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Whipple surgery

43 clinics

Overall rating by
verified patients

260 reviews
4.5
The overall rating of clinics where Whipple surgery can be performed, based on Bookimed patients experience.

What is a Whipple procedure?

This is a radical surgical method which is mainly used for pancreatic cancer treatment if the tumour is located within pancreas head. This is a long lasting and complex surgery affecting many digestive organs.

Together with the affected pancreas the surgeon removes a part of stomach, a segment of small intestine (duodenum), gallbladder and common bile duct. Then the surgeon stitches the remaining parts of GIT (gastrointestinal tract) applying the technique which is considered as proper and reconstructs a segment of biliary tracts.

Because of depth and length of intervention, specifics of removed structures, this surgery is only performed by experienced surgeons.

What are the indications of a Whipple surgery?

Besides cancer of pancreas the Whipple procedure is provided to patients with the following diagnoses:

  • malignant tumour of gallbladder;
  • duodenal cancer;
  • a list of particular benign neoplasms (causing serious impairment of bile excreting system);
  • rare cases of chronic pancreatitis.

The main goal of pancreatoduodenectomy is a treatment of pancreatic cancer. Today it is the only surgical method to treat tumour of pancreas which is mainly performed together with chemo- and radiotherapeutic exposure. This essentially increases chances for successful treatment.

Pancreatoduodenectomy step-by-step

Whipple procedure is over 80 years old, from the moment of the first surgery this method has been improved by surgeons and amended with new equipment.

Thus, introduction of laparoscopic methods allowed to shorten the length of the surgery and significantly reduced injury rate with the concurrent risk of complications.

Whipple surgical procedure is performed in three steps.


Step one - diagnostic examination (revision) using laparoscope.


Visual investigation of abdominal cavity allows to study in details the degree of damage of internal organs and to evaluate the scale of planned intervention. Depending on the results of investigation a surgical team decides on the method of surgery: minimally invasive laparoscopic or classic open method. Nevertheless, during the process of laparoscopic pancreaticoduodenal resection which usually takes 4-5 hours, the surgeon can continue the surgery using open method which can last up to 10 hours.


Step two - surgery itself.


The resection is performed under general anaesthesia. The construction of digestive system, namely, strong correlation of its organs results in a situation when for the treatment of pancreatic cancer not only the damaged area of the organ should be removed but also a partial or complete resection of organs with common blood and lymph supply should be done.

Thus, the following organs have to be resected:

  • a part of stomach;
  • gallbladder;
  • a part of biliary tract;
  • duodenum;
  • lymph nodes.

Depending on the stage, size and location of the tumour, there are different variants of Whipple procedure. Moreover, if neoplastic process affected large vessels of the liver, the damaged area is also removed together with plastic reconstruction of its vessels.


Step three - reconstruction.


The final stage of the surgery involves reconstruction of GIT to ensure its maximum effective digestive function. For this purpose the bowel is stitched to the remaining part of the gland, biliary duct and stomach. The quality of reconstruction affects not only rehabilitation period but also prognosis of cancer therapy in general.

All removed tissues and organs are sent to histological examination (test for the presence of metastases).

Postoperative period

When Whipple surgery is finished the patient is transferred to the intensive care unit where he or she is monitored until his or her condition stabilizes. During the first day the patient receives intravenous nutrition. After severals days a soft meal can be eaten within a special diet. Step by step the menu extends according to recovery rate of digestive system.

While healing the drainage tubes installed in abdomen during the surgery for discharge outflow are removed.

Postoperative period is affected by the type of intervention. Minimally invasive laparoscopic method reduces risk of infectious complications and pains on movement.

In most cases postoperative period lasts 10 days and complete recovery should be expected at the earliest in 2 months.

Side effects of the procedure

Whipple procedure complications include:

  • weakness;
  • increased fatigue;
  • pain during the first days after resection;
  • digestive disorders;
  • diabetes mellitus against the background of insulin deficiency;
  • infections;
  • bleeding.

