アレッサンドロ・カラルコ医師は、腹腔鏡下前立腺全摘除術を含む低侵襲泌尿器科手術を専門としており、スウェーデンと英国で高度なトレーニングを受けています。経皮的腎手術の改善に関する国際特許を保有しており、欧州泌尿器科学会（European Board of Urology）の理事を務めています。当クリニックは450名の専門スタッフを擁する総合病院として運営されており、年間15,000人の患者を治療しています。
オスペダーレ・サン・カルロ・ディ・ナンシーは、イタリア国民保健サービスに認定された救急医療施設であり、2015年5月にGVM Care & Researchに買収され、改築および再編プロセスが実施されました。
\n\n1932年に設立されたサン・カルロ・ディ・ナンシー病院は、バチカン市国から程近いアウレリア街道沿いに位置しています。1976年9月より一般地域病院として分類されているこの施設は、通常入院において年間約15,000人の患者を受け入れることができます。現在、施設には医療スタッフおよび医療補助スタッフを含む約450名の専門職員が在籍しています。
","images":[{"base_url":"clinic/62ac2cfe77843","title":"Ospedale San Carlo di Nancy clinic exterior with garden and central fountain in Rome"},{"base_url":"clinic/62ac2be3cbd8b","title":"MRI room with advanced imaging equipment at Ospedale San Carlo di Nancy, Rome"},{"base_url":"clinic/62ac2bc5cca33","title":"Patient room with two hospital beds at Ospedale San Carlo di Nancy, Rome"},{"base_url":"clinic/62ac2bd9a2258","title":"CT scan control room at Ospedale San Carlo di Nancy, Rome medical imaging center"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"イタリア","id":127,"alias":"italy","iso_code":"IT"},"city":{"name":"ローマ","id":128,"alias":"rome"},"address":"Via Aurelia, 275, 00165 Roma RM, Italy"},"rating":{"rating":5,"google":3.4,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":2,"doctors_number":145,"year_foundation":1932},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa21bee31e9.jpeg","name":"ロボット支援前立腺手術における患者の選択権","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1bc0599c8.jpeg","name":"健康診断の患者選択","country_code":"UA"}],"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":73},"doctors":{"doctors":[{"doctor":{"id":4200,"alias":"pierluigi-bove","name":"Alessandro Calarco","clinic_id":1877,"photo":"doctor/67482e1949a76","first_year_working":2007,"created_at":"2022-06-17T14:13:59.000+00:00","short_description":"アレッサンドロ・カラルコ医師は、ローマのサン・カルロ・ディ・ナンシー病院の泌尿器科医です。腎結石手術で使用される流量低減装置の国際特許を保有しています。カラルコ医師は、複雑な疾患に対する低侵襲手術および内視鏡泌尿器科手術を専門としています。前立腺がん、腎結石、精索静脈瘤を外科的および再建的手法を用いて治療しています。
オスペダーレ・サン・カルロ・ディ・ナンシーは、イタリア国民保健サービスに認定された救急医療施設であり、2015年5月にGVM Care & Researchに買収され、改築および再編プロセスが実施されました。
\n\n1932年に設立されたサン・カルロ・ディ・ナンシー病院は、バチカン市国から程近いアウレリア街道沿いに位置しています。1976年9月より一般地域病院として分類されているこの施設は、通常入院において年間約15,000人の患者を受け入れることができます。現在、施設には医療スタッフおよび医療補助スタッフを含む約450名の専門職員が在籍しています。
","images":[{"base_url":"clinic/62ac2cfe77843","title":"Ospedale San Carlo di Nancy clinic exterior with garden and central fountain in Rome"},{"base_url":"clinic/62ac2be3cbd8b","title":"MRI room with advanced imaging equipment at Ospedale San Carlo di Nancy, Rome"},{"base_url":"clinic/62ac2bc5cca33","title":"Patient room with two hospital beds at Ospedale San Carlo di Nancy, Rome"},{"base_url":"clinic/62ac2bd9a2258","title":"CT scan control room at Ospedale San Carlo di Nancy, Rome medical imaging center"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"イタリア","id":127,"alias":"italy","iso_code":"IT"},"city":{"name":"ローマ","id":128,"alias":"rome"},"address":"Via Aurelia, 275, 00165 Roma RM, Italy"},"rating":{"rating":5,"google":3.4,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":2,"doctors_number":145,"year_foundation":1932},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa21bee31e9.jpeg","name":"ロボット支援前立腺手術における患者の選択権","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1bc0599c8.jpeg","name":"健康診断の患者選択","country_code":"UA"}]}}],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":7745,"user":{"id":230926,"name":"Shakiha ","country_code":"OM"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"بصراحة أود شكر الفريق الطبي باكمله في مستشفى سان رفائييل قسم جراحة المخ والاعصاب بقيادة الخبير البروفيسور دكتور مورتيني شكر هو من أعماق قلبي\n على عدة امور :\nمستشفى في قمة الدقة والاتقان والتنظيم\nوفريق طبي متميز اضافة الى ان هذا الدكتور من التواضع والخبرة والاسلوب الراقي لا اجد الكلمات المعبرة لشكره والثناء عليه هو وفريقه المساعد من الجراحين وطبيبة التخدير ووالى اصغر موظف وعامل في هذا المستشفى \nالانساني واتمنى لهم التوفيق والنجاح في انقاذ ارواح الناس وعلاجهم وشفائهم"},"order":{"illness":{"id":259,"name":{"jp":"髄膜腫","en":"Meningioma"}}},"doctor_info":{"id":603,"name":"Pietro Mortini","alias":"pietro-mortini"},"clinic_info":{"id":303,"name":"San Raffaele","alias":"ospedale-san-raffaele","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2021-08-27T15:43:50.