O Ponderas Academic Hospital é especializado na remoção de cancro do fígado, com cirurgiões a realizar mais de 1.000 procedimentos minimamente invasivos anualmente. O procedimento custa normalmente cerca de 12.540 $. O Dr. Catalin Copaescu, Diretor do Centro de Excelência em Cirurgia Bariátrica, tem _doctor_9347_years_ de experiência em cirurgias laparoscópicas e assistidas por robô, incluindo procedimentos abdominais complexos. O hospital possui acreditações JCI e SRC, garantindo a adesão aos padrões internacionais de saúde.
A Clínica Acadêmica Ponderas — centro médico privado e multidisciplinar situado em Bucareste, Romênia. A clínica conta com cirurgiões que possuem mais de 30 anos de experiência prática, reunindo sob o mesmo teto especialistas de diversas áreas médicas e cirúrgicas.
\n\nO hospital possui 10 acreditações internacionais do JCI, SRC e IFSO, confirmando o mais alto nível de cuidado bariátrico tanto na Romênia quanto em nível internacional. A clínica não apenas segue os padrões mundiais de saúde — ela é a personificação desses padrões. Pacientes de todo o mundo vêm para cá, sabendo que receberão tratamento de primeira classe em uma instituição médica moderna, independentemente de seu país de origem.
\n\nNo Ponderas, os pacientes recebem um conjunto completo de cuidados médicos: desde diagnóstico meticuloso e tratamento cirúrgico até acompanhamento pós-operatório cuidadoso e suporte a longo prazo.
","images":[{"base_url":"clinic/67a24987bda86","title":"Ponderas Academic Hospital modern glass facade in Bucharest, Romania"},{"base_url":"clinic/67a24a1a3740d","title":"Modern waiting area at Ponderas Academic Hospital with circular seating"},{"base_url":"clinic/67a249b0bd7b9","title":"Bright hospital corridor at Ponderas Academic Hospital, modern decor and wall art"},{"base_url":"clinic/67a24aa92c12d","title":"Hospital corridor at Ponderas Academic Hospital, modern and clean interior"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Roménia","id":116,"alias":"romania","iso_code":"RO"},"city":{"name":"Bucareste","id":2508,"alias":"bucharest"},"address":"Str. Nicolae Caramfil 85A, sector 1, Bucuresti, Romania"},"rating":{"rating":5,"google":3,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":5,"doctors_number":218,"year_foundation":2010},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc2b909d3bff.jpeg","name":"Centro de Excelência em Cirurgia Bariátrica","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc00265ea617.jpeg","name":"Surgical Review Corporation","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc0068d86f97.jpeg","name":"Centro de Excelência em Cirurgia Robótica","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc00432c38f9.jpeg","name":"Centro de Excelência em Cirurgia Colorretal","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":115},"doctors":{"doctors":[{"doctor":{"id":9347,"alias":"catalin-copaescu","name":"Catalin Copaescu","clinic_id":6339,"photo":"doctor/679a28ffab814","first_year_working":1993,"created_at":"2025-01-29T13:11:26.918+00:00","short_description":"O Dr. Catalin Copaescu é o primeiro cirurgião na Roménia a possuir certificações europeias (IFSO-EC) e americanas (SRC) em cirurgia bariátrica. Ele atua como Diretor do Centro de Excelência em Cirurgia Bariátrica no Hospital Académico Ponderas. O Dr. Copaescu realiza mais de 1.000 procedimentos minimamente invasivos a cada ano. Ele é especializado em cirurgias laparoscópicas e assistidas por robótica para condições metabólicas, colorretais e hérnias.
A Clínica Acadêmica Ponderas — centro médico privado e multidisciplinar situado em Bucareste, Romênia. A clínica conta com cirurgiões que possuem mais de 30 anos de experiência prática, reunindo sob o mesmo teto especialistas de diversas áreas médicas e cirúrgicas.
\n\nO hospital possui 10 acreditações internacionais do JCI, SRC e IFSO, confirmando o mais alto nível de cuidado bariátrico tanto na Romênia quanto em nível internacional. A clínica não apenas segue os padrões mundiais de saúde — ela é a personificação desses padrões. Pacientes de todo o mundo vêm para cá, sabendo que receberão tratamento de primeira classe em uma instituição médica moderna, independentemente de seu país de origem.
