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      National Cancer Institute

      33/43 Yulii Zdanovskoi St, Kyiv

      Hutsul Street, 10

      Ivano-Frankivsk,

      76006

      Write down your contact details, I will call you back and set a date and time for the reception

           

          Surgical Treatment of Tumors

          Kateryna Valikhnovska, MD, surgical oncologist  >  Surgical Treatment of Tumors
          Operations and consultations

          This page brings together the operations I perform with a team of surgical oncologists and the ways you can reach me. Each operation page explains when surgery is possible, how it is performed, recovery, risks and what the cost depends on.

          Kateryna Valikhnovska, MD, surgical oncologist
          • With a teamI operate together with a team of surgical oncologists
          • Tumor boardthe approach is discussed with oncologists, medical oncologists and radiologists
          • Laparoscopicallywhen the tumor location and extent of resection allow it
          • Freein-person consultation with review of your images

          If the diagnosis is still being clarified, start with the page “Diseases”: it describes how the diagnosis is confirmed and when surgery is indicated or other treatment is needed first.

          Colon and rectum

          The main focus of my practice. The extent of surgery is determined by the tumor location and by colonoscopy, CT and pelvic MRI findings.

          Bowel Cancer Surgery

          Hemicolectomy, sigmoid resection and other colon operations — laparoscopic and open; when a stoma is needed.

          Rectal Cancer Surgery

          Which operation is needed, whether there are grounds to preserve the sphincter, whether a stoma will be needed and when the tumor board starts with radiation or chemoradiation.

          Simultaneous Bowel and Liver Surgery

          When liver metastases are found together with a bowel tumor, sometimes both can be removed in one operation.

          Stoma Reversal

          A temporary stoma — diverting or after emergency surgery: what needs to be checked before reversal and when it can be considered.

          Liver and bile ducts

          The plan depends both on the tumor and on whether the liver that remains after surgery will function well.

          Liver Metastases Surgery

          Resection and ablation: liver metastases are not always a death sentence, and some of them can be removed.

          Liver Cancer Surgery

          Liver resection: both the tumor to be removed and the liver that has to work after surgery are assessed.

          Radiofrequency Ablation of Liver Tumors

          Destroying a small lesion with heat without removing part of the liver.

          Cholangiocarcinoma Surgery

          Intrahepatic and Klatskin tumors: liver resection with lymph nodes, plus removal of the bile ducts for a Klatskin tumor.

          Gallbladder Cancer Surgery

          Cancer found after gallbladder removal: when a second, radical operation is needed.

          Stomach and small bowel

          Mostly operations with lymph node removal; for most operable stomach cancers, chemotherapy is given before and after surgery.

          Stomach Cancer Surgery

          Subtotal or total gastrectomy with lymphadenectomy; early cancer can sometimes be removed endoscopically, preserving the stomach.

          Small Bowel Cancer Surgery

          Removal of a segment of bowel with its mesentery and lymph nodes; for obstruction caused by a tumor, the same extent whenever possible.

          Neuroendocrine Tumor Surgery

          The extent of surgery depends on the organ, the tumor size and its grade based on Ki-67 and mitotic count.

          Pancreas

          The most important decision is made by a tumor board before surgery, based on a pancreas-protocol CT.

          Pancreatic Cancer Surgery

          The Whipple procedure and distal pancreatectomy; when the tumor involves major blood vessels, chemotherapy usually comes first, followed by reassessment.

          Adrenal glands, retroperitoneum, peritoneum

          Surgery is planned after specific tests: hormone testing, biopsy or assessment of tumor spread.

          Adrenal Tumor Surgery

          Laparoscopic adrenalectomy; before surgery it is established which hormones the tumor produces.

          Retroperitoneal Tumor Surgery

          Retroperitoneal sarcomas and other tumors: a sarcoma is removed in one block, without “shelling out” the tumor.

          Cytoreductive Surgery and HIPEC

          In peritoneal carcinomatosis, what matters is complete cytoreduction and proper patient selection before surgery.

          Uterus and ovaries

          Gynecologic cancer surgery — from cancer of the uterine body and cervix to cytoreductive surgery for ovarian cancer.

          Uterine Cancer Surgery

          Surgery for cancer of the uterine body — laparoscopic and open: which operation is needed and what happens afterwards.

          Cervical Cancer Surgery

          The right choice between surgery and chemoradiation matters more than any technique.