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"このプラットフォームとサポートに完全に満足しており、願わくば病気に苦しんでいる全ての方々に、この病院やプラットフォームが提供できる支援を申し出ることをお勧めします。すぐに連絡を取り、ドクター・ユーヌスの上品な態度と無限のサポートに感謝します。","en":"راضي عن هذه المنصة والدعم تمام الرضا وان شاء الله انصح جميع الذين يعانون من اي مرض يستطيع هذا المستشفى او المنصة تقديم المساعدة لهبالتواصل معهم على الفور واشكر دكتور يونس على اسلوبه الراقي ودعمه اللامحدود"}},{"id":24760,"user":{"id":997102,"name":"Larisa ","country_code":"IT","country_name":{"jp":"イタリア","en":"Italy"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":5},{"name":"manager","value":0},{"name":"relative_price","value":0}],"text":{"jp":"海外での診察を決意した時、一番怖かったのは、戸惑ったり、自分の声が届かないと感じたりすることでした。しかし、Bookingmed、特にユリアさんと連絡を取り始めた途端、その不安は消え去りました。彼女は私のこれまでの検査結果を確認し、不安に耳を傾けてくれた上で、かなり早くクリニックを選んでくれました。その後、日程を決めて、それだけです！ 唯一の不便な点は、私がローマ近郊に住んでいるのに診察がミラノだったことですが、それは私にとって何の障害にもなりませんでした！\nクリニックでは通訳兼コーディネーターの方が出迎えてくれ、行列や待ち時間なしで済みました（やったー！！）\n医師は忍耐強く、急かすことなく私のすべての質問に答えてくれました。 幸いなことに、私の懸念は杞憂に終わりました。\n最初の問い合わせから面談当日まで、すべてのプロセスがきっちりと整っていました。すべてがスムーズに運んだのです。\n今、私はいつでも母国語で必要な相談を受けられるという確信を持っています！！！！\n本当にありがとうございました！！！","en":"What I feared most was feeling lost and unheard when I decided to seek a consultation in another country. But that fear vanished as soon as I got in touch with Bookingmed, specifically with Yulia. She looked through my preliminary test results, listened to my concerns and found a suitable clinic quite quickly; then we set a date and that was it! The only inconvenience was that I live near Rome, but the appointment was in Milan – though that wasn’t a problem for me!\nI was met at the clinic by an interpreter, who was also the coordinator, so I didn’t have to queue or wait around (YAY!!)\nThe doctor answered all my questions patiently and without rushing. Fortunately, my fears turned out to be overblown.\nThe entire process, from my initial enquiry right through to the appointment itself, was well organised. Everything simply worked out.\nI am now completely confident that I can get the advice I need in my own language at any time!!!!\nThank you so much!!!"},"order":{"diagnostic":{"id":127,"name":{"jp":"乳房検査","en":"Consultation with a mammologist"}}},"clinic_info":{"id":303,"name":"San Raffaele","alias":"ospedale-san-raffaele","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-04-17T08:47:26.582+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":false}],"client_response":{"what_like_text":{"jp":"プロセス全体の迅速さと組織力に大変感心しました","en":"I was very impressed by how efficient and well-organised the whole process was"},"what_not_like_text":{"jp":"私の「ケース」はごく小規模だったため、改善すべき点はなく、すべてが最適でした！","en":"As my 'case' was very small, there was nothing to improve – everything was just right!"}},"summary":{"positive":{"jp":"これでいつでも母国語で必要な相談を受けられると、完全に安心しました!!!!","en":"I am now completely confident that I can get the advice I need in my own language at any time!!!!"}}},{"id":2917,"user":{"id":69966,"name":"Elena Sokolova","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"たった今そこから戻りました。全てが最高水準で、医師も滞在の組織も素晴らしかったです。ブキメッドに最初に電話してからミラノに到着するまで2日かかりました。翌朝には医師の相談がありました。すべての問題はほぼ即座に解決され、すべての分析と調査の結果は翌日には準備されていました。常にコーディネーターのエカテリーナさんやケアサービスのアレクサンドルさんと連絡を取り合っていました。私がクリニックを訪れる際には、スーパーカ通訳のユリア・スフネワさんが同行してくれました。ユリアさん、カティさん、アレクサンドルさんの明確でプロフェッショナルな仕事のおかげで、私の滞在は非常に短く、ホテル代を節約できました。ちなみに、ホテルも素晴らしく、クリニックまで200メートルでした。そうそう、相談と分析の料金もモスクワと非常に比較可能です。最初に思っていたより、はるかに少ないお金を使いました。皆さん、ありがとうございました！","en":"Just returned from there. Everything was top notch, and doctors, and the organization of the stay. It took 2 days from the first call to the bookmarked to my arrival in Milan. The next morning, consult a doctor. All questions were solved almost instantly, the results of all analyzes and studies were ready the next day. And constantly in touch with the coordinator Catherine and care worker Alexander. In my trips to the clinic, I was accompanied by a super translator Yulya Sukhneva. Thanks to the clear and professional work of Julia, Kati and Alexander, my stay was very short, I saved money on the hotel. The hotel, by the way, was excellent, up to the clinic, 200 meters. Yes, and more, the prices for consultations and analyzes are quite comparable with those in Moscow. I spent much less money than I thought at first. Thank you all!"