\n\nNo Ponderas, os pacientes recebem um conjunto completo de cuidados médicos: desde diagnóstico meticuloso e tratamento cirúrgico até acompanhamento pós-operatório cuidadoso e suporte a longo prazo.
","images":[{"base_url":"clinic/67a24987bda86","title":"Ponderas Academic Hospital modern glass facade in Bucharest, Romania"},{"base_url":"clinic/67a24a1a3740d","title":"Modern waiting area at Ponderas Academic Hospital with circular seating"},{"base_url":"clinic/67a249b0bd7b9","title":"Bright hospital corridor at Ponderas Academic Hospital, modern decor and wall art"},{"base_url":"clinic/67a24aa92c12d","title":"Hospital corridor at Ponderas Academic Hospital, modern and clean interior"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Roménia","id":116,"alias":"romania","iso_code":"RO"},"city":{"name":"Bucareste","id":2508,"alias":"bucharest"},"address":"Str. Nicolae Caramfil 85A, sector 1, Bucuresti, Romania"},"rating":{"rating":5,"google":3,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":5,"doctors_number":218,"year_foundation":2010},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc2b909d3bff.jpeg","name":"Centro de Excelência em Cirurgia Bariátrica","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc00265ea617.jpeg","name":"Surgical Review Corporation","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc0068d86f97.jpeg","name":"Centro de Excelência em Cirurgia Robótica","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc00432c38f9.jpeg","name":"Centro de Excelência em Cirurgia Colorretal","country_code":"US"}]}}],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Alemanha","alias":"germany","iso_code":"DE"},{"name":"Azerbaijão","alias":"azerbaijan","iso_code":"AZ"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Egito","alias":"egypt","iso_code":"EG"},{"name":"Espanha","alias":"spain","iso_code":"ES"},{"name":"Estados Unidos da América","alias":"united-states","iso_code":"US"},{"name":"Grécia","alias":"greece","iso_code":"GR"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Itália","alias":"italy","iso_code":"IT"},{"name":"Lituânia","alias":"lithuania","iso_code":"LT"},{"name":"Malásia","alias":"malaysia","iso_code":"MY"},{"name":"México","alias":"mexico","iso_code":"MX"},{"name":"Reino Unido","alias":"united-kingdom","iso_code":"GB"},{"name":"República da Coreia","alias":"republic-of-korea","iso_code":"KR"},{"name":"Roménia","alias":"romania","iso_code":"RO"},{"name":"Suíça","alias":"switzerland","iso_code":"CH"},{"name":"Tailândia","alias":"thailand","iso_code":"TH"},{"name":"Turquia","alias":"turkey","iso_code":"TR"},{"name":"Ucrânia","alias":"ukraine","iso_code":"UA"},{"name":"Áustria","alias":"austria","iso_code":"AT"},{"name":"Índia","alias":"india","iso_code":"IN"}],"cities":[{"name":"Bucareste","alias":"bucharest"}],"operations":[{"name":"Histerectomia (remoção do útero)","alias":"hysterectomy"},{"name":"Remoção de tumor cerebral","alias":"removal-of-the-brain-tumor"},{"name":"Mastectomia","alias":"mastectomy"},{"name":"Nefrectomia","alias":"nephrectomy"},{"name":"Prostatectomia robótica da Vinci","alias":"radical-prostatectomy-via-da-vinci-robotic-surgery"},{"name":"Prostatectomia","alias":"prostatectomy"},{"name":"Cirurgia do cancro da mama","alias":"operation-on-breast-cancer"},{"name":"Cirurgia de tumor cerebral","alias":"brain-tumor-surgery"},{"name":"HIFU para o tratamento do cancro da próstata","alias":"hifu-for-prostate-cancer-treatment"},{"name":"Cirurgia de cancro do pâncreas","alias":"pancreatic-cancer-surgery"},{"name":"Cirurgia de tumor hipofisário","alias":"pituitary-tumor-surgery"},{"name":"Cirurgia de Whipple","alias":"whipple-surgery"},{"name":"Cirurgia ao cancro do pulmão","alias":"lung-cancer-surgery"},{"name":"Histerectomia Laparoscópica","alias":"laparoscopic-hysterectomy"},{"name":"Resseção hepática","alias":"liver-resection"},{"name":"Remoção de cancro do cólon","alias":"removal-of-colon-cancer"},{"name":"Cirurgia de cancro do estômago","alias":"gastrectomy"},{"name":"Remoção de meningioma","alias":"removal-of-meningioma"},{"name":"Colectomia (resseção do intestino grosso)","alias":"colectomy-large-bowel-resection"},{"name":"Remoção da bexiga","alias":"rezekcia-mocevogo-puzyra"},{"name":"Resseção retal","alias":"rectal-resection"},{"name":"Sistema Robótico Da Vinci","alias":"da-vinci-robotic-system"},{"name":"Lumpectomia","alias":"lumpectomy"},{"name":"Gastroctomia","alias":"gastroectomy"},{"name":"Remoção de cancro do fígado","alias":"removal-of-liver-cancer"},{"name":"Histerectomia com robô DaVinci","alias":"hysterectomy-with-davinci-robot"},{"name":"Remoção