{"key":"op_98_ES","page":{"url":"https://ru.bookimed.com/clinics/country=spain/procedure=udalenie-raka-tolstogo-kisecnika/","procedure":{"id":98,"slug":"udalenie-raka-tolstogo-kisecnika","name":"Операция при раке толстого кишечника","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"oncology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Испания"},"currency":"USD","data_date":"2026-03-19"},"pages":{"clinics_url":"https://ru.bookimed.com/clinics/country=spain/procedure=udalenie-raka-tolstogo-kisecnika/","cost_url":"https://ru.bookimed.com/clinics/country=spain/procedure=udalenie-raka-tolstogo-kisecnika/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":9200,"to":24500,"avg":{"value":9153,"method":"median","source":"offers"},"us":{"from":25000,"to":85000},"uk":{"from":30000,"to":50000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Мадрид","from":9200},{"city":"Барселона","from":28700},{"city":"Памплона","from":14800},{"city":"Аликанте","from":14500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"premium","min":9153,"max":9153,"median":9153,"count":1}]},"comparison":[{"country_iso":"UA","from":3000,"to":7500},{"country_iso":"FR","from":11500,"to":19500},{"country_iso":"GB","from":30000,"to":50000},{"country_iso":"US","from":25000,"to":85000},{"country_iso":"IL","from":24000,"to":35000},{"country_iso":"TR","from":7500,"to":9000},{"country_iso":"MX","from":25000,"to":35000},{"country_iso":"DE","from":17000,"to":28000},{"country_iso":"CA","from":28000,"to":48000},{"country_iso":"AE","from":17000,"to":29000},{"country_iso":"TH","from":9500,"to":14000},{"country_iso":"PL","from":7500,"to":12000},{"country_iso":"KR","from":16000,"to":21000},{"country_iso":"CZ","from":12000,"to":15500},{"country_iso":"AT","from":17500,"to":25500},{"country_iso":"IT","from":15500,"to":23500},{"country_iso":"CN","from":9500,"to":18000},{"country_iso":"AU","from":28000,"to":42000},{"country_iso":"IN","from":5500,"to":9000},{"country_iso":"MY","from":7500,"to":9500},{"country_iso":"VN","from":5000,"to":9000},{"country_iso":"BR","from":11000,"to":18000},{"country_iso":"RO","from":9700,"to":13300}],"base_country":"US","base_is_fallback":false},"savings":{"pct":63,"variant":">=15%"},"package":{"included":["24-hr nurse services","3 meals per day by nutritionist","Consultation with a surgeon","Consultation with an anesthesiologist","Transfer to the clinic","VIP Room"],"excluded":{"status":"missing","reason":"not_collected"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":9,"items":[{"id":7532,"name":"Digestive Surgery and Gastroenterology Specialist Centro PAD","city":"Madrid","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["ISO 45001 (Occupational Health and Safety Management)","World's Best Smart Hospitals 2023 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"Da Vinci Xi robotic system enables precise, minimally invasive colon cancer removal. 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The package includes the surgical procedure, general anesthesia, medical team fees, operating room use, medications and consumable materials used during hospitalization, as well as 5 nights in the hospital for postoperative monitoring and recovery. The program is suitable for patients with rectal tumors, selected benign rectal disease, complex polyps, or other conditions where the colorectal surgeon confirms that rectal resection is medically indicated. 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Robotic Da Vinci surgery for rectal cancer (low anterior resection with total mesorectal excision), performed by Dr. Carlos Garcia Vasquez, colorectal and robotic surgeon with Da Vinci Xi colorectal training, at HLA Moncloa University Hospital, Madrid (recognized among the World's Best Smart Hospitals 2023 by Newsweek). The package includes pre-operative consultation with the surgeon and anesthesia assessment, the robotic surgery, 5 nights in hospital with 24-hour nursing care, and post-operative surgical follow-up. Hotel–clinic transfer included. Hotel accommodation is not included. Each case is reviewed individually before travel; an online consultation is available in advance. 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Minimally invasive sigmoidectomy (sigmoid colon resection) for sigmoid cancer, polyps not suitable for endoscopic removal or complicated diverticular disease, performed by Dr. Carlos Garcia Vasquez, colorectal and robotic surgeon, at HLA Moncloa University Hospital, Madrid (recognized among the World's Best Smart Hospitals 2023 by Newsweek). Laparoscopic approach, with robotic Da Vinci surgery available on request at an additional cost. The package includes pre-operative consultation with the surgeon and anesthesia assessment, the surgery, 5 nights in hospital with 24-hour nursing care, and post-operative surgical follow-up. Hotel–clinic transfer included. Hotel accommodation is not included. 