 years in the field. The doctor specializes in various nuclear scans, PET-CT scans, and nuclear cardiology services, demonstrating proficiency in radioiodine and Lu-177 RN therapies. Over the course of their career, the doctor has managed more than 30,000 PET scans and treated over 1,000 thyroid cancer patients. Additionally, the doctor has contributed to the field through published papers in various medical journals.
","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10},{"id":"onc.005","name":"Radiation oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1249,"alias":"hcg-manavata-cancer-centre","name":"HCG Manavata Cancer Centre","short_description":"HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shruti Kate specializes in advanced stomach cancer surgery, including the Whipple procedure, at HCG Manavata Cancer Centre.
Dr. Shruti Kate is a medical oncologist at HCG Manavata Cancer Centre in Nashik. She previously worked as a consultant at the Tata Memorial Hospital in Mumbai. Dr. Kate focuses on immunotherapy and metronomic therapy for treating solid and pediatric tumors. She was the sole recipient from India of the 2018 World Conference on Lung Cancer award.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Prof. Serkan Keskin brings 24 years of oncology experience with 900+ gastric procedures performed. Stomach cancer surgery at Memorial Şişli may cost around $10,690–25,000 – typically covering the procedure, 5-7 nights, pathology tests, and transfers. The hospital holds JCI accreditation – Turkey's first – and follows NCCN/ESMO protocols. Prof. Keskin ranked first in Turkey's national oncology exam and has 42 international publications.
","package_price":27780,"actual_price":27780,"calculated_price":{"from":0,"to":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":11566,"name":"Mert Tanal","alias":"mert-tanal","photo":"doctor/69c6270729067","first_year_working":2021,"short_description":"Dr. Mert Tanal is a general surgeon at Memorial Şişli Hospital in Istanbul. He earned the European Board of Surgery Qualification (EBSQ), a prestigious professional standard in Europe. Dr. Tanal is an active member of the American College of Surgeons.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":436},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}}},{"image_count":0,"images":[],"offer":{"id":"6a56604f5c611489b9bdb2cf","name":"Radical Total Gastrectomy (Including Splenectomy and Minimum D2 Lymph Node Dissection)","type":"procedure","tags":[],"for_who":"Memorial Bahçelievler Hospital holds JCI accreditation and was the first in Turkey to earn LEED Platinum status. Each case undergoes a multidisciplinary oncology council review to build a personalized roadmap. Prof. Dr. Kezban Nur Pilanci oversees the medical oncology protocols, including a structured 6-cycle chemotherapy regimen. Surgeons here perform stomach cancer surgery using the Da Vinci robotic system or laparoscopic techniques. These minimally invasive approaches help speed up recovery after the procedure.
Dr. Erman Aytac is a professor of surgery at Memorial Bahçelievler Hospital. He specializes in colorectal surgery, digestive oncology, and inflammatory bowel diseases. Dr. Aytac completed a prestigious fellowship at the Cleveland Clinic Digestive Diseases Institute.
Memorial Bahçelievler Hospital is Turkey’s first LEED Platinum-certified hospital. It is part of the country’s largest healthcare network, Memorial Healthcare Group. Its core specialties include oncology, cardiovascular surgery, orthopedics, and robotic surgery.
Dr. Koray Karabulut is a general surgeon at Memorial Göztepe Hospital in Istanbul. He specializes in liver transplantation and robotic HPB surgery. He completed a research fellowship in liver tumors at the Cleveland Clinic. He also trained in minimally invasive surgery at IRCAD in France.
Memorial Göztepe Hospital is the 13th hospital of the Memorial Health Group, with over 25 years of experience. Its main specialties are cancer care, cardiovascular care, orthopedics, and neurology. The hospital spans 81,000 m² with 127 outpatient clinics and 19 operating rooms.
This operation removes stomach tumors, helping curb cancer spread and alleviate symptoms, aiding overall survival and wellbeing.