},"order":{"illness":{"id":7,"name":{"jp":"膵癌","en":"Pancreatic cancer"}},"diagnostic":{"id":39,"name":{"jp":"生検","en":"Biopsy"}}},"clinic_info":{"id":303,"name":"San Raffaele","alias":"ospedale-san-raffaele","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-02-25T12:04:38.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"医師について:「すべての質問がほとんど即座に解決されました」\n\nクリニックについて:「滞在の運営は最高水準でした」\n\n結果について:「すべての分析と研究の結果は翌日に準備されていました」\n\n経験について:「滞在は非常に短く、ホテルの費用を節約できました」\n\n最も肯定的な文:「そこから戻ったばかりです。すべてが最高水準でした」","en":"\"Just returned from there. Everything was top notch\"Return: About the doctor: \"All questions were solved almost instantly\" About the clinic: \"Organization of the stay was top notch\" About the results: \"The results of all analyzes and studies were ready the next day\" About the experience: \"My stay was very short, I saved money on the hotel\" Most positive sentence: \"Just returned from there. Ever"}}},{"id":2363,"user":{"id":119698,"name":"Евгения ","country_code":"IT","country_name":{"jp":"イタリア","en":"Italy"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"医師のプロフェッショナリズム、最新の設備、クリニックのスタッフの注意深さは、ヨーロッパで最も優れたものの一つです。ロシアとドイツで治療と手術を受け、全責任を持って申し上げますが、ミラノのサンラファエレクリニックは最高です。私の父の胃癌治療後、私自身も神経科医と胃腸科医を訪問しました。国際部のコーディネーターと医師の皆さん、本当にありがとうございます。あなた方は真のプロフェッショナルです。腫瘍科医、外科医、胃腸科医、神経科医、サンラファエレクリニックの全医療スタッフに深く感謝いたします。このような医師が世界にもっと増えますように。ありがとうございます！","en":"The professionalism of the doctors, the newest equipment, the care of the clinic staff are among the best in Europe. The treatment and operations in Russia and Germany have been carried out, I declare with all responsibility that the San Rafael clinic in Milan is the best.\nAfter treating my father’s stomach cancer, I visited the neurologist and gastroenterologist and myself. Thank you so much to the coordinator, the doctors from the international department of the clinic. More in the world of such doctors. THANK YOU!"},"order":{"operation":{"id":122,"name":{"jp":"胃癌手術","en":"Stomach cancer surgery"}},"illness":{"id":51,"name":{"jp":"胃癌","en":"Stomach cancer"}},"diagnostic":{"id":1,"name":{"jp":"PET-CT検査","en":"PET/CT"}}},"clinic_info":{"id":303,"name":"San Raffaele","alias":"ospedale-san-raffaele","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2018-11-07T12:31:36.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/5be2d5b96d8eb_b.jpeg","preview_url":"review/5be2d5b96d8eb_s.jpeg"},{"full_url":"review/5be2d606cc8b7_b.jpeg","preview_url":"review/5be2d606cc8b7_s.jpeg"},{"full_url":"review/5be2d66386eb6_b.jpeg","preview_url":"review/5be2d66386eb6_s.jpeg"},{"full_url":"review/5be2d6ea9e828_b.jpeg","preview_url":"review/5be2d6ea9e828_s.jpeg"}],"summary":{"positive":{"jp":"医師について：「こうした医師の世界でもっと知りたい。」\n\nクリニックについて：「医師のプロフェッショナリズム、最新の設備、クリニックスタッフのケアはヨーロッパでも最高の水準です。」\n\n結果について：「父の胃がん治療後、私は神経科医と消化器科医を受診しました。」\n\n経験について：「コーディネーターの皆様、クリニックの国際部門の医師の皆様に心より感謝申し上げます。」\n\n最もポジティブな文：「私は全責任を持ってミラノのサン・ラファエル・クリニックが最高であると宣言します。」","en":"\"I declare with all responsibility that the San Rafael clinic in Milan is the best.\"Return: About the doctor: \"More in the world of such doctors.\" About the clinic: \"The professionalism of the doctors, the newest equipment, the care of the clinic staff are among the best in Europe.\" About the results: \"After treating my father’s stomach cancer, I visited the neurologist and gastroenterologist an"}}},{"id":9160,"user":{"id":358741,"name":"Артем ","country_code":"UA","country_name":{"jp":"ウクライナ","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"ウクライナで受けた診断と同じ診断が確認されました。治療をウクライナで続けることにしました。","en":"We were confirmed the same diagnosis that we received in Ukraine. It was decided to continue treatment in Ukraine."},"order":{"diagnostic":{"id":102,"name":{"jp":"腫瘍専門医の診察","en":"Consultation with an oncologist"}}},"clinic_info":{"id":303,"name":"San Raffaele","alias":"ospedale-san-raffaele","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-06-29T12:14:44.