Whipple procedure recovery

The basis for earliest recovery after pancreatoduodenectomy is strict compliance with the diet and recommendation of the attending physician. Specialists (nutritionist, endocrinologist) make an individual set of rehabilitation procedures.

Depending on expansion of malignant tumour oncologists create a plan for subsequent therapy. It can comprise, for example, a course of chemotherapy.

It is important to remember that only complex pancreatic cancer treatment can increase survival rate and give a chance for recovery.

Sourasky Medical Center
Israel, Tel Aviv
0.00099301338195801 s
Overview
Description
Reviews
Doctors

Sourasky Medical Center (Ichilov) is a leading Israeli clinic located in the center of Tel-Aviv. It unites 5 hospitals, 180 polyclinics, and 60 departments are located. The Ichilov (Tel-Aviv) has got an accreditation from the Joint Commission International (JCI) global organization for quali...

Jerome
Tanzania
Jan 3, 2018

Medical treatment was good as much as Doctor we appreciate ...

0.015170097351074 s
Menahem Ben-Haim
Menahem Ben-Haim

Transplantologist

Experience : 15 years
N
Russian Federation
Oct 27, 2017
4
«Good»
The patient was treated of larynx cancer

There are no comments for this review.

A
Ukraine
Dec 11, 2017
4
«Good»
The patient was treated of retinoblastoma

There are no comments for this review.

A
Russian Federation
Dec 11, 2017
3
«I didn't like it»
The patient was treated of retinal detachment

There are no comments for this review.

J
Tanzania
Jan 3, 2018
4
«Good»
The patient was treated of hiv

Medical treatment was good as much as Doctor we appreciate

N
Kazakhstan
Jan 31, 2018
5
«Very good»
The patient was treated of epilepsy

There are no comments for this review.

Latest 5 reviews
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0.072598934173584 s
Clinic card time: 0.10259795188904 s

Prices on whipple surgery

Anadolu Medical Center
Turkey, Istanbul
0.0010440349578857 s
Description
Reviews
A
Apr 21, 2017
5
«Very good»

Мне очень понравилось сервис, положительные впечатления о клинике и врачах Anadolu! Рекомендую! Анастасия, вам в отдельности огромное спасибо!!!

A
Apr 21, 2017
5
«Very good»

Мне очень понравилось сервис, положительные впечатления о клинике и врачах Anadolu! Рекомендую! Анастасия, вам в отдельности огромное спасибо!!!

B
Russian Federation
Jun 16, 2017
5
«Very good»
The patient was treated of basalioma

There are no comments for this review.

A
Georgia
Jun 16, 2017
5
«Very good»
The patient was treated of uterine fibroids

There are no comments for this review.

L
Georgia
Jan 31, 2018
5
«Very good»
The patient underwent check-up

There are no comments for this review.

Latest 5 reviews
All reviews
0.027745008468628 s
Clinic card time: 0.037081956863403 s
LIV Hospital
Turkey, Istanbul
0.00096797943115234 s
Overview
Description
Reviews
Doctors

LIV Hospital Group consists of multi-specialized Turkish hospital with two divisions of LIV Hospital Ankara, and LIV Hospital Istanbul (Ulus). Both of them are smart hospitals of new generation with all the medical technologies available in the world: da Vinci robot-assisted system for the s...

Vera Pletneva
Feb 17, 2017

Я приехала в ЛИВ Госпиталь города Стамбул на лечение зубов. Мне установили коронки зубов на верхню и нижнюю челюсть. Лив Госпиталь дает мне гарантию на использование этих протезов. Я обратилась через ...

0.0047340393066406 s
Fatih Agalar
Fatih Agalar

Oncosurgeon

Experience : 22 years
V
Feb 17, 2017
5
«Very good»
The patient underwent dental implant

Я приехала в ЛИВ Госпиталь города Стамбул на лечение зубов. Мне установили коронки зубов на верхню и нижнюю челюсть. Лив Госпиталь дает мне гарантию на использование этих протезов. Я обратилась через интернет (Bookimed) с просьбой дать мне несколько направлений. Обращалась и в Израиль и в Беларусь и в Москву, но в итоге остановилась на Лив Госпиталь. Вместе со специалистами мы решили провести имплантаци 12 имплантов. По цене я была очень довольна и получила прекрасный результат. Очень довольна специалистами и самим госпиталем, потому что подход был очень профессиональным на всех этапах. Благодарна всем специалистам клиники! Отдельное спасибо моему куратору — Елене Измайловой. Спасибо, я рада!

