San Donato Hospital Group Italy

San Donato Hospital Group,N1 in Italy, founded in 1957, is one of the first hospital groups in Europe and one of the first in Italy. .• 4.7 million patients per year (№ 2 in Europe) • 7 090 vracha, 7 735 sr. honey personnel, 2 466 administrative staff • 5,705 beds (№1 in Italy) • 1.86 billion euros annual turnover (№1 in Italy & №7 in Europe) SAN RAFFAELLE HOSPITAL ONKOLOGY: MULTIDISCIPLINARY APPROACH • Complex and nuclear diagnostics medicine • Radiotherapy • Neurosurgery >14,600 patients per year >6 000 surgical removal of tumors • Pancreatic gland • Gastrointestinal tract • Cookie • Gynecology • Mammology • Urology • Melanoma • Endocrinology • Thoracic surgery and lung cancer • Oncohematology and Stem Cell Program BREAST CANCER TREATMENT • DIAGNOSTICS • Review of medical records • Breast ultrasound • Mammography • Ultrasound-guided breast needle biopsy • Breast MRI (upon doctor’s appointment), additional cost • Breast PET-MRI (upon doctor’s appointment), additional cost • BRCA1/BRCA2 genetic testing (upon doctor’s appointment), additional cost • Consultation with a breast diagnostic specialist • Consultation with a surgical oncologist-mammologist • SURGICAL TREATMENT • RADIOTHERAPY MULTIDISCIPLE LINEAR TEAM OF SPECIALISTS • Prof. Pietro Panizza – Head of Breast Diagnostics Unit • Dr. Giampaolo Bianchini – Head of Breast Oncology Unit, Clinical Oncology Unit • Prof. Nadia Di Muzio – Head of Radiotherapy Unit BREAST ONCOLOGY TREATMENT • Surgical treatment with immediate installation of an expander • Delayed reconstruction of the mammary gland with implant installation • 2-phase reconstruction of the mammary gland with expander installation • STAGE I - Expander installation surgery • STAGE II - Reconstruction of the mammary gland with implant installation • STAGE II - Reconstruction of the mammary gland with restoration of symmetry GASTROINTESTINAL DISEASE DIAGNOSTICS PROGRAMS • Upper gastrointestinal diagnostics package • Lower gastrointestinal diagnostics package • Onco-staging - € 10,000 - 15,000 (with laparoscopy) • Comprehensive gastrointestinal diagnostics + Intolerance diagnostics • Robotic colonoscopy (non-anesthetic) • Colonwash CENTER PANCREAS • Head - Prof. Falconi • Former Chairman of ENETS (2016-2018 • Hirsch index 110 • 350 pancreatic resections per year, including 70 minimally invasive • Main pathologies: • malignant tumors such as pancreatic adenocarcinoma, as well as benign tumors • neuroendocrine tumors (NET) • NET diagnostic program • PET glucose • PET MRI with gallium • Consultation with Prof. Falconi (possible multidisciplinary review) LIVER SURGERY CENTER • Professor Aldrighetti has personally performed more than 3,200 liver resections as the first surgeon. • He is the developer of a program aimed at reducing the risks (complications and mortality) of perihilar cholangiocarcinoma surgery. Currently, there are more than 250 cases of resection. • Diagnostic program • Neoplastic diseases of the hepatobiliary system: • perihilar cholangiocarcinomas • hepatocellular carcinomas • metastatic liver tumors LUNG CANCER DIAGNOSTICS AND TREATMENT PROGRAM • Diagnostics • Diagnostic program with thoracoscopy • Surgical and robotic treatment from • Radiation therapy NEUROSURGERY • Package price of surgical treatment • Sella turcica tumors (transnasal approach) • Craniotomy (endocranial tumors) • Prof. Mortini's statistics: • More than 5,000 cases of pituitary tumors, craniopharyngiomas and other tumors of the sella turcica region • Gamma Knife • Intraoperative brain mapping • Robotic neurosurgery BONE MARROW TRANSPLANT • Patient screening • Complete package, unrelated donor • Screening, • Transplant • 6 months follow-up • Payments are divided into separate packages to simplify billing • Depending on your situation and donor selection, there are different packages: • Autologous transplant (18 days) • Donor from the registry (45 days) • MISMATCH donor (45 days) • HLA-identical related (35 days) SAN RAFFAELE HOSPITAL HEMATOPOIETIC STEM CELL GENE THERAPY • Largest gene therapy center in Europe • >100 patients treated (paediatric adult department) from 30 countries • Congenital immunodeficiencies • Hemoglobinopathies • Thrombocytopenia SAN RAFFAELE HOSPITAL Clinical Research Institute Cardiovascular Diseases >1,400 operations • Lowest mortality from CABG (=0) in the country • Best mitral valve reconstruction center in Italy (more than 500 operations, most minimally invasive) Harpoon Mitral ® Neochord® Tiara ® Tendyne ® Cardioband ® • 100 percutaneous MVR • 20 percutaneous mitral valve implantation • Largest LVAD implantation program in Italy SAN RAFFAELE HOSPITAL CARDIAC SURGERY: International Proctoring Center • Abbott® MitraClip® - percutaneous mitral valve repair • Minimally Invasive Aortic Valve Replacement • Abbott® Trifecta® - Aortic Bioprosthesis • Livanova® Perceval® - Aortic Suturless Bioprosthesis • Abbott® HeartMate III® – LVAD • Medtronic® HeartWare® – LVAD • Jotec Evita Open Plus® – Aortic Arch Complex Surgery ALLERGY, IMMUNOLOGY, RHEUMATOLOGY AND RARE DISEASES • Allergies • Arthritis • Lupus and connective tissue diseases • Primary and secondary immunodeficiencies • Scleroderma • Vasculitis • Immunopathology of pregnancy • Rare diseases (including IgG4-related diseases) ROBOTIC SURGERY IN UROLOGY • Prostatectomy with Da Vinci robot • Quantum Thulium Laser System • Quantum Holmium Laser System