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"はい","en":"So"},"summary":{"positive":{"jp":"- ウクライナで受けた診断と同じ診断が確認されました。","en":"- We were confirmed the same diagnosis that we received in Ukraine."}}},{"id":4014,"user":{"id":74126,"name":"HALYNA NIKOLAIEVA","country_code":"UA","country_name":{"jp":"ウクライナ","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"医師は信頼を得て、高いプロフェッショナリズムを示し、すべての詳細と書類を理解しました。最新の治療法を提供してくれました。 サービスに満足しています。カテリーナ・ボンコさんは常に連絡を取り合い、注意と気遣いを見せてくれました。彼女に感謝しています。","en":"The doctor caused confidence and showed high professionalism, understood all the details and documents. She appointed the newest treatment.\r\nSatisfied with the service, Katerina Bonko was constantly in touch, showed attention and care. Thanks her."},"order":{"illness":{"id":53,"name":{"jp":"悪性黒色腫","en":"Melanoma"}}},"clinic_info":{"id":303,"name":"San Raffaele","alias":"ospedale-san-raffaele","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-06-10T21:20:25.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"サービスには満足しています。カテリーナ・ボンコさんは常に連絡を取り合い、注意と配慮を見せてくれました。彼女に感謝します。","en":"I am satisfied with the service, Katerina Bonko was constantly in touch, showed attention and care. Thanks her."},"summary":{"positive":{"jp":"彼女に感謝します。","en":"Thanks her."}}},{"id":8548,"user":{"id":307824,"name":"Anne ","country_code":"IT","country_name":{"jp":"イタリア","en":"Italy"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":4},{"name":"coordination","value":4},{"name":"doctor","value":3},{"name":"manager","value":5},{"name":"personal","value":4},{"name":"translation","value":3},{"name":"relative_price","value":2}],"text":{"jp":"病院は予約や書類作業を迅速かつ効率的に処理してくれました。コンサルタントとの外来での接触は非常にプロフェッショナルでした。必要な治療を受けるために、Bookimedの利用をお勧めすることを躊躇しません。","en":"The Hospital handled my appointment and the paperwork promptly and efficiently. My outpatient contact with the Consultant was very professional. I would not hesitate to recommend Bookimed for enabling to have the required treatment."},"order":{"diagnostic":{"id":102,"name":{"jp":"腫瘍専門医の診察","en":"Consultation with an oncologist"}}},"clinic_info":{"id":303,"name":"San Raffaele","alias":"ospedale-san-raffaele","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-01-22T12:01:07.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"はい","en":"Yes"},"summary":{"positive":{"jp":"医師について: コンサルタントとの外来接触は非常に専門的でした。 クリニックについて: 病院は私の予約と書類を迅速かつ効率的に処理しました。 結果について: 該当なし 経験について: 必要な治療を受けるためにBookimedを推薦することを躊躇しません。 最も肯定的な文章: 必要な治療を受けるためにBookimedを推薦することを躊躇しません。","en":"I would not hesitate to recommend Bookimed for enabling to have the required treatment.Return: About the doctor: My outpatient contact with the Consultant was very professional. About the clinic: The Hospital handled my appointment and the paperwork promptly and efficiently. About the results: N/A About the experience: I would not hesitate to recommend Bookimed for enabling to have the required t"}}},{"id":6277,"user":{"id":155053,"name":"Анна ","country_code":"RU"},"ratings":[{"name":"main","value":2},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"サン・ラファエルクリニックで遠隔相談を受けましたが、私たちにはこの形式が合いませんでした。なぜなら、セカンドオピニオンは診断を確認するか、別の代替治療を依頼するためのものであり、私たちには、相談後に「このまま続けてください」と言われましたが、治療を受けても結果が出なかったためです。結局、遠隔相談後に何の指示も出されず、クリニックの応答速度が非常に遅かったため、すべてのコミュニケーションが数ヶ月にわたって引き伸ばされました。具体的な回答を得ることができず、私たちにとってこの相談は無意味でした。","en":"We received a remote consultation at the San Rafael Clinic, for us this format was not suitable, because the second opinion is for those who either confirm the diagnosis or ask for another alternative treatment, we were told that after the consultation, continue the same, although we were treated and there was no result, as a result, after a remote consultation, we were not assigned anything, plus all communication was extended for a couple of months, because the clinic’s response rate was very low. 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oncologist","illness_kind_id":10}]},"updatedAt":"2026-11-13T01:20:08.610Z","activeCountries":["IT","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"腫瘍科","alias":"oncology","name_forms":{"base_form":"腫瘍科","form_4":"腫瘍科","form_6":"腫瘍科","form_11":"腫瘍科"}},"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 work often resumes after catheter removal; physically demanding work takes longer and needs surgeon clearance."