S
Azerbaijan
Jun 15, 2017
3
«I didn't like it»
The patient underwent check-up

There are no comments for this review.

E
Kazakhstan
Jun 17, 2017
5
«Very good»
The patient was treated of multiple sclerosis

There are no comments for this review.

K
Georgia
Jun 29, 2017
5
«Very good»
The patient was treated of uterine fibroids

There are no comments for this review.

I
Ukraine
Sep 16, 2017
5
«Very good»
The patient was treated of ulcerative colitis

There are no comments for this review.

Latest 5 reviews
All reviews
0.02668285369873 s
Clinic card time: 0.043856143951416 s
Asklepios Medical Group
Germany, Gamburg
0.00097393989562988 s
Overview
Description
Reviews
Doctors
Asklepios is a prestigious Germany's largest network of clinics that offers high quality service to patients and covers virtually all areas of medicine from ophthalmology to dentistry. Quality and introduction of innovative technologies allow the company to play a key role in th...
Kirill Dimitrov
Macedonia
Dec 27, 2017

What to say to the hospital and doctor Prof. Faiss, apart from all the best, from the reception itself to treat the patient, you simply feel that you are in the right place, which gives you tranquilit...

0.0055861473083496 s
Karl J. Oldhafer
Karl J. Oldhafer

Head of the Department of General and Abdominal Surgery and Surgical Oncology Department

V
Ukraine
Jul 21, 2017
5
«Very good»
The patient underwent plastics of the anterior cruciate ligament

There are no comments for this review.

G
Jul 28, 2017
5
«Very good»
The patient was treated of retinoschisis

There are no comments for this review.

S
Russian Federation
Dec 13, 2017
2
«I didn't like it»
The patient was treated of retinal detachment

I have retina detachments issues therefore I applied this group of individuals. When we agreed there was one professor the one week prior to my arrival we retired and I was offered Dr. Shaudig whom i eventually never met. On meeting in the reception I was advised that said professor was ill today. So I was routinely and e consumer,inglese inspected by a couple of young 1doctors who told me nothing new in the end. The story cost me min 1000 Euros. For just nothing. It could look funny that such cases still occur in the 21 sr century in Western Europe. I was promised a report on my case from the Professor but I’m still looking forward to enjoy it. This circus took places in a Hamburg 28.11.17. Think twice everyone. Not all the gold that glitters

K
Macedonia
Dec 27, 2017
5
«Very good»
The patient was treated of ulcerative (chronic) rectosigmoiditis

What to say to the hospital and doctor Prof. Faiss, apart from all the best, from the reception itself to treat the patient, you simply feel that you are in the right place, which gives you tranquility that is very important for the health of the patient. About the disease all the information you get with a lot of patience and security so you know what's happening to you and how to get it normaly with the right therapy. You know, because of my condition, I was a little stricken when i picked up the hospital and all the time I wondered if I made the right step, but now I am sure that for my decision that it was right

L
Uzbekistan
Jan 31, 2018
5
«Very good»
The patient was treated of injuries of bones and joints

There are no comments for this review.

Latest 5 reviews
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0.030205011367798 s
Clinic card time: 0.047038078308105 s
Medical Center in Solingen
Germany, Solingen
0.001884937286377 s
Overview
Description
Reviews
Doctors

Solingen Municipal Hospital/Academic Hospital of the University of Cologne is among top clinics in Germany according to Focus magazine - one of the most widely circulated German editions. Städtisches Klinikum Solingen is a certified medical institution treating over 60,000 patients per ...