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Possible diagnostics if needed: Colorectal surgery consultation Blood tests and coagulation profile ECG Anesthesiology consultation Colonoscopy, if not yet performed Biopsy / pathology review Pelvic MRI CT scan of chest, abdomen and pelvis PET-CT, if oncological staging is required Also includes: Laparoscopic rectal resection Surgeon’s fee Medical team fees General anesthesia Operating room fee Medications used during hospitalization Consumable materials 5 nights of hospitalization Nursing care during hospital stay Postoperative monitoring Basic postoperative medical control Initial recovery recommendations before discharge Implant: No implant applicable This package is designed for patients who require rectal resection using a minimally invasive laparoscopic approach. The operation is performed through small incisions, which may help reduce surgical trauma, postoperative pain, and recovery time compared with open surgery. The package includes the surgical procedure, general anesthesia, medical team fees, operating room use, medications and consumable materials used during hospitalization, as well as 5 nights in the hospital for postoperative monitoring and recovery. The program is suitable for patients with rectal tumors, selected benign rectal disease, complex polyps, or other conditions where the colorectal surgeon confirms that rectal resection is medically indicated. The final surgical plan depends on the patient’s diagnosis, tumor location if oncological, previous examinations, general health condition, and whether additional treatment such as chemotherapy, radiotherapy, stoma formation, or extended lymph node dissection is required.","is_package":true,"operation_id":454,"operation_name":"Rectal resection"},{"id":"6a12adac7ebf9c4bd30f2229","clinic_id":7532,"clinic_listed":true,"price":9116,"nights":4,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["3 meals per day by nutritionist","24-hr nurse services","Various accommodations","Language assistance","Consultation with a surgeon","Hospitalization","Transfer to the clinic"],"excluded":{"status":"missing","reason":"not_collected"},"other_services":"Your surgeon is always Dr. Carlos Garcia Vasquez: he personally performs every surgery, and the surgeon who assesses you is the surgeon who operates on you. 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Adjuvant chemotherapy may alter timing."},"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."},"result_longevity":"Surgical removal of the tumor is intended to be permanent. Long-term cure depends on final stage; recurrence risk is highest in the first 3-5 years, so surveillance continues for about 5 years.","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"],"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%."},"revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Unplanned return to operating room within 30 days, mainly for leak, bleeding or obstruction."},"success":{"metric":"5-year overall survival after curative colectomy (stage I-III)","value":75,"horizon":"5 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Laparoscopic: several small incisions plus one extraction incision of about 4-6 cm; open surgery: midline or larger abdominal incision. A stoma scar may result if one is created.","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"]}],"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."}}],"sources":{"status":"missing","reason":"not_collected"},"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 immediately.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Persistent nausea and vomiting","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":"Persistent nausea and vomiting however is not to be expected as this could be a sign of obstruction.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Wound becomes more red, painful or swollen","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":"Becomes more red, painful or 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 findings.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"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. Long-term cure depends on final stage; recurrence risk is highest in the first 3-5 years, so surveillance continues for about 5 years.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Unplanned return to operating room within 30 days, mainly for leak, bleeding or obstruction."},"scars":"Laparoscopic: several small incisions plus one extraction incision of about 4-6 cm; open surgery: midline or larger abdominal incision. 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 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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 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immediately.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Persistent nausea and vomiting","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":"Persistent nausea and vomiting however is not to be expected as this could be a sign of obstruction.