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Mucositis, neuropathy or abdominal discomfort can occur and are managed with supportive medication.","preparation":["Blood tests: counts, liver and kidney function","Imaging and staging review by oncology team","Hepatitis B/C status and antiviral plan","Dental and infection screening","Review of current medications","Antiemetic prescription before infusion","Central venous access if needed"],"recovery_timeline":[{"phase":"Infusion day","description":"Intravenous chemotherapy with premedication; usually several hours of observation.","restrictions":["No driving after infusion","Avoid alcohol"]},{"phase":"Days 1-7","description":"Nausea, fatigue and appetite loss are most common; supportive medication given.","restrictions":["Avoid crowds and sick contacts"]},{"phase":"Weeks 1-3","description":"Blood counts reach lowest point then recover before the next cycle.","restrictions":["Avoid strenuous exercise during count nadir"]},{"phase":"After cycle completion","description":"Imaging assesses response and the team decides on further treatment.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":14,"unit":"days","qualifier":"Functional recovery after each cycle; depends on regimen, liver function and fatigue."},"result_longevity":"Tumor control is usually temporary, lasting months; duration depends on tumor type, response and liver function.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":4,"max":6,"unit":"visits","qualifier":"4-6 cycles every 2-3 weeks, depending on regimen and tolerance."},"stages":[{"code":"cycles_1_3","label":"First treatment cycles","after":{"min":0,"max":63,"unit":"days","qualifier":"0-63 days after first dose; cycles every 2-3 weeks"}},{"code":"response_scan","label":"Imaging response assessment","after":{"min":60,"max":90,"unit":"days","qualifier":"60-90 days after first dose, after about 2-3 cycles"}},{"code":"cycles_4_6","label":"Remaining cycles if responding","after":{"min":63,"max":126,"unit":"days","qualifier":"63-126 days after first dose if responding"}}],"qualifier":"Repeated cycles with scans between; continuation depends on response and toxicity."},"success":{"metric":"Median overall survival with gemcitabine-cisplatin","value":11.7,"unit":"months","horizon":"From treatment start","population":"Adults with advanced unresectable biliary tract cancer, good performance status","evidence_status":"limited"},"techniques":[{"name":"Systemic intravenous gemcitabine-platinum","suits_whom":"Biliary tract cancer, including intrahepatic cholangiocarcinoma","recovery":"Day-case infusion; recovery 1-2 weeks per cycle."},{"name":"Hepatic arterial infusion chemotherapy","suits_whom":"Selected unresectable liver tumors in specialised centres","recovery":"Short stay with catheter care; recovery about 1-2 weeks."},{"name":"Oral or other systemic cytotoxic regimens","suits_whom":"Patients with adequate liver function unsuitable for targeted therapy","recovery":"Home-based dosing with periodic monitoring."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Per infusion session; depends on regimen and premedication."},"initial_assessment_documents":["Biopsy or pathology report","Contrast CT or MRI of liver","Recent liver function blood tests","AFP tumor marker result","Previous cancer treatment records (if available)","Hepatitis B and C test results"],"travel_trips":{"min":4,"max":6,"one_trip_possible":false,"qualifier":"Roughly one trip per cycle, every 2-4 weeks; each visit lasts 3-7 days."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=frankfurt-na-majne/procedure=himioterapia-pri-rake-peceni/"}],"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":4},"manualSeo":[],"updatedAt":"2026-10-31T12:12:36.000Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}