de tumor testicular","alias":"removal-of-tumor-of-testicle"},{"name":"Nefrectomia laparoscópica","alias":"laparoscopic-nephrectomy"},{"name":"Lobectomia","alias":"lobectomy"},{"name":"Remoção da bexiga com reconstrução","alias":"bladder-removal-with-reconstruction"},{"name":"Resseção do intestino delgado","alias":"small-intestine-surgery"},{"name":"Cirurgia do cancro do ovário","alias":"ovarian-cancer-surgery"},{"name":"Disseção de gânglios linfáticos","alias":"lymph-node-dissection"},{"name":"Ooforectomia laparoscópica (cirurgia de remoção do ovário)","alias":"laparoscopic-oophorectomy-ovary-removal-surgery"},{"name":"Nefrectomia com Robô Da Vinci","alias":"nephrectomy-with-da-vinci-robot"},{"name":"Prostatectomia laparoscópica","alias":"laparoscopic-prostatectomy"},{"name":"Linfadenectomia","alias":"lymphadenectomy"},{"name":"Resseção de glioblastoma","alias":"resection-of-glioblastoma"},{"name":"Traquelectomia (cervicectomia)","alias":"trachelectomy-cervicectomy"},{"name":"Hemicolectomia","alias":"hemicolectomy"},{"name":"Pancreatectomia distal","alias":"distal-pancreatectomy"},{"name":"Segmentectomia pulmonar","alias":"lung-segmentectomy"},{"name":"Resseção do intestino grosso","alias":"resection-of-large-intestine"},{"name":"Tireoidectomia subtotal","alias":"subtotal-thyroidectomy"},{"name":"Omentectomia","alias":"omentectomy"},{"name":"Resseção em Cunha","alias":"wedge-resection"},{"name":"Incisão transuretral da próstata (ITUP)","alias":"transurethral-incision-of-the-prostate-tuip"},{"name":"Gastrectomia Da Vinci","alias":"da-vinci-gastroectomy"},{"name":"Mesorrectomomia laparoscópica","alias":"laparoscopic-mesorectumrctonomy"},{"name":"Resseção óssea","alias":"resection-of-the-bone"}],"diagnostics":[{"name":"Colonoscopia","alias":"colonoscopy"},{"name":"TC (tomografia computadorizada)","alias":"ct"},{"name":"Mamografia","alias":"mammography"},{"name":"Ressonância magnética cerebral","alias":"brain-mri"},{"name":"Biópsia","alias":"biopsy"},{"name":"Radiografia Torácica","alias":"chest-x-ray"},{"name":"Rastreio do cancro","alias":"screening-for-cancer"},{"name":"Biópsia mamária","alias":"breast-biopsy"},{"name":"Biópsia cerebral","alias":"brain-biopsy"},{"name":"TAC dos órgãos torácicos, abdominais e pélvicos","alias":"ct-of-three-cavities"},{"name":"TC do tórax","alias":"ct-of-the-chest"},{"name":"Ecografia tiroideia","alias":"thyroid-ultrasound"},{"name":"Dermatoscopia","alias":"dermatoscopy"},{"name":"Ressonância Magnética de Corpo Inteiro","alias":"whole-body-mri"},{"name":"Gastroscopia com biópsia","alias":"gastroscopy--biopsy"},{"name":"Ecografia mamária","alias":"breast-ultrasound"},{"name":"Análise alargada de sangue","alias":"extended-analysis-of-blood"},{"name":"Consulta com um radiologista de intervenção","alias":"consultation-with-an-interventional-radiologist"},{"name":"Angiografia","alias":"angiography"},{"name":"Consulta com um oncologista","alias":"consultation-of-oncologist"}],"illnesses":[{"name":"Cancro da próstata","alias":"prostate-cancer"},{"name":"Cancro do pâncreas","alias":"pancreatic-cancer"}],"illnessKinds":[{"name":"Oncologia","alias":"oncology"}],"illness_kinds":[{"name":"Oncologia","alias":"oncology"}]},"popularSearches":[{"name":"Imunoterapia","alias":"immunotherapy","type":"operation","id":283},{"name":"Imunoterapia com Keytruda (Pembolizumab)","alias":"keytruda","type":"operation","id":491},{"name":"Quimioterapia","alias":"chemotherapy","type":"operation","id":37},{"name":"Transplante de medula óssea","alias":"bone-marrow-transplantation","type":"operation","id":141},{"name":"Ablação por radiofrequência","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"RM de uma área","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"Colonoscopia","alias":"colonoscopy","type":"diagnostic","id":9},{"name":"PET/TAC","alias":"pet-ct","type":"diagnostic","id":1},{"name":"Consulta com um oncologista","alias":"consultation-of-oncologist","type":"diagnostic","id":102},{"name":"Consulta com elaboração de plano de tratamento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Cancro da mama","alias":"breast-cancer","type":"illness","id":3},{"name":"Cancro da próstata","alias":"prostate-cancer","type":"illness","id":97},{"name":"Cancro do pulmão","alias":"lung-cancer","type":"illness","id":4},{"name":"Cancro do pâncreas","alias":"pancreatic-cancer","type":"illness","id":7},{"name":"Cancro do estômago","alias":"stomach-cancer","type":"illness","id":51}],"operationPrices":{"operation_prices":{"97":{"operation":{"name":"Remoção de cancro do