},"complication_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Any perioperative complication within 90 days; higher-grade complications are much less common."},"contraindications":["Unfit for general anesthesia or pneumoperitoneum (severe cardiopulmonary disease)","Uncorrected bleeding disorder","Active untreated urinary tract infection","Metastatic disease or limited life expectancy (relative)","Prior extensive pelvic surgery or radiation (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical hospital stay after uncomplicated laparoscopic radical prostatectomy; some centers discharge the next day."},"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":"Walk lightly early; avoid heavy lifting, straining and vigorous exercise for about 4-8 weeks."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time for urinary continence to largely stabilize; erectile function recovery, if it occurs, may take longer."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Usually after urinary catheter removal and wound check; longer if catheter stays, complications occur, or thrombosis risk is high."},"follow_up_visits":[{"purpose":"other","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Urinary catheter removal, often with wound check; may include a cystogram."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of final pathology (margins, stage) and discussion of further treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"First postoperative PSA check, then periodic PSA surveillance; continence and sexual function assessment."}}],"indications":["Clinically localized prostate cancer","Selected locally advanced prostate cancer within multimodal treatment"],"main_risks":["Urinary incontinence (stress), usually improving over months","Erectile dysfunction","Bleeding, possible transfusion","Infection or urinary tract infection","Anastomotic urine leak or bladder neck stricture","Lymphocele or lymphatic complications if lymph node dissection performed","Inguinal hernia or port-site hernia","Injury to rectum, ureter, bowel or vessels","Venous thromboembolism","Risks of general anesthesia and pneumoperitoneum","Conversion to open surgery","Infertility and dry orgasm (loss of ejaculation)"],"pain":"Mild to moderate pain from port sites and abdominal/shoulder discomfort, typically controlled with oral analgesics within days; catheter discomfort and bladder spasms are common until removal.","preparation":["Preoperative staging (biopsy, MRI) and anesthesia fitness assessment","Blood tests and urine culture","Review of current medicines with the surgical team","Fasting before general anesthesia","Counseling on continence and erectile outcomes; pelvic floor exercise teaching","Bowel preparation only if requested by the surgeon","Stop smoking"],"recovery_timeline":[{"phase":"Hospital stay (day 0-3)","description":"Early mobilization, pain control, drain management if placed, and catheter care teaching.","restrictions":["No driving","Avoid heavy lifting"]},{"phase":"Days 4-14 with urinary catheter","description":"Gradual walking with catheter in place; catheter removed at about 7-14 days, then flight home.","restrictions":["No heavy lifting or straining","Avoid cycling and strenuous activity"]},{"phase":"Weeks 2-6","description":"Return to light activities and desk work; pelvic floor exercises; incontinence gradually improves.","restrictions":["Avoid heavy lifting and vigorous exercise until cleared"]},{"phase":"Months 2-12","description":"Progressive continence recovery and assessment of erectile function; PSA monitoring.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated surgery; continence and sexual function recovery take longer."},"result_longevity":"Cancer control is intended to be long-term and is monitored by PSA, which should become undetectable after surgery. Recurrence risk depends on stage, grade and margins. Continence gains are generally permanent once stabilized.