Tumors of the digestive system

Planned and emergency surgical services are provided for a wide range of diseases affecting the abdominal cavity and the retroperitoneal space.

Within the scope of the service, elective surgical procedures are performed for patients with conditions of the stomach, liver, gallbladder, pancreas, esophagus, and rectum. Emergency surgical care is available 24/7.

Postoperative wards offer a high level of comfort and are equipped with centralized oxygen supply systems, respiratory monitoring, blood pressure and heart rate monitoring, ECG monitoring, and an emergency nurse call system.

The specialists undergo advanced training in leading clinics across Europe and the United States.

Both open and laparoscopic–endoscopic surgeries are performed, including:

• In esophageal malignancies: laparoscopic esophagectomy with reconstruction using a gastric conduit
• In advanced oncological diseases: lymph node dissection and atypical resections; gastrostomy placement to maintain adequate nutrition in patients with various conditions
• In tumors of the pancreatic head, body, and tail: distal and proximal pancreatectomy (this procedure is currently performed in Armenia exclusively by Prof. A. Adamyan)
• Reconstructive surgery of the bile ducts in oncological conditions
• Resection of the small intestine with manual or stapled anastomoses; creation and closure of enterostomies
• Abdominoperineal resection of the rectum; anterior and low anterior rectal resections with anastomosis formation; creation and closure of colostomies
• In complex combined surgical pathologies (such as laparoscopic nephrectomy, adrenalectomy, etc.), procedures are carried out by a multidisciplinary surgical team (gynecologists, oncogynecologists, urologists, and others), either simultaneously or in staged approaches

The service also includes colorectal surgery, providing treatment for patients with advanced colorectal cancer.

Unique surgical procedures are performed, including:

• Combined laparoscopic and transanal surgery for rectal tumors
• Laparoscopic gastric resection for oncological diseases
• Laparoscopic pancreatoduodenectomy for tumors of the pancreatic head, bile duct, and the ampulla of Vater