fígado","alias":"removal-of-liver-cancer","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":14000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":12000,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":18000,"max_amount":33000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":20000,"max_amount":28000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"RO":{"amount":12500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":true,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"RO":true}},"265":{"operation":{"name":"Terapia SIRT","alias":"sirt-therapy","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":80000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":24000,"max_amount":25000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":32000,"max_amount":45000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":21000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":20000,"max_amount":26500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true}},"450":{"operation":{"name":"Resseção hepática","alias":"liver-resection","use_for_listing":true},"country_price":{"US":{"amount":55000,"max_amount":85000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":9000,"max_amount":17000,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14500,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":21000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":18000,"max_amount":27000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"RO":{"amount":7800,"max_amount":9000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true,"RO":true}}}},"cityPrices":{"operation_prices":{"97":{"operation":{"id":97,"name":"Remoção de cancro do fígado","alias":"removal-of-liver-cancer"},"city_price":[{"amount":12500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":2508,"name":"Bucareste","alias":"bucharest","profile":{"city_id":2508,"city_type":"Capital and largest city of Romania","access":["Henri Coandă Airport (OTP), 17 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Bucharest","https://en.wikipedia.org/wiki/Henri_Coandă_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]},"450":{"operation":{"id":450,"name":"Resseção hepática","alias":"liver-resection"},"city_price":[{"amount":7800,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":2508,"name":"Bucareste","alias":"bucharest","profile":{"city_id":2508,"city_type":"Capital and largest city of Romania","access":["Henri Coandă Airport (OTP), 17 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Bucharest","https://en.wikipedia.org/wiki/Henri_Coandă_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"Stay strong, stay informed, and never underestimate the power of cutting-edge treatments and a solid support system.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Confraternitaet & Goldenes Kreuz Private Hospital","clinic":{"name":"Confraternitaet & Goldenes Kreuz Private Hospital","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"Radioembolização para cancro do fígado","alias":"radioembolization-for-liver-cancer"},{"name":"Ablação por radiofrequência","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 anos de experiência\nOncologista médico, certificado pela ESMO","advisoryText":"20 anos de experiência\nOncologista médico, certificado pela ESMO","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"updatedAt":"2026-11-09T22:01:01.007Z","activeCountries":["RO","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":6},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Oncologia","alias":"oncology","name_forms":{"base_form":"Oncologia","form_4":"oncologista","form_6":"oncologistas","form_11":"oncologistas"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":60,"unit":"days","qualifier":"Desk work after uncomplicated partial hepatectomy; longer after open major resection, shorter after minimally invasive minor resection; physical work later."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any postoperative complication within 90 days; major complications (Clavien-Dindo III+) about 5-15%, higher after major resection or cirrhosis."},"contraindications":["Insufficient predicted future liver remnant volume or function","Decompensated cirrhosis (e.g., Child-Pugh C) or significant portal hypertension","Unresectable tumor involving unreconstructable critical vessels or bile ducts","Extensive extrahepatic metastases not curable (relative, tumor-dependent)","Medical unfitness for general anesthesia and major abdominal surgery","Uncorrectable coagulopathy"],"days_in_clinic":{"min":3,"max":10,"unit":"nights","qualifier":"Uncomplicated partial hepatectomy; shorter after minimally invasive minor resection, longer for open major resection."