Cost of Pancreatectomy in Major cities of Turkey
| City | Minimum Cost (USD) | Minimum Cost (TRY) | Maximum Cost (USD) | Maximum Cost (TRY) |
|---|---|---|---|---|
| Ankara | USD 15000 | 667500 | USD 32000 | 1424000 |
| Antalya | USD 15000 | 667500 | USD 32000 | 1424000 |
| Bursa | USD 15000 | 667500 | USD 32000 | 1424000 |
| Canakkale | USD 13500 | 600750 | USD 28800 | 1281600 |
| Elazig | USD 13500 | 600750 | USD 28800 | 1281600 |
| Fethiye | USD 13500 | 600750 | USD 28800 | 1281600 |
| Istanbul | USD 15000 | 667500 | USD 32000 | 1424000 |
| Kocaeli | USD 15000 | 667500 | USD 32000 | 1424000 |
| Konya | USD 15000 | 667500 | USD 32000 | 1424000 |
| Samsun | USD 15000 | 667500 | USD 32000 | 1424000 |
| Sivas | USD 13500 | 600750 | USD 28800 | 1281600 |
| Tokat | USD 13500 | 600750 | USD 28800 | 1281600 |
| Trabzon | USD 13500 | 600750 | USD 28800 | 1281600 |
| Zonguldak | USD 13500 | 600750 | USD 28800 | 1281600 |
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The pancreatic cancer is found to be one of the fatal forms of gastrointestinal malignancy. But then fortunately selective group of patients do experience the benefits of a pancreatectomy surgical procedure when performed by skilled and experienced surgeons. In the recent years 5-10% decrease has been observed in the rate of mortality depending on how extensive the surgery was and the experience of the surgeon. At John Hopkins Medical Institution Baltimore a study revealed the death of 1.4% patient due to total pancreatectomy complications.
About the ailment
The total pancreatectomy procedure is very effective as pancreatic cancer treatment. Pancreas is an organ located close to stomach and almost about the size of the hand which is responsible for secreting insulin, enzymes and other hormones. The part closest to the small intestine (duodenum) is the thickest part of the pancreas called the head, while thinnest tapering part very close to the spleen is called the tail and the middle part is named the body.
Patients who need the surgery will have small tumors in the head of the pancreas and will suffer from jaundice. People undergoing a surgical removal of the tumor must be diagnosed with the problem early enough. They will show no evidence of the metastatic nature of cancer i.e. the spreading of the cancer. Depending upon the stage of the disease it shall be determined whether the pancreatectomy performed shall be total or distal.
In case of patients whose pancreas has undergone severe injury or trauma a partial pancreatectomy can be the solution. In this case the injury is suffered by the body and tail of the pancreas. Normal pancreatic tissue is also removed in such surgeries but there are hardly any side effects or minimal effect in the function of the pancreas like production of hormones, digestive enzymes and insulin.
In case of chronic pancreatitis the pancreatectomy is seldom performed. In this case the pancreas keeps getting inflamed which results in the damage of the organ. If left untreated it can lead to acute pancreatitis.
Pancreatic cancer prognosis reveals that larger the tumor, worse gets the chances of cure. But in rare cases it has been observed that even a tumor as large as 4-5 cm has been effectively removed. Technology and options of treatments have improved but still the pancreatic cancer is considered a very lethal ailment.
Causes of Pancreatic Cancer
The reasons behind the chronic pancreatitis are mainly because of alcohol abuse or presence of gall stones. Other causes include
- Genetic mutations
- Age
- Food habits and drug abuse
- Chronic Pancreatitis
- Long standing Diabetes mellitus problem
- Obesity
What are pancreatic cancer symptoms?
In case of cancerous tissues, they grow very rapidly in the organ without showing any symptoms till a condition is reached when the patient has actually reached a critical stage. After reaching the critical stage the patient can start showing various symptoms like
- Pain experienced in the upper abdomen
- Jaundice where skin and eyes start yellowing
- Appetite loss
- Dark Urine formation
- Nauseating feeling and vomiting
- Back pain experienced
- Enlarged lymph nodes
- Stools turning paled colored
- Diarrhea
- Irritation felt in skin like itching
- Depression
- Back pain
- Weight loss experienced suddenly
- Symptoms of the digestive system very often dominate the pancreatic cancer symptoms since the organ is very close to the stomach.