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Secondary procedures such as bladder neck stricture treatment, reoperation or hernia repair; excludes adjuvant radiotherapy."},"scars":"Several small port-site scars (about 5-6 incisions of roughly 0.5-1.2 cm) plus a slightly larger incision (about 3-5 cm) for specimen extraction, usually fading well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are listed separately."},"stages":[{"code":"surgery","label":"Laparoscopic radical prostatectomy (with or without pelvic lymph node dissection)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage procedure."},"success":{"metric":"Pad-free urinary continence","value":85,"unit":"percent of patients","horizon":"12 months after surgery","population":"Adults with localized prostate cancer undergoing laparoscopic radical prostatectomy","evidence_status":"limited"},"techniques":[{"name":"Standard laparoscopic radical prostatectomy (transperitoneal)","suits_whom":"Patients with localized prostate cancer suitable for surgery.","recovery":"Typically 1-3 nights in hospital; catheter about 7-14 days."},{"name":"Extraperitoneal laparoscopic approach","suits_whom":"Selected patients, particularly those with previous abdominal surgery, at surgeon discretion.","recovery":"Similar recovery course."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":4,"unit":"hours","qualifier":"Operating time for laparoscopic radical prostatectomy; longer with extended pelvic lymph node dissection or in complex cases."},"initial_assessment_documents":["Prostate biopsy pathology report","Recent PSA results with dates","Prostate MRI report and images","Bone scan or PSMA PET report (if available)","Recent urologist letter or discharge summaries","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days to cover hospital stay and catheter removal. Later PSA checks are done at home."},"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 are 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 where you will be treated","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}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the 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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated before you travel","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check with a doctor at home for a second opinion before deciding","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 doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","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":"Pressure to make a quick decision about 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":"F2","text":"A hard sell when offering 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":"No discussion of possible complications before booking","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":"F4","text":"No mention of aftercare when the offer is made","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding at your incision sites","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17160-laparoscopic-prostatectomy","host":"my.clevelandclinic.org","quote":"Heavy bleeding at your incision sites","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"No pee flow into your catheter bag","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17160-laparoscopic-prostatectomy","host":"my.clevelandclinic.org","quote":"No pee flow into your catheter bag","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Skin separation at your stitches","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17160-laparoscopic-prostatectomy","host":"my.clevelandclinic.org","quote":"Skin separation at your stitches","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Discolored drainage from your incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17160-laparoscopic-prostatectomy","host":"my.clevelandclinic.org","quote":"Discolored drainage from your incisions","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","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 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