},"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; avoid strenuous exercise and heavy lifting for 6-12 weeks, longer after open surgery."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Approximate time for liver remnant regeneration and recovery of function; oncologic outcome is assessed by surveillance imaging."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"After discharge and wound check; shorter after minimally invasive minor resection, longer after open major resection or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound check and suture/staple removal if applicable."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of pathology (margins) and plan for further oncologic care."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Liver function and first surveillance imaging; ongoing surveillance continues per oncology protocol."}}],"indications":["Resectable hepatocellular carcinoma with adequate liver function and remnant volume","Resectable intrahepatic cholangiocarcinoma","Resectable liver metastases (e.g., colorectal) in selected patients","Localized malignant liver tumor with curative intent"],"main_risks":["Bleeding requiring transfusion or reoperation","Post-hepatectomy liver failure, especially with cirrhosis or large resection","Bile leak or biliary fistula","Infection, abscess or wound infection","Fluid collection, ascites or pleural effusion","Venous thromboembolism","Pulmonary complications","Anesthesia-related risks"],"pain":"Moderate to severe postoperative pain for the first several days, higher after open subcostal incisions; managed with multimodal analgesia (often epidural or regional blocks plus oral analgesics), gradually settling over 2-4 weeks.","preparation":["Imaging (CT/MRI) for staging and resectability and liver volumetry","Liver function and blood tests, including coagulation","Cardiopulmonary and anesthesia fitness assessment","Multidisciplinary tumor board review","Fasting before surgery per anesthesia instructions","Smoking and alcohol cessation","Medication review with the surgical team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Monitoring of liver function, pain control, early mobilization, gradual diet resumption and drain management.","restrictions":["No driving","Gentle walking only"]},{"phase":"Early home recovery (weeks 1-4)","description":"Fatigue and incision discomfort gradually improve; wound and lab follow-up.","restrictions":["No lifting above a few kilograms","Avoid alcohol"]},{"phase":"Return to activity (weeks 4-12)","description":"Gradual return to desk work and light activity.","restrictions":["Avoid heavy lifting and strenuous exercise"]},{"phase":"Full recovery (weeks 12-24)","description":"Return to normal activity as liver regenerates; surveillance imaging per oncology plan.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated partial hepatectomy; no formal rehabilitation program usually required."},"result_longevity":"Surgical removal is permanent, but cancer can recur. Recurrence risk is high after hepatocellular carcinoma or metastasis resection, so long-term outcome depends on tumor type, stage, margins and liver condition. Surveillance imaging continues for years.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned reoperation within 90 days, mainly for bleeding, bile leak or abscess drainage."},"scars":"Open approach leaves a subcostal or upper midline scar; laparoscopic or robotic approach leaves several small port scars plus a possible small extraction incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for standalone resection."},"stages":[{"code":"resection","label":"Liver tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standard single-stage resection; staged or two-step hepatectomy is an exceptional variant."},"success":{"metric":"5-year overall survival after curative resection","value":50,"unit":"percent","horizon":"5 years","population":"Adults with resectable hepatocellular carcinoma and preserved liver function","evidence_status":"limited"},"techniques":[{"name":"Open partial hepatectomy (wedge, segmentectomy or lobectomy)","suits_whom":"Larger or centrally located tumors, major resections, or cases needing vascular control.","recovery":"Longer hospital stay and recovery, roughly 6-10 nights and 6-8 weeks to return to desk work."},{"name":"Laparoscopic or robotic liver resection","suits_whom":"Selected smaller, peripheral tumors in patients with preserved liver function, at experienced centers.","recovery":"Often shorter stay (about 3-6 nights) and faster return to activity."