General Surgery

Surgical Clinics
2nd Surgery Clinic

The 2nd Surgery Clinic consists of the General Surgery Department and the Upper Digestive Tract Surgery Center.

The General Surgery Department performs the entire range of procedures related to benign or malignant conditions, mainly of the abdominal wall and the digestive tract. Most of these procedures, from moderate to complex gravity, are performed with laparoscopy.

Aided by the latest available technology onsite (laparoscopic cameras, HD screens, special tools), it performs:

  1. Prosthetic replacement of hernias (abdominal / inguinal hernias)
  2. Cholecystectomy
  3. Spleenectomy
  4. Colectomy
  5. Pancreatectomy
  6. Hepatectomy
  7. Cyst removal
  8. Mesenchymal tumors of intraperitoneal and retroperitoneal sarcomas

The Upper Digestive Tract Surgery Center offers full support to patients who encounter specific symptoms and conditions of the upper gastrointestinal tract (esophagus and stomach).

Focusing on patients, and based on the long and dedicated experience of the Center’s surgeons and associates, as well as the assistance of dedicated departments (Radiology, Radiotherapy, Gastroenterology, ICU, Oncology), we offer:     

  • diagnosis  
  • treatment  
  • hospitalization and  
  • long-term postoperative follow-up

of all patients with benign or malignant disorders of the upper digestive tract.

Our Center is scientifically linked to the most renowned centers abroad (Centers of Excellence) and participates in joint research, studies, meetings and conferences, since it strictly follows the international guidelines and demonstrates similar results.

Most of the procedures performed at the Center use minimally invasive techniques, meaning laparoscopic or thoracoscopic. Minimally invasive gastrectomies and esophagectomies require cutting-edge technology, expertise and experience, based on international standards.   

Benign Disorders

  • Esophageal achalasia
    • Diagnosis: Endoscopy / Radiological scan / Manometry
    • Conservative treatment: Dilation (balloon)
    • Surgical treatment: Laparoscopic myotomy (Heller), anterior or posterior partial fundoplication (Dor/Toupet)
  • Gastroesophageal reflux, sliding hiatal hernia (Type I)
    • Diagnosis: Endoscopy / 24-hour pH-metry / Impendence  
    • Surgical treatment: Laparoscopic repair and total or posterior partial fundoplication (Nissen/Toupet) 
  • Complex hiatal hernias (Types II, III, IV)
    • Diagnosis: Endoscopy / CT Scan
    • Surgical treatment: Laparoscopic repair/reduction, tear closure, total or posterior partial fundoplication (Nissen/Toupet)
  • Esophageal leiomyoma
    • Diagnosis: Endoscopy / CT Scan
    • Surgical treatment: Thoracoscopic excision

Malignant Disorders

  • Gist tumors
    • Diagnosis: Endoscopy / CT Scan / Endoscopic Ultrasound (endo U/S)
    • Surgical treatment: Wedge resection
  • Gastric cancer
    • Diagnosis: Endoscopy / Biopsy
    • Staging: CT Scan / Endoscopic Ultrasound (endo U/S) / PET scan
    • Surgical treatment:  
      • Laparoscopic near-total gastrectomy
      • Laparoscopic total gastrectomy
      • Extensive lymph node dissection D2
  • Gastroesophageal cancer
    • Diagnosis: Endoscopy / Biopsy
    • Staging: CT Scan / Endoscopic Ultrasound (endo U/S) / PET scan
    • Surgical treatment:
      • 2-stage laparoscopic / thoracoscopic partial esophagectomy (Ivor Lewis)
      • Extensive 2-field lymph node dissection (ventricular, lower mediastinal) 
  • Esophageal cancer
    • Diagnosis: Endoscopy / Biopsy
    • Staging: CT Scan / Endoscopic Ultrasound (endo U/S) / PET scan
    • Surgical treatment:
      • 2-stage laparoscopic / thoracoscopic partial esophagectomy (Ivor Lewis)
      • 3-stage laparoscopic/ thoracoscopic total esophagectomy (McKeown)
      • Extensive 2- or 3-field lymph node dissection (ventricular, lower and upper mediastinal)
     

Information

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