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Wound becomes more red, painful or swollen","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":"Becomes more red, painful or 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 findings.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your bowel cancer has spread to other parts of the body","name":"Targeted medicines","source":{"url":"https://www.nhs.uk/conditions/bowel-cancer/treatment/","host":"nhs.uk","quote":"Targeted medicines or immunotherapy are sometimes used to treat advanced bowel cancer that has spread to other parts of the body.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your bowel cancer has spread to other parts of the body","name":"Immunotherapy","source":{"url":"https://www.nhs.uk/conditions/bowel-cancer/treatment/","host":"nhs.uk","quote":"Targeted medicines or immunotherapy are sometimes used to treat advanced bowel cancer that has spread to other parts of the body.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":283},{"id":"A3","text":"Your treatment team recommends a combination of treatments","name":"Chemotherapy","source":{"url":"https://www.nhs.uk/conditions/bowel-cancer/treatment/","host":"nhs.uk","quote":"You may be offered a combination of treatments including surgery, chemotherapy, radiotherapy and targeted medicines.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":37}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"laparoscopic-segmental","name":"Laparoscopic segmental colectomy (right, left or sigmoid)","how_it_works":{"text":"The operation is done through multiple small incisions","source":{"url":"https://leaflets.ekhuft.nhs.uk/colorectal-cancer-bowel-cancer/html/","host":"leaflets.ekhuft.nhs.uk","quote":"a single large incision (open surgery); or multiple small incisions (keyhole or laparoscopic surgery).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"weeks","label":"2–3 weeks","source":{"url":"https://chelwest.nhs.uk/your-visit/patient-leaflets/surgery-services/laparoscopic-colorectal-surgery","host":"chelwest.nhs.uk","quote":"You will be able to resume your usual activities in 2–3 weeks and your usual diet the day after laparoscopic colorectal surgery—patients who have an open operation usually take a little longer to get back to normal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"open-segmental-colectomy","name":"Open segmental colectomy","how_it_works":{"text":"The operation is done through a single large incision","source":{"url":"https://leaflets.ekhuft.nhs.uk/colorectal-cancer-bowel-cancer/html/","host":"leaflets.ekhuft.nhs.uk","quote":"a single large incision (open surgery); or multiple small incisions (keyhole or laparoscopic surgery).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"robotic-assisted-colectomy","name":"Robotic-assisted colectomy","how_it_works":{"text":"Keyhole surgery uses surgeon-guided robotic instruments to remove the cancer","source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/cancerofthecolon,rectumorbowel/","host":"111.wales.nhs.uk","quote":"robotic surgery – a type of keyhole surgery where the surgeon's instruments guide the robot, which removes the cancer","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"laparoscopic-segmental","name":"Laparoscopic segmental colectomy (right, left or sigmoid)","how_it_works":{"id":"H1","text":"The operation is done through multiple small incisions","source":{"url":"https://leaflets.ekhuft.nhs.uk/colorectal-cancer-bowel-cancer/html/","host":"leaflets.ekhuft.nhs.uk","quote":"a single large incision (open surgery); or multiple small incisions (keyhole or laparoscopic surgery).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"weeks","label":"2–3 weeks","source":{"url":"https://chelwest.nhs.uk/your-visit/patient-leaflets/surgery-services/laparoscopic-colorectal-surgery","host":"chelwest.nhs.uk","quote":"You will be able to resume your usual activities in 2–3 weeks and your usual diet the day after laparoscopic colorectal surgery—patients who have an open operation usually take a little longer to get back to normal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"suits_whom":"Most patients with resectable non-obstructing colon cancer without extensive adhesions or invasion.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Typically shorter stay and faster recovery than open surgery."},{"id":"open-segmental-colectomy","name":"Open segmental colectomy","how_it_works":{"id":"H1","text":"The operation is done through a single large incision","source":{"url":"https://leaflets.ekhuft.nhs.uk/colorectal-cancer-bowel-cancer/html/","host":"leaflets.ekhuft.nhs.uk","quote":"a single large incision (open surgery); or multiple small incisions (keyhole or laparoscopic surgery).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Large, locally advanced or obstructing tumors, prior extensive surgery or when minimally invasive surgery is unsafe.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer hospital stay and recovery, with greater wound-related morbidity."