0.0092959403991699 s
Wolfgang Schwenk
Wolfgang Schwenk

Chief Physician of the General and Visceral Surgery Clinic and Center for Minimally Invasive Surgery and Oncology

Y
Russian Federation
Jun 15, 2017
3
«I didn't like it»
The patient was treated of pancreatic cancer

There are no comments for this review.

S
Uzbekistan
Jul 13, 2017
5
«Very good»
The patient was treated of herniated disk

There are no comments for this review.

O
Netherlands
Sep 15, 2017
4
«Good»
The patient underwent diagnostic

There are no comments for this review.

A
Saudi Arabia
Oct 5, 2017
4
«Good»
The patient was treated of thyroid cancer

There are no comments for this review.

A
United States
Nov 28, 2017
4
«Good»
The patient was treated of lymphoma

There are no comments for this review.

Latest 5 reviews
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0.042685031890869 s
Clinic card time: 0.065252780914307 s
Teknon Hospital (Barcelona)
Spain, Barcelona
0.001230001449585 s
Overview
Description
Reviews
Doctors
Teknon Medical Center (Centro Medico Teknon) demonstrates some of the highest success rates in the world for surgical treatment in oncology, general and bariatric surgery (weight loss). Teknon has the best statistics in Europe for the treatment of neurological disea...
Jakub
Dec 21, 2016

My 6-year old son was diagnosed with epilepsy. We couldn’t find an appropriate specialist in Czech Republic who could adequately assign medical treatment for 6 months. So, my wife and I decided to go ...

0.0036029815673828 s
Antonio de Lacy Fortuny
Antonio de Lacy Fortuny

Oncosurgeon, Specialist in rectal and colon cancer treatment

Experience : 36 years
S
Dec 21, 2016
5
«Very good»
The patient underwent childbirth

My husband often has business trips in Spain, and knowing how I‘m nervous about giving birth, he decided to find the best Spanish clinic for me. I’m very grateful, he chose the Teknon as a place for labor. Everything went well and without complications. In addition, the husband was allowed to be present at the birth himself, which was very supportive. I was well cared at all times and had everything that I needed. Thank you so much!

J
Dec 21, 2016
5
«Very good»
The patient was treated of epilepsy

My 6-year old son was diagnosed with epilepsy. We couldn’t find an appropriate specialist in Czech Republic who could adequately assign medical treatment for 6 months. So, my wife and I decided to go for diagnostics and treatment abroad. To do this we turned to Bookimed company with a request to find and recommend us a specialized clinic that has a possibility to examine our child. Our coordinator Zeeshan Zaman offered several clinics. After a joint discussion we chose the Teknon Clinic in Barcelona and we’re totally satisfied with treatment! Antonio Russi consulted us and made all the tests. With prescribed medication my son doesn’t have any seizures at all.

R
Ukraine
Jul 12, 2017
5
«Very good»
The patient was treated of disseminated encephalomyelitis

There are no comments for this review.

D
Ukraine
Aug 10, 2017
5
«Very good»
The patient underwent childbirth

There are no comments for this review.

A
Russian Federation
Oct 18, 2017
2
«I didn't like it»
The patient was treated of epilepsy

There are no comments for this review.

Latest 5 reviews
All reviews
0.027549028396606 s
Clinic card time: 0.045505046844482 s
Medical Park Hospitals Group
Turkey, Istanbul
0.001025915145874 s
Overview
Description
Reviews
Doctors
Medical Park is the largest group of hospitals in Turkey. Compliance of their medical services is confirmed by Joint Commission International. Medical Park Hospitals are ranked first in the number of organ transplants and provide high success rates in bone marrow transplantation. Oncological units u...
0.0020349025726318 s
Erhun Eyüboğlu
Erhun Eyüboğlu

Oncosurgeon

Experience : 35 years
A
Turkmenistan
Sep 7, 2017
5
«Very good»
The patient was treated of herniated disk

There are no comments for this review.

