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"},"493":{"operation":{"name":"Лапароскопическая тотальная мезоректумэктомия","alias":"laparoskopicheskaya-totalnaya-mezorektumektomiya","use_for_listing":true},"country_price":{"US":{"amount":55000,"max_amount":82000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":37900,"max_amount":0,"currency":"USD","clinic_count":2,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":9500,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":7500,"max_amount":12000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IN":{"amount":5500,"max_amount":8200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"CZ":false,"IN":false},"description":"Операция включает минимально инвазивную операцию по удалению прямой кишки, как правило, при раке прямой кишки; предлагает быстрое восстановление и уменьшение боли.
"},"1011":{"operation":{"name":"Гемиколэктомия","alias":"gemikolektomia","use_for_listing":true},"country_price":{"US":{"amount":42000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":14000,"max_amount":20000,"currency":"USD","clinic_count":2,"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"},"CZ":{"amount":6500,"max_amount":9800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IN":{"amount":5500,"max_amount":8200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"CZ":false,"IN":false},"description":"Эта операция удаляет половину толстой кишки для лечения колоректальных заболеваний, помогая пациенту выздороветь и сводя к минимуму будущие риски.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"eshim-juldurum","name":"Ешим Йылдырым","photo":"doctor/699da18e34fa6","advisory_text":"20 лет опыта\nОнколог, сертифицирована ESMO","linkedin":"","specialities":[{"id":"onc.001","name":"Онколог","illness_kind_id":10}]},"direction":{"id":10,"name":"Онкология","alias":"onkologiya"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":56,"unit":"days","qualifier":"Typical for office work after uncomplicated colectomy; physical jobs take longer. Adjuvant chemotherapy may alter timing."},"complication_rate_pct":{"min":20,"max":35,"unit":"percent","qualifier":"Any postoperative complication within 30 days; major complications and anastomotic leak are about 3-10%."},"contraindications":["Severe cardiopulmonary disease preventing general anesthesia (relative)","Widespread metastases where resection gives no benefit or palliation","Uncorrected severe coagulopathy or uncontrolled sepsis (relative)","Unfit performance status after multidisciplinary assessment"],"days_in_clinic":{"min":3,"max":7,"unit":"nights","qualifier":"Uncomplicated elective segmental colectomy with enhanced recovery pathway; open surgery or complications extend the 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":"Light walking early; strenuous exercise and heavy lifting usually restricted for about 6 weeks or longer, especially after open surgery."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to full functional recovery and bowel habit stabilization; oncologic outcome depends on final pathology and staging."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After return of bowel function, tolerated diet and surgeon clearance; longer after open surgery or complications, with thrombosis precautions."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Review of pathology report and wound; oncology planning."}},{"purpose":"assessment","requirement":"routine","after":{"min":84,"max":120,"unit":"days","qualifier":"Oncologic surveillance begins; schedule varies by stage and local guidelines."}}],"indications":["Biopsy-proven resectable colon adenocarcinoma","Malignant polyp unsuitable for or inadequately treated by endoscopy","Obstructing or bleeding colon cancer requiring resection"],"main_risks":["Anastomotic leak","Surgical site or intra-abdominal infection","Bleeding","Postoperative ileus","Injury to adjacent organs such as ureter or small bowel","Venous thromboembolism","Adhesive bowel obstruction","Hernia at incision site","Temporary or permanent stoma in some cases","Bowel function changes"],"pain":"Moderate to significant pain in the first days, managed with multimodal analgesia; laparoscopic approaches are usually less painful than open surgery. Generally subsides over 2-4 weeks.","preparation":["Staging work-up: colonoscopy with biopsy, CT, CEA as indicated","Multidisciplinary team review","Preoperative anesthesia and fitness assessment","Nutritional assessment and optimization","Mechanical bowel preparation, often with oral antibiotics","Fasting from food and drink before anesthesia","Smoking and alcohol cessation advised","Stoma site marking and counseling when a stoma is possible"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Early mobilization, gradual diet resumption, pain control and return of bowel function.","restrictions":["No heavy lifting","Follow dietary progression"]},{"phase":"Early home recovery (weeks 1-4)","description":"Fatigue and incision discomfort improve; walking increased progressively.","restrictions":["Avoid lifting heavy objects","Avoid driving while on opioids"]},{"phase":"Later recovery (weeks 4-12)","description":"Return to work and gradual return to normal activity; pathology guides need for adjuvant therapy.","restrictions":["Avoid strenuous exercise until cleared by surgeon"]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated segmental colectomy; no formal rehabilitation program usually required."},"result_longevity":"Surgical removal of the tumor is intended to be permanent. 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A stoma scar may result if one is created.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for uncomplicated segmental colectomy."},"stages":[{"code":"colectomy","label":"Segmental colectomy with lymphadenectomy and anastomosis","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial surgical admission."}}],"qualifier":"Single-stage resection; staged operations or adjuvant therapy are not included."},"success":{"metric":"5-year overall survival after curative colectomy (stage I-III)","value":75,"unit":"percent","horizon":"5 years","population":"Adults with resectable stage I-III colon adenocarcinoma, curative-intent resection","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic segmental colectomy (right, left or sigmoid)","suits_whom":"Most patients with resectable non-obstructing colon cancer without extensive adhesions or invasion.","recovery":"Typically shorter stay and faster recovery than open surgery."},{"name":"Open segmental colectomy","suits_whom":"Large, locally advanced or obstructing tumors, prior extensive surgery or when minimally invasive surgery is unsafe.","recovery":"Longer hospital stay and recovery, with greater wound-related morbidity."},{"name":"Robotic-assisted colectomy","suits_whom":"Selected patients where a minimally invasive approach is preferred and expertise is available.","recovery":"Similar to laparoscopic surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for uncomplicated segmental colectomy; varies with approach and anatomy."},"initial_assessment_documents":["Colonoscopy report","Biopsy and histopathology report","Staging CT scan of chest, abdomen, pelvis","CEA blood test result","Previous abdominal surgery reports","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Stay about 7-14 days including hospital recovery and fitness to fly; follow-up can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Get a second opinion to confirm the colon cancer diagnosis and treatment plan","scope":"procedure","source":{"url":"https://www.cancer.gov/types/colorectal/patient/colon-treatment-pdq","host":"cancer.gov","quote":"You may want to get a second opinion to confirm your colon cancer diagnosis and treatment plan.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the qualifications of the clinician who will do the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check you can ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check you understand the possible complications and side effects of treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","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":"Pressure to make a quick decision is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No discussion of possible complications is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No mention of aftercare is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe abdominal pain lasting more than 1–2 hours","urgency":"emergency","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/colorectal-cancer-services-surgery/colorectal-patient-information/enhanced-recovery-programme-discharge-information-colorectal-surgery","host":"nbt.nhs.uk","quote":"If you have severe abdominal pain lasting more than 1-2 hours and/or have a fever and feel generally unwell, you should contact us on the telephone numbers provided 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swollen.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Unable to eat and drink sufficiently","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/colorectal-cancer-services-surgery/colorectal-patient-information/enhanced-recovery-programme-discharge-information-colorectal-surgery","host":"nbt.nhs.uk","quote":"Unable to eat and drink sufficiently.","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":"The home doctor needs details of how the operation went and its findings","document":"operation report","source":{"url":"https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/top-ten-frequently-asked-questions-colorectal-patients-after-treatment","host":"uclh.nhs.uk","quote":"Your surgeon will explain the how the operation went and the 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