},{"id":"robotic-assisted-colectomy","name":"Robotic-assisted colectomy","how_it_works":{"id":"H1","text":"Keyhole surgery uses surgeon-guided robotic instruments to remove the cancer","source":{"url":"https://111.wales.nhs.uk/encyclopaedia/c/article/cancerofthecolon,rectumorbowel/","host":"111.wales.nhs.uk","quote":"robotic surgery – a type of keyhole surgery where the surgeon's instruments guide the robot, which removes the cancer","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients where a minimally invasive approach is preferred and expertise is available.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to laparoscopic surgery."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your bowel cancer has spread to other parts of the body","name":"Targeted medicines","source":{"url":"https://www.nhs.uk/conditions/bowel-cancer/treatment/","host":"nhs.uk","quote":"Targeted medicines or immunotherapy are sometimes used to treat advanced bowel cancer that has spread to other parts of the body.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your bowel cancer has spread to other parts of the body","name":"Immunotherapy","source":{"url":"https://www.nhs.uk/conditions/bowel-cancer/treatment/","host":"nhs.uk","quote":"Targeted medicines or immunotherapy are sometimes used to treat advanced bowel cancer that has spread to other parts of the body.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":283},{"id":"A3","text":"Your treatment team recommends a combination of treatments","name":"Chemotherapy","source":{"url":"https://www.nhs.uk/conditions/bowel-cancer/treatment/","host":"nhs.uk","quote":"You may be offered a combination of treatments including surgery, chemotherapy, radiotherapy and targeted medicines.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":37}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["republic-of-kosovo","austria","azerbaijan","china","colombia","czech-republic","egypt","france","germany","greece","india","israel","italy","japan","kazakhstan","malaysia","mexico","poland","republic-of-korea","romania","switzerland","thailand","turkey","ukraine","united-arab-emirates","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.69,"count":585,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Removal of colon cancer in Spain typically costs from _op_98_price_from_ to _op_98_price_to_. The final price depends on the surgical approach, the stage of the cancer, and the hospital's location. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients save around _price_percent_discount_% compared to the US. Most Spanish hospital packages include the surgery, anesthesia, and a 5–7 day hospital stay.</p>\n\n<ul>\n<li><strong>Colectomy (large bowel resection):</strong> _op_448_price_from_ to _op_448_price_to_ for partial or total removal.</li>\n<li><strong>Rectal resection:</strong> _op_454_price_from_ to _op_454_price_to_ for tumors located in the rectum.</li>\n<li><strong>Robotic-assisted surgery:</strong> Typically adds 20-30% to the cost compared to standard laparoscopic methods.</li>\n<li><strong>Medical hubs:</strong> Primary treatment centers are located in Barcelona, Madrid, and Valencia.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Spain offers elite oncology care at lower costs than the US or UK. High-tier centers like Centro Médico Teknon in Barcelona hold Joint Commission International (JCI) accreditation. These clinics often feature specialists like Dr. Domenico Sabia, who has 15 years of experience. Some facilities even offer high-end wards or royal apartments. Choosing a center with specialized units, such as HIPEC for advanced stages, ensures comprehensive care within one facility.</p>","faq":[{"q":"How long is the hospital stay after colon cancer surgery?","a":"<p>Patients undergoing colon cancer surgery in Spain typically stay in the hospital for 3 to 7 days. This timeframe varies based on surgical technique, with minimally invasive laparoscopic or robotic approaches often allowing for discharge within 2 to 3 days compared to longer stays for open surgery.</p> <ul> <li><strong>Surgical approach:</strong> Laparoscopic and robotic techniques significantly reduce inpatient time versus traditional open procedures.</li> <li><strong>Recovery milestones:</strong> Discharge requires passing gas, tolerating solid food, and achieving adequate pain control.</li> <li><strong>Physical mobilization:</strong> Most patients are expected to be mobile within 24 to 48 hours.</li> <li><strong>Stoma training:</strong> Creating a stoma may extend your stay for essential caregiver and self-care education.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish clinics like Centro Médico Teknon and Hospital Quiron Barcelona utilize Da Vinci Xi robotic systems to minimize trauma. Data shows these top-tier centers handle over 23,000 operations annually, maintaining high safety standards. Choosing a JCI-accredited facility in Spain ensures that discharge protocols strictly follow international recovery benchmarks rather than just hospital bed availability.