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0.0068950653076172 s
Clinic card time: 0.020189046859741 s
Medipol Mega Hastaneler Kompleksi
Turkey, Istanbul
0.00087094306945801 s
Overview
Description
Reviews
Doctors
Medipol University Hospital is the largest private multi-specialized medical institutions. The clinic with the world’s recognition offers a wide range of high-levelled services and has the greatest number of departments in Turkey. This Medical Center is appreciated by patients from all over th...
Atamurat Tulemisov
Aug 3, 2016

Клиника Медиполь- как многопрофильная больница не плохая, Докто, который делал мне операцию великолепен. Я с большим удовольствием слушал его и вёл беседу с ним. Человек очень умён и образован.

0.0028760433197021 s
Hamdi Karakayaly
Hamdi Karakayaly

Professor, specializes in transplantology

Experience : 28 years
A
Turkey
Dec 11, 2015
4
«Good»
The patient was treated of lymphoma

Добрый день, обратился в Букимед в целях помощи в подборе клиники для лечения лимфомы в Турции. Отреагировали довольно быстро, утром позвонила консультант из клиники Медипол. Все очень оперативно - быстро рассчитали цены, обеспечили трансфер, НО... как только мы попали в клинику, цены неожиданно выросли. Консультант сидел и пожимал плечами, глупая ситуация в общем. Советую собирать отзывы о клиниках которые вы рекомендуете и перепроверять информацию. А затем уже решать, рекомендовать их в будущем или нет.

A
Canada
Jan 28, 2016
5
«Very good»
The patient was treated of acute lymphoblastic leukemia

My close family relative was diagnosed with Acute Leukaemia a year ago at age of 26 and he needed a bone narrow transplant as the very last option to save his life. This procedure is not available in Ukraine and we spent weeks searching for the most affordable clinics with a good reputation. On January 12th, a few minutes right after visiting the website I was reached by Aleksey Berkovets from Bookimed.
He was an extremely polite, helpful and very professional. I really liked that compare to other services he didn`t promote any specific clinic or country, he gave me an options to choose from.
After only one short week on January 20th Dmytro was landed in Istanbul to start his treatment in Medipol Clinic!!

Thank you for your constant support Aleksey! You are much appreciated!

A
Aug 3, 2016
5
«Very good»
The patient was treated of astrocytoma

Клиника Медиполь- как многопрофильная больница не плохая, Докто, который делал мне операцию великолепен. Я с большим удовольствием слушал его и вёл беседу с ним. Человек очень умён и образован.
Во всей моей поездке было много хороших и позитивных моментов, так же как и негативных. Минусы в том, что сервис в этой клинике просто нереально хромает. Даже не хромает, а ездит в "инвалидной коляске". Очень было обидно, что к нам относятся так, как будто мы что-то должны. А именно хотел бы написать по поводу сотрудника Мариям, она была нашим переводчиком и помощником во всем. Правда помощи от нее не было никакой. После 6 вечера до Мариям не дозвониться, она "занята" и ее рабочий график "закончился" (это ее слова). Хотя мы старались лишний раз не беспокоить. Разве так можно? Мы (больные) платим такие сумасшедшие деньги и очень нуждаемся в помощи! Неужели нельзя было относиться к нам чуть лучше? Мы не просим что бы нам целовали пятки, но относиться уважительно ТРЕБУЕМ! Это не так сложно, Вы точно знаете

Latest 3 reviews
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0.016239881515503 s
Clinic card time: 0.030597925186157 s
Nordwest Clinic (Krankenhaus)
Germany, Frankfurt am Main
0.0010039806365967 s
Overview
Description
Reviews
Doctors

Nordwest Krankenhaus is a multi specialized medical institution, a leading hospital in Germany due to development of innovations, such as 3D ultrasound, anticancer vaccines in targeted therapy. It comprises 5 research institutes and 11 specialized centers.

Anonymously
Apr 21, 2017

У меня были диагностированы миомы матки с показаниями для оперативного вмешательства (удаления). В поисках клиники за рубежом я вспомнила, что слышала о сайте Bookimed и оставила свою заявку там. Сайт...

