Surgery is considered a basic method of treatment of this disease . However, radiotherapy or chemotherapy can be administered separately or together, as well as in combination with surgical treatment. Treatment depends on the complexity of the disease and the presence of metastases in adjacent with the gall bladder tissues and organs. In this article you will learn all the methods of treatment and the benefits of Israeli hospitals.

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Treatment of cancer of the gallbladder in Israel: Operation

Cancer treatment gallbladder in IsraelSelection operation based on the determined stage of the disease. The tests help determine whether surgery is possible. Tasks surgical treatment gallbladder cancer in Israel: remove the tumor, to cure the disease; weaken the existing manifestations of the disease, improve the patient's condition.

The Israeli hospitals use multiple operations, the purpose of which - to remove a malignant tumor of the gallbladder. Some of them are extremely extensive and serious. Selection is determined by location of tumors and proliferation. Operations: simple cholecystectomy, extended cholecystectomy (gall bladder addition resected lymph nodes and liver segment) resection (removed affected surrounding tissue).

simple cholecystectomy

Cholecystectomy is of Greek origin, means the gallbladder.

Surgical intervention may be cavital incision is made in the upper right part of the abdomen. But sometimes it is possible to use a laparoscopic approach. The operation is performed using a laparoscope equipped with a lamp and a camera. General anesthesia is used, made several small incisions (three - four), the abdominal cavity is inflated carbon dioxide to increase your visibility. The surgeon removes the diseased organ.

Extended cholecystectomy

If gallbladder cancer completely covered body, it will be removed together with it a few centimeters surrounding liver tissue (2.5 cm) lymph nodes. After that, the extracted tissue is studying pathology.

radical resection

If the malignant process has gone beyond the boundaries of the primary tumor, lymph nodes affected next, they will be removed. This operation involves resection of the gallbladder, common bile duct, hepatic segment connecting the intestines and liver ligament (partially or completely) the lymph nodes located near the intestine.

Extensive surgery affected neighboring organs

May be removed by a number arranged structures that affected tumor process - pancreas, a large portion of the liver, intestine segment (duodenum), stomach.

This may include the following types of surgical interventions.

  1. Gastrojejunostomy - operation, during which the gallbladder is removed, the ducts and the duodenum, stomach connected to the small intestine.
  2. Liver resection involves removing body segment in connection with the penetration of tumor. It is performed if the tumor is small and is not cancerous vessels.
  3. Hepatic lobectomy involves the removal of body proportion. When no liver disease, such as cirrhosis, the body can grow back, his later work time is normalized. It is important to carefully examine the liver before surgery. Cirrhosis in such a situation can cause liver failure.
  4. Pancreatectomy - operation, during which the exposed resected pancreas, liver and part intestine (duodenum).
  5. Whipple operation involves removal of the gallbladder, part of the bile duct, pancreas segments, stomach and intestine (duodenum).
  6. Large bowel resection involves removing part of the colon. Performed if the gallbladder tumor struck the large intestine. Extracted abnormal section, two ends of the colon are joined again.

palliative surgery

Surgery in metastatic process can improve the quality of life, the general condition of the patient, symptoms of the disease weakened. For example, if the tumor is blocked bile duct or bowel, causing nausea. Go features such as itchy skin, a general decline in health, and nausea.

Carry out two types of surgery:

  1. Creating the bypass channel means that the bile duct or bubble intersect above the blockage and is connected to the small intestine. Thus, the bile will get a tumor.
  2. The use of a catheter or stent. Small tubes called stents, large - catheters, that can be used to remove excess bile. Through a catheter bile evacuated outside the body. In the case of placing it stent mounted inside the bile duct for removal of the blocked portion around the bile into the small intestine. Most stents are now made of an expandable wire mesh, which is the minimum likely to be blocked. If all this happens, it can be replaced.

Treatment of gallbladder cancer in Israel: Chemotherapy

Chemotherapy is the treatment of gallbladder cancerThis method in the fight against cancer uses cytotoxic drugs. Chemotherapy as monotherapy can not cure gallbladder cancer, but doctors use it in different situations.

