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"},"738":{"operation":{"name":"Nefrectomia com Robô Da Vinci","alias":"nephrectomy-with-da-vinci-robot","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":55000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":18500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"DE":{"amount":17500,"max_amount":24500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":11500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":17500,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"AT":false},"description":"O procedimento utiliza assistência robótica para remoção do rim, garantindo precisão, mínima invasividade e uma recuperação mais rápida.
"},"844":{"operation":{"name":"Cirurgia conservadora do rim","alias":"kidney-sparing-surgery","use_for_listing":true},"country_price":{"US":{"amount":32000,"max_amount":52000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":7000,"max_amount":19900,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":14500,"max_amount":21000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":8000,"max_amount":12000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":20000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"AT":false},"description":"Este procedimento remove tumores renais enquanto preserva o tecido saudável, minimizando riscos e promovendo uma recuperação mais rápida.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 anos de experiência\nOncologista médico, certificado pela ESMO","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncologia","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk-based work; laparoscopic approach is at the shorter end, open surgery at the longer end. Heavy manual work takes longer."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any perioperative complication within 30-90 days; major complications about 2-5%, higher with open surgery."},"contraindications":["Uncorrected bleeding disorder or coagulopathy","Severe cardiopulmonary disease making general anesthesia prohibitively risky","Active uncontrolled infection","Solitary functioning kidney or poor contralateral kidney function"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Uncomplicated simple or radical nephrectomy; laparoscopic is shorter, open is longer."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Walking starts early. Heavy lifting and strenuous exercise resume gradually after surgeon clearance. 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Open surgery, complications or clot risk push it later."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Wound check before flying home; suture or staple removal if needed."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of pathology results and kidney function tests, counted from surgery."}}],"indications":["Kidney tumor or renal cell carcinoma unsuitable for partial nephrectomy","Non-functioning kidney from chronic obstruction, infection or reflux","Severe kidney trauma not controllable by other means","Xanthogranulomatous pyelonephritis or other destructive infection","Upper tract urothelial cancer"],"main_risks":["Bleeding requiring transfusion","Infection of the wound or urinary tract","Injury to bowel, spleen, pancreas, liver or major vessels","Reduced kidney function or chronic kidney disease","Hernia or wound problems at the incision","Blood clots and anesthesia-related complications","Pneumothorax or pleural injury","Conversion from laparoscopic to open surgery"],"pain":"Moderate to significant postoperative pain, usually worst in the first 2-3 days, controlled with analgesics and sometimes regional blocks. It is generally milder after laparoscopic than open surgery and fades over 1-3 weeks.","preparation":["Imaging (CT or MRI) and blood tests including kidney function","Anesthesia and cardiopulmonary fitness assessment","Medication and health condition review with the surgical team","Fasting before surgery as instructed","Bowel preparation only if instructed by the surgeon","Stopping smoking before surgery"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Pain control, early walking, catheter and drain removal, and return of diet.","restrictions":["No driving","Avoid lifting"]},{"phase":"Early home recovery (weeks 1-2)","description":"Gradual increase in walking, wound care, fatigue common.","restrictions":["No lifting over about 4-5 kg","No driving while taking opioids"]},{"phase":"Return to normal activity (weeks 2-6)","description":"Return to desk work and light activities.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]},{"phase":"Full recovery (weeks 6-12)","description":"Return to full strength and activity as cleared by the surgeon.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated nephrectomy, without a formal program; open surgery takes longer than laparoscopic."},"result_longevity":"Removal of the kidney is permanent. Long-term outcome depends on the underlying condition and on the function of the remaining kidney.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Unplanned reoperation or return to theatre within 30-90 days, e.g. bleeding, hernia or wound problems."},"scars":"Laparoscopic: several small scars of about 1-2 cm and one extraction incision of about 5-8 cm. 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Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","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 checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you have been able to 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":"C3","text":"Check that you are satisfied with the facilities and standards at the clinic or 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booking treatment abroad","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":"The treating team does not let you ask 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":"F4","text":"The clinic or hospital’s facilities and standards do not satisfy you","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctors need it to see details of your treatment","document":"discharge summary","source":{"url":"https://www.cuh.nhs.uk/patient-information/radical-removal-of-the-kidney-procedure-specific-information/","host":"cuh.nhs.uk","quote":"If, in the first few weeks after your discharge, you need to call your GP for any reason or to attend another hospital, please take this summary with you to allow 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