Das Hospital Ruber Internacional ist ein JCI-akkreditiertes Privatkrankenhaus in Madrid, Spanien. Von Forbes unter die 6 besten Krankenhäuser Spaniens gewählt. Spezialisiert auf Neurochirurgie, Orthopädie und Kardiologie.
Das Hospital Ruber Internacional ist ein JCI-akkreditiertes Privatkrankenhaus in Madrid, Spanien. Von Forbes unter die 6 besten Krankenhäuser Spaniens gewählt. Spezialisiert auf Neurochirurgie, Orthopädie und Kardiologie.
HM Hospitales ist eine Gruppe von 7 medizinischen Zentren in Madrid, die medizinische Dienstleistungen in allen Fachgebieten anbieten. Umfasst 4 umfassende Zentren für onkologische Behandlung, Neurowissenschaften, Herz-Kreislauf-Chirurgie und Fruchtbarkeit.
\n\nIm Jahr 2018 wurde es von der spanischen Gesellschaft für Gesundheitsinformatik ( SEIS ) für die revolutionierte Patientenversorgung und bedeutende technologische Lösungen im Gesundheitswesen ausgezeichnet.
\n\nJährlich versorgt das medizinische Team von HM etwa 75.000 stationäre und 2,3 Millionen ambulante Patienten.
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\n\nIm Jahr 2018 wurde es von der spanischen Gesellschaft für Gesundheitsinformatik ( SEIS ) für die revolutionierte Patientenversorgung und bedeutende technologische Lösungen im Gesundheitswesen ausgezeichnet.
\n\nJährlich versorgt das medizinische Team von HM etwa 75.000 stationäre und 2,3 Millionen ambulante Patienten.
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der Operation wird zur Behandlung von Lungenerkrankungen eine komplette Lunge entfernt, wodurch die Atemkapazität und die allgemeine Gesundheit verbessert werden.
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major ones about 15-25%."},"contraindications":["Inadequate predicted postoperative lung function (FEV1, DLCO) or cardiopulmonary reserve","Severe pulmonary hypertension or significant right heart dysfunction","Recent myocardial infarction or unstable cardiac disease","Unresectable disease: extensive mediastinal invasion or distant metastases (cancer)","Severe uncontrolled comorbidity or poor performance status","Active uncontrolled infection outside the planned resection (relative)"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Typical uncomplicated inpatient stay including chest drain management and monitoring; longer if complications occur."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":12,"unit":"weeks","qualifier":"Walking early; strenuous activity and heavy lifting after about 2-3 months, with permanently reduced capacity."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Time to stable functional recovery and adaptation of breathing capacity; oncologic outcome is assessed separately."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"After discharge (day 5-10), flying usually cleared once chest imaging is stable, no air leak, and oxygen levels are adequate."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"First postoperative review with wound check and chest imaging, typical timing."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Surgical review with chest radiograph and symptom assessment."}},{"purpose":"result_review","requirement":"conditional","after":{"min":60,"max":120,"unit":"days","qualifier":"Pathology review and oncology planning or surveillance when performed for cancer."}}],"indications":["Central NSCLC not treatable by lobectomy or sleeve resection","Locally advanced lung cancer after multimodality treatment in selected patients","Destroyed lung from tuberculosis, bronchiectasis or chronic infection","Massive hemoptysis or uncontrollable infection localized to one lung","Selected malignant pleural mesothelioma (extrapleural pneumonectomy) in specialized centers","Extensive central trauma or vascular injury to the lung hilum"],"main_risks":["Postoperative arrhythmia, notably atrial fibrillation","Bronchopleural fistula","Empyema of the pneumonectomy space","Respiratory failure, pneumonia or ARDS","Postpneumonectomy pulmonary edema","Bleeding and need for reoperation","Right heart strain and pulmonary hypertension","Chronic post-thoracotomy pain","Cardiac herniation or mediastinal shift (rare)","Recurrent laryngeal nerve injury","Perioperative mortality, higher than for lobectomy"],"pain":"Moderate to severe pain in the first days, managed with epidural or paravertebral block or multimodal analgesia; improves over several weeks, though chronic post-thoracotomy pain can persist in some patients.","preparation":["CT, PET-CT and mediastinal staging when cancer suspected","Lung function tests with DLCO, predicted postoperative values, perfusion scan","Cardiac assessment (ECG, echocardiography, stress testing)","Smoking cessation and optimization of comorbidities","Preoperative anesthesia assessment and fasting","Respiratory physiotherapy training and prehabilitation","Multidisciplinary tumor board review for cancer cases"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Monitoring, chest drain management, pain control, early mobilization and breathing exercises; fluid intake kept cautious to avoid pulmonary edema.","restrictions":["Limited fluids as directed","No lifting","Close monitoring of heart rhythm and oxygen"]},{"phase":"Early home recovery (weeks 2-6)","description":"Gradual increase in walking; fatigue and breathlessness on exertion are common; wound and pain improve.","restrictions":["No heavy lifting or strenuous exertion","No driving while on opioids or until comfortable"]},{"phase":"Return to activity (weeks 6-12)","description":"Return to sedentary work and progressive exercise; pulmonary rehabilitation often helpful.","restrictions":["Avoid heavy lifting until cleared by surgeon"]},{"phase":"Late recovery (3-12 months)","description":"Stabilization of exercise capacity with a permanently reduced lung reserve.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated pneumonectomy; pulmonary rehabilitation may extend longer."