</p> <p><strong>Patient Consensus:</strong> While 3 to 7 days is standard, recovery depends on hitting milestones like bowel function and mobility. Many patients emphasize that getting out of bed early is the fastest way to get home.</p>"},{"q":"What types of surgery are used for colon cancer removal in Spain?","a":"<p>Spain utilizes advanced surgical approaches for colon cancer removal, primarily focusing on minimally invasive laparoscopic and robotic-assisted colectomies. Leading oncology centers in Barcelona and Madrid integrate Da Vinci Xi technology for high-precision resections, effectively reducing recovery times while maintaining strict European medical standards.</p> <ul> <li><strong>Minimally invasive surgery:</strong> Laparoscopic and robotic platforms provide precision with smaller incisions.</li> <li><strong>Hemicolectomy procedures:</strong> Removal of specific colon segments followed by bowel reconnection.</li> <li><strong>Advanced cytoreduction:</strong> Hyperthermic intraperitoneal chemotherapy (HIPEC) treats cancer spread to abdominal linings.</li> <li><strong>Endoscopic removal:</strong> Colonoscopy with polyp removal manages very early-stage cancerous growths.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish centers like Centro Médico Teknon and Hospital Ruber Internacional stand out by offering molecular staging alongside surgery. This data-driven approach allows surgeons to identify microscopic disease spread during the procedure, which is a level of detail often missing in standard surgical packages. Choosing a clinic with this capability can significantly refine your post-operative treatment plan.</p> <p><strong>Patient Consensus:</strong> Many patients find that early detection via stool tests allows for simple endoscopic removal, avoiding major surgery entirely. For those requiring resection, the primary concern is often whether a stoma will be temporary or permanent.</p>"},{"q":"What is the success rate and quality of colon-cancer surgery care in Spain?","a":"<p>Spain reports a high 5-year survival rate of 62.6% for colon cancer, with early-stage cure rates exceeding 90%. Quality care is maintained through JCI-accredited facilities and surgeons holding European Board of Surgery qualifications. Advanced technologies like Da Vinci robotic-assisted surgery and laparoscopic techniques ensure high precision.</p> <ul> <li><strong>Early-stage success:</strong> Stage I and II patients achieve survival rates between 73% and 83%.</li> <li><strong>Surgical efficacy:</strong> Removal procedures maintain an 85–90% effectiveness rate across all cancer stages.</li> <li><strong>Quality standards:</strong> Top centers like Centro Médico Teknon and Hospital Ruber Internacional hold JCI accreditation.</li> <li><strong>Low recurrence:</strong> Local recurrence rates are as low as 0.5% due to precise surgical margins.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain’s private sector offers a significant speed advantage, with treatment typically starting within 14 days. While leading centers like Hospital Quiron Barcelona maintain massive patient volumes, smaller specialized units like Centro PAD focus on robotic-assisted recovery. This makes Spain a top choice for patients needing immediate, high-tech surgical intervention.</p> <p><strong>Patient Consensus:</strong> Survivors emphasize that pathology results, specifically clear margins and negative lymph nodes, are the true markers of surgical success. Many credit Spain’s national screening programs for catching tumors early enough to avoid chemotherapy entirely.</p>"},{"q":"Can a colostomy be avoided or reversed after colon-cancer surgery?","a":"<p>A colostomy can often be avoided or reversed after colon cancer surgery depending on tumor location and surgical technique. Temporary stomas typically remain for 6 weeks to 6 months. Specialized approaches like sphincter-saving surgery and robotic-assisted resection help preserve normal bowel function and prevent permanent bags.</p> <ul> <li><strong>Temporary reversal timing:</strong> Surgeons usually reconnect the bowel between 6 weeks and 6 months post-surgery.</li> <li><strong>Sphincter-saving techniques:</strong> Minimally invasive robotic methods help remove rectal tumors while maintaining natural muscular control.</li> <li><strong>Healing requirements:</strong> Successful reconnection depends on stoma site healing and completion of chemotherapy cycles.</li> <li><strong>Permanent necessity:</strong> Permanent colostomies are generally reserved for tumors located extremely low in the anal canal.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish oncology centers like Centro Médico Teknon integrate robotic platforms like Da Vinci Xi specifically to improve precision during low rectal resections. While many patients fear a permanent bag, the focus in Madrid and Barcelona clinics is on secondary reconnection. Data from specialists like Dr. Fadrique shows that using cytoreduction and HIPEC for complex cases can sometimes manage advanced stages while still prioritizing bowel continuity.