Hospital Ruber Internacionalは、スペインのマドリードにある民間の単科専門医療センターであり、脳神経外科、整形外科、および循環器科を専門としています。同病院は成人および小児の両方を対象とし、年間約25,000人の患者に医療を提供しています。患者の大多数はCIS諸国、欧州および英連邦、ならびに米国、カナダ、オーストラリアから来院しています。
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iation-therapy-for-brain-cancer"},{"name":"脳腫瘍に対する放射線療法","alias":"radiation-therapy-for-brain-tumor"},{"name":"眼球摘出術","alias":"enucleation-of-eyes"},{"name":"リンパ腫化学療法","alias":"lymphoma-chemotherapy"},{"name":"同種骨髄移植術","alias":"allogenic-bone-marrow-transplantation-from-a-related-donor"},{"name":"骨髄移植術","alias":"bone-marrow-transplantation"},{"name":"放射線療法","alias":"radiation-therapy-for-soft-tissue-sarcomas"},{"name":"子宮頸癌の放射線療法","alias":"radiotherapy-for-cervical-cancer"},{"name":"大腸癌に対する放射線療法","alias":"radiation-therapy-for-colorectal-cancer"},{"name":"前立腺癌に対する放射線療法","alias":"radiotherapy-for-prostate-cancer"},{"name":"腎がん放射線治療","alias":"radiation-therapy-for-kidney-cancer"},{"name":"放射線治療","alias":"radiation-therapy-for-esophageal-carcinoma"},{"name":"乳がん放射線治療","alias":"radiotherapy-for-breast-cancer"},{"name":"肺癌放射線療法","alias":"radiotherapy-for-lung-cancer"},{"name":"喉頭癌放射線治療","alias":"radiotherapy-for-throat-cancer"},{"name":"胃がんの放射線治療","alias":"radiation-therapy-for-stomach-cancer"},{"name":"大腸癌に対する放射線療法","alias":"radiation-therapy-for-bowel-cancer"},{"name":"子宮癌放射線治療","alias":"radiotherapy-for-uterine-cancer"},{"name":"精巣癌放射線治療","alias":"radiation-therapy-for-testicular-cancer"},{"name":"卵巣がんの放射線治療","alias":"radiation-therapy-for-ovarian-cancer"},{"name":"乳房切除術","alias":"mastectomy"},{"name":"モーズ顕微鏡手術","alias":"mohs-surgery"},{"name":"ナノナイフ","alias":"nanoknife"},{"name":"腎摘出術","alias":"nephrectomy"}],"diagnostics":[{"name":"脳生検","alias":"brain-biopsy"},{"name":"CT検査","alias":"ct"},{"name":"MRI検査","alias":"brain-mri"},{"name":"MRI検査","alias":"brain-mri-with-contrast-flair-sequence"},{"name":"MRI検査","alias":"mri-one-department"},{"name":"胸部X線検査","alias":"chest-x-ray"},{"name":"CT検査","alias":"ct-of-three-cavities"},{"name":"甲状腺機能検査","alias":"thyroid-function-tests-including-t3-t4-tsh"},{"name":"腫瘍マーカー検査","alias":"identification-of-tumor-markers"},{"name":"血管造影検査","alias":"angiography"},{"name":"生検","alias":"biopsy"},{"name":"皮膚生検","alias":"skin-biopsy"},{"name":"肺生検","alias":"lung-biopsy"},{"name":"乳房生検","alias":"breast-biopsy"},{"name":"肝生検","alias":"liver-biopsy"},{"name":"腎生検","alias":"renal-biopsy"},{"name":"膵生検","alias":"pancreas-biopsy"},{"name":"甲状腺生検","alias":"thyroid-biopsy"},{"name":"卵巣生検","alias":"ovarian-biopsy"},{"name":"胃内視鏡検査および生検","alias":"gastroscopy--biopsy"},{"name":"精巣生検","alias":"testicular-biopsy"},{"name":"ダーモスコピー検査","alias":"dermatoscopy"},{"name":"免疫組織化学検査","alias":"immunohistochemistry"},{"name":"デジタルダーモスコピー検査","alias":"mole-mapping-and-digital-dermoscopy-for-mole-assessment"},{"name":"大腸内視鏡検査","alias":"colonoscopy"},{"name":"大腸病理診断","alias":"comprehensive-diagnosis-of-solorectal-pathology"},{"name":"全身CT検査","alias":"ct-scan-of-the-whole-body"},{"name":"マンモグラフィ検査","alias":"mammography"},{"name":"MR 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drain removal and surgeon clearance, depending on site and extent."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Scar maturation, numbness settling and swelling resolution; lymphedema risk may persist longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After drain removal or a drain-care plan, wound check, and clearance for thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":5,"max":10,"unit":"days","qualifier":"Wound inspection and drain output review"},"requirement":"routine"},{"purpose":"other","after":{"min":7,"max":14,"unit":"days","qualifier":"Drain removal once output falls; usually 7-14 days"},"requirement":"routine"},{"purpose":"result_review","after":{"min":10,"max":21,"unit":"days","qualifier":"Final pathology review and adjuvant therapy planning"},"requirement":"routine"},{"purpose":"other","after":{"min":10,"max":30,"unit":"days","qualifier":"Seroma aspiration if fluid collects"},"requirement":"conditional"}],"indications":["Confirmed regional nodal metastasis from solid cancers (e.g., melanoma, breast)","Staging and local control during cancer resection","Persistent or recurrent nodal disease confined to a resectable region"],"main_risks":["Lymphedema of the affected limb, head/neck or genital region","Seroma or lymphocele requiring drainage or aspiration","Wound infection, dehiscence or delayed healing, especially in the groin","Bleeding or hematoma","Nerve injury or