},"result_longevity":"Removal of the lung is permanent, as is the reduced breathing capacity. Functional adaptation stabilizes within about 3-12 months. Long-term outcome for cancer depends on stage and pathology, not on the operation alone.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Unplanned return to theatre within 30-90 days, mainly for bleeding, bronchopleural fistula or empyema."},"scars":"Open posterolateral or anterolateral thoracotomy leaves a long chest-wall scar of about 15-25 cm; minimally invasive approaches use several small incisions plus a utility incision, though pneumonectomy is less commonly done that way.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; any adjuvant or neoadjuvant therapy is separate."},"stages":[{"code":"pneumonectomy","label":"Single-stage removal of the entire lung","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standalone single-stage surgery."},"success":{"metric":"90-day survival after surgery","value":92,"unit":"percent","horizon":"90 days after surgery","population":"Adults selected for pneumonectomy, mostly for lung cancer, with adequate cardiopulmonary reserve","evidence_status":"limited"},"techniques":[{"name":"Open pneumonectomy via posterolateral thoracotomy","suits_whom":"Most patients, especially with central tumors or hilar involvement requiring wide access.","recovery":"Hospital stay about 5-10 days; return to work about 6-12 weeks."},{"name":"Video-assisted or robotic pneumonectomy","suits_whom":"Carefully selected patients at experienced centers with tumors suitable for minimally invasive access.","recovery":"May lessen pain and shorten stay, but overall recovery remains weeks to months."},{"name":"Extrapleural pneumonectomy (with pleura, pericardium and diaphragm resection)","suits_whom":"Rare, highly selected mesothelioma cases in specialized centers.","recovery":"Longer and more demanding recovery than standard pneumonectomy."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operative time for a standard uncomplicated single pneumonectomy; longer for extended or redo resections."},"initial_assessment_documents":["Chest CT scan report and images","PET-CT report","Biopsy and pathology report","Pulmonary function tests with DLCO","Echocardiogram or cardiac stress test report","Quantitative lung perfusion scan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip usually suffices: surgery, 5-10 nights inpatient, then 2-4 weeks nearby before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the facility maintains rigorous infection control and adequate follow-up care","scope":"treatment_abroad","source":{"url":"https://stacks.cdc.gov/view/cdc/115458/cdc_115458_DS2.xml","host":"stacks.cdc.gov","quote":"Facilities may not maintain provider licensure, track patient outcome data, have rigorous infection control, provide adequate follow-up care, or maintain medical record privacy or security policies.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer provides no access to physician licensing or outcome data","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Access to physician licensing and outcome data, as well as facility accreditation and outcome data, should be arranged for patients seeking medical care outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden chest pain with shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25003-pneumonectomy","host":"my.clevelandclinic.org","quote":"Sudden chest pain with shortness of breath.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Blood soaking through your incision bandage","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25003-pneumonectomy","host":"my.clevelandclinic.org","quote":"Blood soaking through your incision bandage.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Discolored or bad-smelling fluid around your incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25003-pneumonectomy","host":"my.clevelandclinic.org","quote":"Discolored fluid or fluid that smells bad around 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":"It explains the procedure and documents operative details for continuing care","document":"operative report","source":{"url":"https://www.cdc.gov/nchs/data/icd/clinicaldocu_infosheet.pdf","host":"cdc.gov","quote":"Any patient undergoing surgery should have a report explaining the procedure documented by the surgeon on the same day as surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"It tells the home doctor required appointments, investigations, tests, and reports needing follow-up","document":"follow-up plan","source":{"url":"https://www.cdc.gov/nchs/data/icd/clinicaldocu_infosheet.pdf","host":"cdc.gov","quote":"Follow-up instructions and plans for af-ter discharge, including a list of follow-up appointments with consultants, fur-ther ambulatory investigations, and any tests and reports that may require fol-low-up.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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having surgery","name":"Radiation therapy","source":{"url":"https://www.cancer.org/cancer/types/lung-cancer/treating-non-small-cell/by-stage.html","host":"cancer.org","quote":"If you have serious health problems that prevent you from having surgery, you may get stereotactic body radiation therapy (SBRT) or another type of radiation therapy as your main treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"open-pneumonectomy","name":"Open pneumonectomy via posterolateral thoracotomy","how_it_works":{"text":"A surgeon cuts between the ribs in the side and back","source":{"url":"https://my.clevelandclinic.org/health/treatments/25003-pneumonectomy","host":"my.clevelandclinic.org","quote":"Prepare your skin, then make an incision (cut) in your side and back, between two 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(lining around your lung and chest wall).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=pnevmonektomiya-pulmonektomiya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53933},"manualSeo":[],"updatedAt":"2026-11-02T19:12:44.000Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}