"},"156":{"operation":{"name":"Omentectomy ","alias":"omentectomy","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5500,"max_amount":7200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4200,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":false},"description":"The operation removes the fatty layer in the abdomen, known as omentum, to treat or prevent abdominal diseases.
"},"216":{"operation":{"name":"Esophagectomy","alias":"esophagectomy","use_for_listing":true},"country_price":{"US":{"amount":85000,"max_amount":125000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":25000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":20000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":56000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":26000,"max_amount":35000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The procedure involves removing a part of the esophagus to treat various abnormalities, ensuring improved swallowing ability.
"},"468":{"operation":{"name":"Gastroenterostomy","alias":"gastroenterostomy","use_for_listing":false},"country_price":{"US":{"amount":38000,"max_amount":64000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":16000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":8800,"max_amount":18000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The procedure connects stomach and small intestine, aiding digestion by bypassing a blocked or diseased area of the stomach.
"},"719":{"operation":{"name":"Gastroectomy","alias":"gastroectomy","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"},"TR":{"amount":6000,"max_amount":26000,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":14500,"max_amount":23500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":24000,"max_amount":37000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":10500,"max_amount":25500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The operation removes all or part of your stomach to treat stomach diseases, improving your quality of life.
"},"720":{"operation":{"name":"Da Vinci gastroectomy ","alias":"da-vinci-gastroectomy","use_for_listing":true},"country_price":{"US":{"amount":48000,"max_amount":78000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":21500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":15500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":21000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":13300,"max_amount":23000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"This surgery, done robotically, targets stomach problems by removing parts or whole of it, offering precision and quick recovery.
"},"741":{"operation":{"name":"Resection of the esophagus","alias":"resection-of-the-esophagus","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":145000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":26900,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":26000,"max_amount":41000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":22000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":false},"description":"The operation involves removing part of the food pipe to treat specific diseases.
"}}},"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","regional"],"back_to_work_days":{"min":28,"max":60,"unit":"days","qualifier":"After open or laparoscopic gastrectomy; desk work may resume sooner than physical work; adjuvant chemotherapy can delay return."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; major leak, bleeding or abscess about 3-10%."},"contraindications":["Distant metastases making curative resection impossible","Unacceptable cardiopulmonary or operative risk (relative; multidisciplinary assessment)","Uncorrectable severe coagulopathy","Locally unresectable invasion of critical structures"],"days_in_clinic":{"min":6,"max":10,"unit":"nights","qualifier":"Typical uncomplicated gastrectomy with enhanced recovery care; longer if complications or extended lymphadenectomy."},"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":"Light walking early; heavy lifting and strenuous exercise after surgeon clearance, often after about 6 weeks or more."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Digestion and weight stabilize over months; depends on resection extent (total vs distal) and adjuvant chemotherapy."},"fly_home_after_days":{"min":9,"max":14,"unit":"days","qualifier":"Counted from surgery, after discharge and clearance; depends on thrombosis risk, oral intake, complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative review, often with pathology results."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":35,"unit":"days","qualifier":"Pathology review and planning of adjuvant treatment if indicated."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Oncologic and nutritional surveillance; schedule varies by stage and protocol."}}],"indications":["Resectable gastric adenocarcinoma","Early gastric cancer unsuitable for endoscopic resection","Selected palliative cases such as bleeding or obstruction"],"main_risks":["Anastomotic or duodenal stump leak","Infection, abscess, wound complications","Bleeding","Pneumonia and thromboembolism","Delayed gastric emptying","Dumping syndrome, reflux, weight loss and malnutrition","Vitamin B12 and iron deficiency (especially after total gastrectomy)","Anastomotic stricture"],"pain":"Moderate to significant postoperative pain for the first several days, managed with multimodal analgesia (epidural or regional blocks, oral/IV analgesics); less with laparoscopic approach.","preparation":["Staging (endoscopy with biopsy, CT, sometimes EUS or laparoscopy)","Multidisciplinary tumor board review","Nutritional assessment and optimization","Cardiopulmonary