numbness, depending on site","Venous thromboembolism","Anesthesia-related risks"],"pain":"Usually mild to moderate postoperative pain and tightness, managed with oral analgesics; numbness and drain discomfort are common. Intensity varies by site and extent.","preparation":["Oncologic staging and imaging as directed by the surgical team","Preoperative anesthesia assessment and routine blood tests","Fasting before general anesthesia per anesthesia team instructions","Review of medications and anticoagulants with the surgical team","Smoking cessation advised to improve wound healing","Discussion of drains, lymphedema risk and post-operative arm/leg care"],"recovery_timeline":[{"phase":"Hospital stay","description":"Recovery from general anesthesia with drain placed and pain controlled by oral analgesics.","restrictions":["Early walking encouraged","Keep drain secured","Limit arm or leg strain"]},{"phase":"Days 3-14","description":"Drain care and gradual mobilization; drain removed when output is low.","restrictions":["No heavy lifting","Avoid vigorous stretching early"]},{"phase":"Weeks 2-6","description":"Wound healing, stretching and mobility exercises, return to normal daily activity.","restrictions":["No strenuous exercise","Avoid heavy loads","Protect limb from injury"]},{"phase":"Weeks 6-12","description":"Gradual return to full activity; monitor for lymphedema and nerve symptoms.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Functional recovery of shoulder or limb mobility; longer after groin or neck dissection with nerve effects."},"result_longevity":"Nodal clearance is permanent, but long-term outcome depends on the underlying cancer; lymphedema risk, if it develops, can be lifelong.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned return to theatre within 30-90 days for bleeding, wound problems or infection"},"scars":"A linear incision over the nodal basin (axilla, neck skin crease, groin, or midline abdominal for retroperitoneal); length and visibility depend on site and extent. Minimally invasive approaches use smaller incisions in selected cases.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure"},"stages":[{"code":"surgery","label":"Lymph node dissection with drain placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage operation; adjuvant therapy, if needed, is separate."},"success":{"metric":"Regional nodal basin clearance with local control","value":90,"unit":"percent","horizon":"5 years","population":"Adults with resectable regional nodal metastasis from solid cancer","evidence_status":"limited"},"techniques":[{"name":"Axillary lymph node dissection","suits_whom":"Breast cancer or melanoma with axillary nodal involvement where dissection is indicated","recovery":"Drain typically 1-2 weeks; early shoulder mobility exercises encouraged."},{"name":"Cervical (neck) lymph node dissection (radical, modified radical or selective)","suits_whom":"Head and neck cancers or thyroid and melanoma nodal disease; extent chosen by tumor site and nodal levels","recovery":"Drain typically 1-2 weeks; shoulder function may take several weeks to regain."},{"name":"Inguinal (superficial or ilioinguinal) lymph node dissection","suits_whom":"Melanoma, penile, vulvar or skin cancers with groin nodal disease","recovery":"Higher wound and lymphedema risk; longer drain duration and activity limits are typical."},{"name":"Retroperitoneal or pelvic lymph node dissection","suits_whom":"Selected testicular, urologic, gynecologic or colorectal cancers","recovery":"Open approach needs a longer stay; laparoscopic or robotic approaches recover faster."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":4,"unit":"hours","qualifier":"Axillary shorter; groin, neck or retroperitoneal dissection longer depending on extent."},"initial_assessment_documents":["Biopsy or pathology report","Staging CT, PET-CT or MRI reports","Imaging discs of primary tumor and nodes","Previous surgery and operative reports","Oncologist summary of radiation or chemotherapy","Recent blood test results"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single surgery; stay 7-14 days for drain care. Second trip occasionally for adjuvant therapy or follow-up."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/procedure=dissekcia-limfaticeskogo-uzla/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"トルコ","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-11T11:11:42.000Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}