Chemotherapy for metastatic cancer of the gallbladder

This method can be offered as a doctor in Israel to reduce the malignant tumor of the gallbladder, slow the progression of the disease, to eliminate any symptoms. Often, a combination of gemcitabine and cisplatin in metastatic. If you can not assign cisplatin, oxaliplatin, the doctor will suggest. Either use gemcitabine, fluorouracil (5-FU), capecitabine.

Chemotherapy for locally advanced cancer of the gall bladder

According to some studies, cytostatics in combination with radiation therapy or surgery are able to control locally advanced gallbladder cancer for some time. Clinical trials have shown that some people have a tumor is shrinking.

Chemotherapy is a cancer of the gall bladder in the early stages

Currently, there is evidence that chemotherapy before surgery increases the survival rate. According to a number of other clinical trials, cytotoxic drugs are beneficial after surgery.

Chemotherapy for cancer of the gallbladder

Gallbladder cancer treatment in Israel can include one or a combination of drugs. Gemcitabine and cisplatin is often used to treat cancer of the gallbladder, which can not be removed surgically. Chemotherapy is held once a week for a half moon, followed by a week of rest. The number of cycles can be up to eight. If there are contraindications to cisplatin, oxaliplatin is used.

When the health status of the patient is weakened for assigning combinations of chemotherapeutic agents, gemcitabine recommended with fewer adverse effects of therapy. Typically, an intravenous treatment of gallbladder cancer is held weekly during of weeks, followed by a week of rest. Each session lasts about an hour. Also used are drugs such as fluorouracil (5-FU) and capecitabine.

Side effects of chemotherapy in cancer of the gall bladder

Medications have different effects on people. Not every patient, the same side effects. Some unwanted effects are quite common to many chemotherapeutic agents:

  • Reduced blood cells.
  • Nausea.
  • Diarrhea.
  • Stomatitis.
  • Hair loss or thinning.
  • Feeling tired.

For different preparations characterized by various side effects. Regular blood tests are carried out to verify that the level of blood cells. If there is a lack of white blood cells, there is a high risk of infection. In such a case is assigned to antibiotic therapy. At deficiency of red blood cells develop anemia, which will be accompanied by fatigue and shortness of breath. You may need a blood transfusion.

Feeling tired

Many people are able to move this treatment gallbladder cancer is quite normal, others suffer from fatigue. On each following cycle lack of energy will increase. During this period, should perform different things slowly, get plenty of rest. If the patient is able, perhaps, a small amount of light daily exercise will benefit and help to feel more energetic.

It is important to remember that the side effects will begin to be reversed after therapy. It should concentrate on the thought that it was easier to cope with the current state.

Cancer treatment gallbladder in Israel: Radiotherapy

Radiation therapy in the treatment of gallbladder cancerRadiotherapy in the treatment of oncology uses various types of high-energy radiation. Modern radiation therapy in Israel, destroying the malignant cells, trying to cause the least damage to healthy tissue, but cancer treatment gallbladder, which lasts a few weeks, as a rule, lead to some side effects.

Radiation therapy for metastatic cancer of the gallbladder

If you remove the gallbladder cancer by surgery is not possible, radiation therapy may be recommended to reduce the malignant process or slow the disease. Irradiation is also recommended in combination with cytostatic agents.

Radiation therapy after surgery

Several studies have shown that adjuvant radiotherapy (after operation) reduces the likelihood of relapse. However, more clinical trials required to know for sure.

Radiation therapy for the treatment of gallbladder cancer in Israel need:

  1. When there is a suspicion that after surgery may remain malignant cells.
  2. Cancer cells were detected in the remote during surgery lymph nodes.

The treatment of cancer of the gallbladder carried out for 4 or 5 weeks on weekdays. Thus, the total number of procedures will be 20-25. The single dose is divided into more fractions, which reduces side effects.