What are my alternatives for total pancreatectomy?
Total pancreatectomy procedure as such ideally speaking has no such alternative except for the fact that the kind of pancreatectomy can be varied in terms of the extent to which the pancreas has suffered damage. A pancreas transplant can also be considered in rare cases.
Pancreatic cancer treatment options
For the treatment of pancreatic cancer or chronic pancreatitis, there are quite a few treatment options:
What is the Whipple procedure?
It is a very demanding procedure and also known as pancreatoduodenectomy where a part of the pancreas, along with duodenum of the small intestine and the gallbladder is removed. Pancreas surgery usually aims at treating pancreatic cancer which is usually confined till the head of the pancreas. But in many cases it also aims at treating some of the tumors and abnormalities of the bile duct and small intestine. After the procedure the surgeon works to re attach the remaining portions of the digestive system to enable the patient to digest food normally and remove waste in a natural way from body.
What is a total pancreatectomy?
In a total pancreatectomy the total pancreas gets removed along with gall bladder, spleen, common bile duct and some portions of the stomach and small intestine.
What is distal pancreatectomy?
When there is a tumor in the bottom half of the pancreas like in the body or the tail, it must be removed with a distal pancreatectomy where this bottom half is removed surgically.
- Infection and bleeding
- Delayed gastric emptying
- Pancreatic fistula
- Diabetes due to reduced insulin production
- Digestive enzyme deficiency
- Blood clots and anesthesia-related risks
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Istinye University Bahcesehir - LIV Hospital
Istanbul, Turkey
Apart from in-detail treatment procedures available, Istinye University Bahcesehir - LIV Hospital located in Istanbul, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:
- A 21-storey Hospital covers 62,500 sqm with ability to handle any emergency situation
- Equipped with 300+ beds, 10 palliative care beds and 12 operating rooms
- 30 Observation Rooms, which are convertible to Intensive Care Rooms in the need hour
- Emergency Department with Emergency specialists
- 64 Specialities Professional Centers like Organ Transplantation Center, Vascular Health Center, Spine Health Center, Check-up Center, etc.
- IVF center
- Pain Clinic
- Stroke Center/Unit
- Pediatric Intensive Care Unit
- International Guest Department
- In an emergency transfer of patients via air, the hospital also has an air ambulance facility
Medical Park Goztepe Hospital
Istanbul, Turkey
Medical Park Goztepe Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity of 293 beds
- 9 Operating theatres
- 64 intensive care beds
- Emergency Department
- Chemotherapy Unit
- Well-equipped rooms, designed to maximize exposure to day light and service approach is based on boutique hotel business
- Cafeteria/Restaurant
- Technology Advancement- 64-slice Computerized Tomography, high level Magnetic Resonance Imaging (MRI) scanner, Tomography scanner, Digital Mammography, Digital X-ray scanner, Ultrasound and Color Doppler, Digital and Peripheral Angiography and 4D Ultrasound device
Baskent University Istanbul Hospital
Istanbul, Turkey
Baskent University Istanbul Hospital located in Istanbul, Turkey is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
- 13.000 square meters indoor area
- Aesthetically designed Inpatient rooms
- Latest healthcare equipments
- 105 bed capacity
- 5 operating rooms
- 38 bed capacity in the Intensive Care Unit
- 609 healthcare personnel and healthcare professors
- Translation services for International patients
Memorial Atasehir Hospital
Istanbul, Turkey
Memorial Atasehir Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an area of 22,000 sqm in the Anatolian side of Istanbul
- The Hospital has comfortable patient rooms, designed while considering all the required needs of the patients
- Capacity of 144 beds
- Intensive Care Unit
- Emergency Department
Medicana Bahcelievler Hospital
Istanbul, Turkey
Medicana Bahcelievler Hospital located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity of 89 beds
- 6 Operating Rooms
- 2 Delivery Rooms
- Coronary Intensive Care Unit
- General Intensive Care Unit
- Neonatal Intensive Care Unit
- Dialysis Unit with 30 beds
Acibadem Bakirkoy Hospital
Istanbul, Turkey
Acibadem Bakirkoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
- There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
- The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
- A very well developed Neonatal Intensive care unit.
- Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
Acibadem Hospital Taksim
Istanbul, Turkey
Acibadem Hospital Taksim located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- With 93 beds, 6 operating theatres, Acibadem Hospital, Taksim, Istanbul, Turkey is a well equipped healthcare facility.