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Operating time for a single partial hepatectomy; varies with extent of resection and approach."},"initial_assessment_documents":["Contrast CT or MRI of the liver","Biopsy or pathology report (if available)","Recent liver function and coagulation blood tests","Tumor marker results (AFP)","Oncologist or hepatologist report with cirrhosis status","Previous abdominal surgery operative reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage resection; stay 2-3 weeks including 3-10 hospital nights and wound check. Later surveillance can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check how often the surgeon performs this type of surgery","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/managing-care/finding-cancer-care","host":"cancer.gov","quote":"How often do they perform the type of surgery you need?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check at which hospital the surgeon practices","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/managing-care/finding-cancer-care","host":"cancer.gov","quote":"At what hospital(s) do they practice?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check how the facility monitors and works to improve its quality of care","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/managing-care/finding-cancer-care","host":"cancer.gov","quote":"How does it check on and work to improve its quality of care?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check whether the facility explains patients' rights and responsibilities","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/managing-care/finding-cancer-care","host":"cancer.gov","quote":"Does it explain patients’ rights and responsibilities?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check whether the facility has experience treating your condition","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/managing-care/finding-cancer-care","host":"cancer.gov","quote":"Does it have experience and success in treating my condition?","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":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":null,"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs the surgeon's report to show the results of procedures","document":"operative report","source":{"url":"https://www.training.seer.cancer.gov/diagnostic/report.html","host":"training.seer.cancer.gov","quote":"The surgeon's report should reflect the results of these procedures.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"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 situation makes liver transplant an option","name":"Liver transplant","source":{"url":"https://www.mayoclinic.org/diseases-conditions/hepatocellular-carcinoma/diagnosis-treatment/drc-20588954","host":"mayoclinic.org","quote":"In some people, a liver transplant may be an option.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403},"operation_id":32},{"id":"A2","text":"You need another treatment option besides surgery","name":"Tumor ablation","source":{"url":"https://www.mayoclinic.org/diseases-conditions/hepatocellular-carcinoma/diagnosis-treatment/drc-20588954","host":"mayoclinic.org","quote":"Other treatments may include ablation, embolization, radiation therapy, immunotherapy and targeted therapy.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"open-partial-hepatectomy","name":"Open partial hepatectomy (wedge, segmentectomy or lobectomy)","how_it_works":{"text":"Surgery removes the cancer from the liver","source":{"url":"https://www.mayoclinic.org/diseases-conditions/hepatocellular-carcinoma/diagnosis-treatment/drc-20588954","host":"mayoclinic.org","quote":"Surgery may be used to remove the cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},"recovery_daily":null},{"id":"laparoscopic-or-robotic-liver-resection","name":"Laparoscopic or robotic liver resection","how_it_works":{"text":"The liver is resected using minimally invasive surgery","source":{"url":"https://www.imperial.nhs.uk/our-services/cancer-services/liver-cancer","host":"imperial.nhs.uk","quote":"Patients who have undergone a resection with this technique can go home much quicker with minimum trauma and discomfort.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=rumuniya/city=buharest/procedure=udalenie-raka-peceni/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":9,"alias":"liver-cancer","name":"Cancro do fígado"},{"id":3165,"alias":"metastases-in-the-liver","name":"Metástases hepáticas"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}