Palliative radiotherapy

Treatment is aimed at relieving symptoms of the disease. Malignant tumor can block the bile duct, causing jaundice, or put pressure on a nerve, causing pain. Radiation therapy can reduce the size of tumors and cancer symptoms. The irradiation is usually carried out on a daily basis, a short course of a few days.

Possible side effects

During the course of therapy side effects occur gradually, towards the end, as a rule, are amplified. After 2-3 weeks after the end condition has improved.

Basically radiotherapy causes fatigue, soreness and redness of the skin in the treatment zone. Irradiation of the abdomen may cause nausea, diarrhea.

About symptoms occur it is necessary to inform the doctor, as it can help. In rare cases, side effects are very serious, in that case the treatment is stopped, the body could recover.

It is important - without consultation is not necessary to use any lotions, creams or powders.

Treatment of cancer of the gallbladder in Israel metastases

Treatment of cancer of the gallbladderThe term means the presence of secondary metastatic foci, the absence of the possibility to remove a tumor surgically process. It also includes the return of the disease - relapse. Unfortunately, the majority of cancer patients are detected at later stages of disease development. But even if the doctor can not cure the disease, there is a therapy that can reduce the symptoms of the disease. It is able to reduce the tumor process, slow the progression of the disease.

For the treatment of cancer of the gallbladder and metastases in Israel used cytostatics, irradiation, and surgical intervention. When selecting treatment weighty factors are the size and number of secondary lesions; localization of metastases in the body; treatment carried out previously; health status.

When the malignant process blocks bile ducts, the stent may be used that provides the movement of bile into the small intestine and relieves symptoms. Some medical methods can control some symptoms, such as pain and nausea.

It is possible to apply the experimental method - new chemotherapy drugs or other methods.

Chemotherapy metastasis of gallbladder cancer

The doctor may recommend cytotoxic drugs for investment by reducing symptoms of cancer. Often prescribed a combination of gemcitabine and cisplatin in the treatment of metastatic cancer of the gallbladder.

Removing the blockage in the digestive system

In this situation, use of stent placement in the bile duct, an operation to remove or bypass the blockage.

If suspended intestines, symptoms can be controlled with the help of the preparation of somatostatin (octreotide) instead of surgery. Somatostatin - a hormone produced by the body, in the case of drug - induced. It reduces the amount of digestive juices produced by the system. This prevents nausea and bloating.

Somatostatin is often used with steroids. They help to reduce swelling caused by blocking. Unfortunately, this method is only effective within a limited time.

Managing pain and nausea

Drug therapy to successfully control these symptoms. Gallbladder cancer can cause pain and may require analgesics.

The choice of method for controlling nausea will depend on what is causing the problem. If it is caused by blockage of the digestive system, it requires a treatment that will ease the blockage. It may be offered surgery or stent placement. It is used as the introduction of a nasogastric tube to remove excess fluid, causing nausea.

Radiotherapy for metastatic cancer of the gallbladder

The physician can offer the irradiation in the presence of secondary foci. Be sure to take into account the maximum total dose of radiation therapy for any part of the body. In order to reduce the tumor and reduce the speed of disease development can be recommended chemoradiotherapy.

Radiotherapy relieves symptoms when blocking the bile duct, for example. The treatment in this case is short and lasts for several days.

Stenting and surgery for metastatic cancer of the gallbladder

Common cancer of the gallbladder can block the movement of bile into the intestine that trigger jaundice - accumulation of bile in the blood and other body tissues. To solve this problem, the stent - a simple procedure. The stent is placed under local anesthesia by means of an endoscope.

Sometimes it is impossible to place a stent, or he, for some reason, does not provide a proper result. Then, an operation to create a workaround.

Prices of treatment gallbladder cancer in Israel

Any therapy requires the development of an individual plan, so prices will vary depending on a doctor's prescription medicines and treatments. The approximate cost of the procedures:

  • Oncologist Consultation - $ 600
  • Biopsy - $ 610
  • Blood tests - $ 540 (general, biochemical)
  • PET-CT - 1670 $

Exact prices you can ask service consultants, sending diagnostic results.

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