</p> <p><strong>Patient Consensus:</strong> While many found the initial stoma emotionally challenging, they reported returning to activities like hiking and swimming within months. Patients emphasize asking exactly which muscles will be removed before surgery to set realistic expectations for reversal.</p>"},{"q":"How long is the hospital stay for a colectomy in Spain?","a":"<p>A hospital stay for a colectomy in Spain typically lasts 10 days for medical tourists. This period includes the surgical procedure and initial inpatient recovery. While most patients stabilize within 3 to 7 days, specialized clinics often extend the stay to facilitate rehabilitation and monitor bowel function.</p> <ul> <li><strong>Procedure approach:</strong> Laparoscopic or robotic surgery usually results in shorter hospital stays than open procedures.</li> <li><strong>Recovery milestones:</strong> Discharge requires patients to manage pain, walk independently, and tolerate solid food consumption.</li> <li><strong>Surgical complexity:</strong> Cases requiring an ostomy often demand extra inpatient time for specialized stoma care training.</li> <li><strong>Comprehensive care:</strong> Many Spanish centers bundle 4 days of rehabilitation into the total 10-day recovery stay.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish centers like Hospital Ruber Internacional and Centro Médico Teknon prioritize advanced technologies like the Da Vinci Xi robot. Our data shows that high-volume surgeons, such as Dr. Alfonso García Fadrique who has over 12,000 procedures, achieve faster recovery milestones. This expertise combined with Spanish public health coordination ensures transitions from hospital to rehabilitation are seamless for international patients.</p> <p><strong>Patient Consensus:</strong> Recovery depends heavily on hitting personal milestones like walking and eating after surgery. Most patients recommend clearing discharge criteria with the surgeon early to plan travel after major colon procedures.</p>"},{"q":"Which cities and hospitals are best known for colorectal surgery in Spain?","a":"<p>Barcelona and Madrid are Spain's primary hubs for colorectal surgery, featuring Joint Commission International (JCI) accredited facilities. Top hospitals include Centro Médico Teknon and Hospital Quirónsalud Barcelona, renowned for surgical oncology. These centers utilize Da Vinci robotic systems and advanced treatments like HIPEC to ensure precise cancer removal.</p> <ul> <li><strong>Top cities:</strong> Barcelona and Madrid lead in specialized oncology centers and robotic surgical technology.</li> <li><strong>Leading hospitals:</strong> Centro Médico Teknon and Hospital Ruber Internacional offer high-volume, JCI-accredited colorectal care.</li> <li><strong>Technological focus:</strong> Clinics prioritize Da Vinci Xi robotic systems for minimally invasive, precise tumor resection.</li> <li><strong>Specialist expertise:</strong> Surgeons often hold European Board certifications and manage over 10,000 seasonal patients.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While Madrid and Barcelona are standard choices, Centro PAD in Madrid stands out as a World's Best Smart Hospital 2023. This facility specifically focuses on rapid recovery protocols using the Da Vinci Xi robot. Choosing `Smart` designated facilities often ensures access to the newest laparoscopic techniques that minimize abdominal scarring.</p> <p><strong>Patient Consensus:</strong> Patients prioritize university-affiliated hospitals because they provide multidisciplinary teams including stoma nurses and radiologists. Successful recovery often depends on choosing clinics that offer prompt post-operative monitoring and clear colon cancer pathways.</p>"}],"h2":[{"text":"Какая цена операции при раке толстого кишечника в Испании?","kind":"content"},{"text":"Преимущества и гарантии Bookimed","kind":"content"},{"text":"Ваш личный врач-координатор Bookimed","kind":"content"},{"text":"Предложения по операции при раке толстого кишечника в Испании — ноябрь 2026","kind":"content"},{"text":"Лучшие клиники по операции при раке толстого кишечника в Испании — 5 проверенных вариантов с ценами","kind":"content"},{"text":"Обзор процедуры Операция при раке толстого кишечника в Испании","kind":"content"},{"text":"Получите медицинскую консультацию по операции при раке толстого кишечника в Испании: Выбирайте среди лучших специалистов в этой области","kind":"content"},{"text":"Видеоистории пациентов Bookimed","kind":"content"},{"text":"Отзывы о Bookimed: узнайте о реальном опыте пациентов","kind":"content"},{"text":"Поделитесь этим материалом","kind":"content"},{"text":"FAQ по операции при раке толстого кишечника в Испании","kind":"content"},{"text":"Получить бесплатную консультацию","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}