0.0051760673522949 s
Thomas W Kraus
Thomas W Kraus

Experience : 30 years
A
Apr 21, 2017
5
«Very good»
The patient was treated of uterine fibroids

У меня были диагностированы миомы матки с показаниями для оперативного вмешательства (удаления). В поисках клиники за рубежом я вспомнила, что слышала о сайте Bookimed и оставила свою заявку там. Сайт сам по себе содержит обширную базу информации по клиникам в разных странах, с описанием их специализации, ведущих специалистов и с отзывами пациентов. После того, как я оставила заявку на сайте со мной очень оперативно связались по мейлу и предложили согласовать удобное время для телефонного звонка, чтобы обсудить все детали. Впоследствии мы несколько раз созванивались с одним и тем же специалистом (Иван Коваль), который занимался мной с самого начала и до момента выбора клиники. От общения с Иваном у меня остались исключительно положительные впечатления: компетентный в той области медицины, которую мы обсуждали, доброжелательный и вежливый, умеет слушать собеседника, пунктуальный, , всегда на связи, умеет убедительно предоставлять информацию, объясняет почему рекомендует ту или иную клинику. В итоге мной была выбрана клиника Нордвест во Франкфурте в Германии, где оперирует высококлассный хирург-гинеколог профессор Йорг Энгель. После выбора клиники мной занимался их офис медицинского туризма "Феникс". Мне была заранее предоставлена полная информация о возможных вариантах лечения и операции, предварительная стоимость, а также информация о хирурге. После предварительного обсуждения, я приехала в клинику на очную консультацию к профессору. Компания "Феникс" оказывает полное сопровождение пациента, начиная от встречи в аэропорту; также они присутствуют на всех консультациях в качестве переводчика с немецкого. После консультации мы назначили дату операции, на которую я прилетела примерно через 1,5 месяца. "Феникс" оказал визовую поддержку, они предоставили все необходимые документы, виза была получена в немецком консульстве в Москве за два дня. Условием клиники является то, что за несколько дней до самой операции пациент должен пройти премедикацию: сдать анализы и мазки на инфекции, пройти анкетирование здоровья, а также пройти беседу с анастезиологом и специалистом (в моем случае гинекологом) о предстоящей операции и возможных рисках. Операция прошла успешно, удаление миом было проведено лапароскопически (хотя предварительно профессор озвучивал риск того, что возможно придется перейти на полостную операцию). Размещение иностранных пациентов производится в палатах ВИП класса (одноместные, с панорамным видом на Франкфурт, по качеству сравнимы с номером в гостинице высокого класса). Очень хорошее послеоперационное обслуживание, постоянный контроль врачей и медсестер, все очень профессиональные, внимательные и доброжелательные. Трехразовое питание (выбор из меню) плюс два полдника. Меня выписали из больницы на пятый день после операции. Самочувствие было хорошее, абсолютно нормальное для обратного перелета в Москву в тот же день. Однозначно могу рекомендовать клинику Нордвест для гинекологического лечения и операций.

M
Russian Federation
Jul 5, 2017
5
«Very good»
The patient was treated of uterine fibroids

There are no comments for this review.

A
Ukraine
Jul 18, 2017
5
«Very good»
The patient was treated of multiple sclerosis

There are no comments for this review.

M
Belarus
Jan 7, 2018
5
«Very good»
The patient was treated of overactive bladder

There are no comments for this review.

V
Russian Federation
Feb 10, 2018
4
«Good»
The patient was treated of

There are no comments for this review.

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0.03966498374939 s
Clinic card time: 0.057658195495605 s
Döbling Private Hospital
Austria, Vienna
0.0011360645294189 s
Description
Reviews
J
Jun 29, 2015
4
«Good»

Dear Sirs, I have the interested to work in your institution. I m doctor of general medicine, I have a high grade point average during the six-year study 9 .09. . I would have said to any form of compromise with regard to the fact that I do not speak German, but they speak English. I am grateful in advance for your reply Jadranka

M
Feb 21, 2017
5
«Very good»

My wife was having a baby here!! We had a separate comfortable room and beds. Doctors cared really good!!! Thank you!!!

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