El Dr. Jaroslav Tvaruzek ha realizado más de 4,000 cirugías robóticas en 18 años, certificado por Intuitive Surgical. Este hospital acreditado por la JCI es el centro de cirugía robótica más grande de la República Checa, realizando más de 1,100 operaciones robóticas al año. Una nefrectomía laparoscópica puede costar alrededor de $6,840. El paquete de nefrectomía robótica suele costar entre $8,020 y $8,260, incluyendo una estancia hospitalaria de 10 días, traslados, traducción y análisis histológico.
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Dirigiendo el Centro de Cirugía Robótica en el Hospital St. Zdislava en la República Checa, el doctor ha realizado más de 3,500 cirugías robóticas. Estas incluyen prostatectomía con preservación de la función eréctil, cirugías transorales, tiroidecto","specialities":[{"id":"sur.010","name":"Cirujano general","illness_kind_id":33},{"id":"sur.006","name":"Cirujano colorectal","illness_kind_id":33},{"id":"sur.007","name":"Oncólogo quirúrgico","illness_kind_id":33},{"id":"sur.009","name":"Cirujano gastrointestinal","illness_kind_id":33}],"statistics":{"review_count":11,"review_score":5,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":264,"alias":"st-zdislava-hospital","name":"Robotic Surgery Center in St. Zdislava Hospital","short_description":"
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El tumor afecta a uno, con mucha menos frecuencia: ambos riñones. El 50% de los pacientes tienen cáncer de células renales . En todos los demás casos, se desarrolla un tumor maligno en el uréter, la pelvis renal. El sarcoma renal se diagnostica en menos del 10% de los pacientes.
Se desarrollan células tumorales en el espacio retroperitoneal que son poco palpables. Las primeras etapas de la enfermedad son asintomáticas. El tumor a menudo se detecta durante una ecografía programada cuando ya tiene un gran tamaño.
Síntomas típicos del cáncer de riñón:
sangre en la orina (hematuria);
dolor lumbar intenso;
induración abdominal palpable durante el examen;
aumento de la temperatura y la presión arterial;
podedema
La ecografía renal es el método más disponible pero no proporciona un diagnóstico preciso. Por lo tanto, el diagnóstico del cáncer de riñón debe incluir un conjunto de procedimientos:
En la etapa temprana del cáncer de riñón, el tamaño del tumor no supera los 7 cm. Se encuentra en el riñón y no se propaga a los órganos y tejidos circundantes. La etapa 1 está mal diagnosticada y no tiene síntomas específicos.
Tratamiento del cáncer de riñón en etapa 1 | Tasa de supervivencia. Rehabilitación |
| 81 - 90 % Después del tratamiento los pacientes vuelven a la vida normal con algunas restricciones en cuanto a su dieta y actividades físicas. Se requiere examen de nefrólogo/urólogo cada 6 meses durante 2 años después de la cirugía, que - una vez al año. |
El cáncer de riñón en etapa 2 se disemina hacia las glándulas suprarrenales o la grasa pararrenal. El tamaño del tumor supera los 7 cm pero se localiza solo en el área renal. No hay metástasis.
Tratamiento del cáncer de riñón en estadio 2 | Tasa de supervivencia. Rehabilitación |
Extracción del riñón con tejido graso adherente, a veces con glándulas suprarrenales, vasos de ajuste, ganglios linfáticos. | 74 % После лечения пациент возвращается к повседневной жизни, соблюдая диету, режим. El 20 % de los pacientes tienen el riesgo de metástasis, por eso deben someterse al diagnóstico cada 3 - 6 meses, que — cada año durante 5 años. |
En el estadio 3, el tumor del cáncer de riñón comienza a diseminarse a los ganglios linfáticos. No hay metástasis a distancia. El cáncer puede diseminarse a la vena renal o la vena cava y causar complicaciones.
Tratamiento del cáncer de riñón en etapa 3 | Tasa de supervivencia. Rehabilitación |
Extracción del riñón con tejido graso adherente, a veces con glándulas suprarrenales, vasos de ajuste, ganglios linfáticos. | 40 – 65 % Examen regular – cada 3 meses durante 3 años después de la cirugía. Que – una vez al año. |
El cáncer de riñón en etapa 4 es difícil de tratar. Tiene múltiples metástasis a distancia, el tumor se expande rápida y agresivamente.
Tratamiento del cáncer de riñón en etapa 4 | Tasa de supervivencia. Rehabilitación |
| 10 % – 14 % El tratamiento prolonga significativamente la vida del paciente, aumenta su calidad. Se aplica tratamiento paliativo para aliviar los dolores. |
El costo del tratamiento del cáncer de riñón puede variar de $10,100 a $14,540:
El médico determinará el costo total del tratamiento según sus necesidades y tratamientos anteriores. Es posible que no necesite repetir pruebas anteriores, lo que podría ahorrar dinero.
"},"guide_mc":{"text":"Llegada
Diagnósticos
Desarrollo del plan de tratamiento
Tratamiento
Hacer un seguimiento
Rehabilitación
Tenga en cuenta que solo un médico puede determinar un plan de diagnóstico y tratamiento, ya que cada caso es individual. Además, algunos pacientes pueden requerir otros tratamientos como la crioablación o la ablación por radiofrecuencia. Siempre consulte con su médico para conocer las mejores opciones de tratamiento.
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