- It has exceptional infrastructure which is at par with the best in the world.
- The ICU of this hospital comprises 10 beds, which is inclusive of isolation room beds (2).
- Also, when we talk of Neonatal ICU, it consists of 7 beds inclusive of an isolation room bed.
- Robot-assisted Surgery and Radiology departments are a sign of the technological advancement in the hospital.
- The Physical Medicine and Rehabilitation department ensures a seamless transition through the recovery period.
Acibadem Maslak Hospital
Istanbul, Turkey
Acibadem Maslak Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
- Smart building technology of the hospital
- Number of doctors in this hospital are 170.
- Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
- There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
- Translation and interpreter services are available as is multilingual staff.
- The hospital has moved with the times and all its systems are electronically upgraded.
Acibadem Fulya Hospital
Istanbul, Turkey
Acibadem Fulya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The hospital has cutting edge infrastructure and all latest amenities.
- Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
- Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
- Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
- Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
- There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
Medipol Mega University Hospital
Istanbul, Turkey
Medipol Mega University Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
- Medipol patients have access to over 60,000 m2 of the gardens, 26,000 m2 of the five-storied underground parking, 100,000 m2 covered premises and 1,500 members of the stuff
- Capacity of 470 patient beds
- Oncology Center
- Emergency department that can admit up to 134 patients (including general, coronary, KVC and neonatal emergency department)
- 25 Operating rooms
- Medipol Mega University Hospital uses the following innovative technologies- Biplane digital flat-panel angiographic system, Digital flat-panel tomosynthetic mammography, Surgical O-ARM PEROP CT Imaging system, etc.
- Helicopters enabling the transfer of the patient at the most emergency cases
- The Hospital creates a friendly & comfortable ambience for the patients and their relatives with terrace garden suites, normal rooms. Each room is equipped with multimedia services like TV, DVD, Internet, online access from patients bedside, Unlimited Digital Archive pacs and high-quality meal service
- Prayer Room
- 5-starred cafeteria/restaurant
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+99Process Involved for Pancreatectomy in Istanbul
- Before surgery, the patient undergoes blood tests and imaging studies (e.g., CT scans, MRIs, or PET scans) to determine the size, location, and extent of pancreatic disease and to inform the surgical approach.
- The nutritionist assesses the patient’s nutrition, weight, and digestive function to optimise strength prior to surgery and minimise post-surgical complications.
- The anesthesiologist assesses whether the patient is fit for general anesthesia, and reviews their medical history, medications, and heart and lung function to ensure safety during surgery.
- The surgical approach to removing the pancreas will depend on the extent of the disease and will involve either an open, laparoscopic, or robotic approach.
- After surgery, patients will be monitored closely in the ICU for vital signs, pain levels, blood glucose levels, and gastrointestinal function to detect complications early.
- Rehabilitation after pancreatotomy includes returning to eating gradually, managing enzymes and insulin if necessary, receiving physical rehabilitation, and attending regular follow-up appointments to monitor healing and disease control.
- Pancreatic cancer
- Neuroendocrine tumors
- Pancreatic cysts and precancerous lesions
- Chronic pancreatitis
- Pancreatic trauma
- Whipple procedure (Pancreaticoduodenectomy)
- Distal pancreatectomy
- Total pancreatectomy
- Laparoscopic pancreatectomy
- Robotic-assisted pancreatectomy
- Patients diagnosed with pancreatic cancer, tumors, or cysts
- Individuals with chronic pancreatitis unresponsive to medical treatment
- Patients with precancerous pancreatic lesions
- Patients medically fit for major abdominal surgery
- No extensive cancer spread to distant organs
- Surgical staples
- Absorbable sutures
- Temporary drainage tubes
- Pancreatic stents (if required)
- Bile duct reconstruction
- Gastric or intestinal reconstruction
- Lymph node dissection
- Feeding tube placement
- Gallbladder removal
- Removal of cancerous or diseased pancreatic tissue
- Improved survival in pancreatic cancer
- Relief from chronic pain in pancreatitis
- Prevention of disease progression
- Improved quality of life
- Complete or partial removal of diseased pancreas
- Improved digestion with enzyme supplementation
- Better blood sugar control with proper management
- Reduced cancer recurrence risk
- Long-term disease control
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