          Ovarian Cancer Surgery

          Cytoreductive surgery: the first operation is the most important, because what was not removed then is harder to remove later.

          How to reach me, prepare and what happens after

          Where to start if you have been offered surgery or told it is not possible.

          Oncologist Consultation

          An in-person consultation with review of your images and documents — free of charge.

          Online Oncologist Consultation

          For patients from other cities and abroad: send your images and records in advance.

          Second Opinion from an Oncologist

          The tumor was called inoperable or only chemotherapy was offered — a surgical oncologist’s view of your images.

          Consultation in Ivano-Frankivsk

          First an online consultation, then, if needed, a follow-up visit at 10 Hutsulska St. by arrangement; surgery is performed in Kyiv together with a team of surgical oncologists.

          Tests Before Surgery

          The workup determines whether surgery is possible and its extent; I will review what has already been done and tell you what is missing.

          Laparoscopic Surgery

          The same oncologic extent as open surgery, but through a few small incisions.

          Cost of Surgery: What It Depends On

          What the cost is made up of and how to find out the amount for your particular case.

          One-Year Follow-Up with a Surgical Oncologist

          A year after surgery: review of test results and images, answers to your questions. A separate paid service.

          Who operates

          Kateryna Valikhnovska, MD, surgical oncologist

          Kateryna Valikhnovska, MD

          Surgical oncologist · PhD in Medicine
          • 13+years of experience
          • 9,500hours in the operating room
          • 15scientific publications; PhD thesis defended in 2020

          Surgical oncologist in Kyiv. Surgeon of the first qualification category, with specialist certificates in Oncosurgery and Transplantology. Member of the Ukrainian Union of Oncology Surgeons (USSO) and the European Society of Surgical Oncology (ESSO). Awarded the Order “Scientist of the Year 2020”.

          About the surgical oncologist · Scientific works

          Together with a team of surgical oncologists

          I operate together with a team of surgical oncologists; in complex cases we involve specialists from related fields.

          The decision is made by a tumor board

          The approach is discussed at a multidisciplinary tumor board with oncologists, medical oncologists and radiologists — before surgery and after the histopathology report.

          Direct contact with me

          Calls to my mobile number and messages come to me personally, with no call center. If I did not answer, I am in surgery: I will call back within 24 hours.

          A year of follow-up after surgery

          For a year after the operation I review your test results and images, answer questions and help with decisions about further treatment. It is a separate paid service.

          Frequently asked questions

          The operation I need is not on the list — what should I do?

          Send your discharge summary and test results. I will tell you whether this is within my specialty and, if needed, suggest which specialist to see.

          How do I know which operation I need?

          The extent of surgery is determined after the workup — based on imaging, the histopathology report and test results. The final decision is made by a tumor board. At the consultation I will review what has already been done and tell you whether there are grounds to consider surgery and which tests are missing.

          Can the operation be done laparoscopically?

          For many tumors, yes — when the tumor location and extent of resection allow it. Laparoscopy is an approach, not a separate type of treatment: the operation is performed with the same oncologic extent as open surgery. The final choice of approach is made after the workup.

          How much does surgery cost?

          The cost depends on the extent of surgery, the approach, the number of days in the hospital and the tests. The exact amount is named once the treatment plan has been defined. The in-person consultation is free, and installments are available.

          I live in another city. How can I get a consultation?

          Send your images and records in advance — how to do this is described on the page “Online Oncologist Consultation”. I see patients in person in Kyiv, patients from Ivano-Frankivsk start with an online consultation, and I operate in Kyiv together with a team of surgical oncologists.

          What should I bring to the first consultation?

          The results of all tests, histology slides and reports, CT, MRI or PET-CT discs, and records from other hospitals about previous treatment — surgery, chemotherapy, radiation therapy.

          Treatment in six steps

          From reviewing your documents to a year of follow-up after surgery.

          1. Step 1

            Review of the clinical situation: all examination materials, CT and MRI discs, medical history.

          2. Step 2

            Discussion of the case by a multidisciplinary team with oncologists, medical oncologists and radiologists.

          3. Step 3

            Surgery according to international protocols together with a team of surgical oncologists.

          4. Step 4

            The early postoperative period under the ERAS enhanced recovery protocol.

          5. Step 5

            Deciding on further management and support during the chemotherapy stage.

          6. Step 6

            Advisory support for a year: monitoring test results and reviewing CT and MRI discs.

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