and anesthesia assessment","Smoking cessation and prehabilitation where possible","Fasting before surgery per anesthesia team instructions","Review of current medications with the care team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Early mobilization, gradual return to oral intake, monitoring for leaks and complications.","restrictions":["Progressive diet from liquids","No heavy lifting"]},{"phase":"Early home recovery (days 10-42)","description":"Small frequent meals, wound healing, fatigue improving; pathology review and adjuvant therapy planning.","restrictions":["No lifting over about 5 kg","Avoid strenuous activity"]},{"phase":"Late recovery (weeks 6-12)","description":"Gradual return to normal activity and diet adaptation; nutritional supplementation as needed.","restrictions":["Increase exercise gradually after surgeon clearance"]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated gastrectomy; dietary adaptation may continue longer."},"result_longevity":"Anatomical changes are lifelong. Long-term outcome depends on cancer stage, margins and adjuvant therapy; recurrence is possible, so surveillance is needed for at least 5 years.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned reoperation within 30-90 days, mainly for leak, bleeding or obstruction."},"scars":"Midline or upper abdominal incision scar after open surgery; several small port-site scars after laparoscopic or robotic surgery, plus a small extraction incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; perioperative chemotherapy is separate and not included."},"stages":[{"code":"gastrectomy","label":"Partial or total gastrectomy with lymphadenectomy and reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operative session."}}],"qualifier":"Uncomplicated primary curative gastrectomy."},"success":{"metric":"5-year overall survival after curative gastrectomy","value":60,"unit":"percent","horizon":"5 years","population":"Adults with resectable gastric adenocarcinoma, all stages combined, treated with curative intent","evidence_status":"limited"},"techniques":[{"name":"Total gastrectomy with Roux-en-Y reconstruction","suits_whom":"Patients with proximal or middle-stomach tumors or diffuse-type cancer.","recovery":"Longer recovery and greater nutritional impact."},{"name":"Distal (subtotal) gastrectomy","suits_whom":"Patients with distal tumors where an adequate margin allows a proximal remnant.","recovery":"Generally faster recovery with better nutrition than total gastrectomy."},{"name":"Laparoscopic or robotic gastrectomy","suits_whom":"Selected patients, particularly early or less advanced tumors, in experienced centers.","recovery":"Often shorter hospital stay and less pain than open surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operative time for a single gastrectomy with lymphadenectomy and reconstruction."},"initial_assessment_documents":["Gastroscopy report with biopsy pathology","Contrast-enhanced CT scan of chest and abdomen","Endoscopic ultrasound report (if available)","PET-CT report (if available)","Recent blood tests including hemoglobin and albumin","HER2 and MSI status report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 10-14 days including recovery before flight. Second trip only for surveillance or adjuvant care."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many total gastrectomy operations the surgeon performs each year","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"How many total gastrectomy operations do you perform each year?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask the surgeon for their personal complication rate with this operation","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"What is your personal complication rate with this operation?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Ask whether the surgeon checks margins in the operating room to confirm all gastric tissue is removed","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Do you check margins in the operating room to confirm that all gastric tissue has been removed?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask whether the surgeon routinely places a feeding tube during this operation","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Do you routinely place a feeding tube during this operation?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask who will be responsible for your post-gastrectomy care if the surgeon is not your follow-up contact","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"If the surgeon will not be your primary point of contact for follow-up after surgery, make sure to ask who will be responsible for your post-gastrectomy care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask whether you can speak with other patients who had this operation with the surgeon","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Can I speak to other patients who have had this operation with you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Ask whether a registered dietitian is available before surgery","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Will I meet with a registered dietitian before surgery?","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":"Surgeon avoids giving their own complication figures when asked about them","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Most surgeons keep track of their own complications, or their hospital likely does, and they will be forthcoming about their own outcomes and how they manage them.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No dietitian meeting is offered before surgery, though it matters as much as 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