Стоимость операции резекция желудка: Продольная резекция желудка — цены от 12134 руб. в Москве, 32 адреса

Лапароскопическая продольная резекция желудка (sleeve

Продольная резекция желудка (син. – трубчатая, рукавная резекция, sleeve-резекция) является наиболее распространенным на сегодняшний день методом хирургической коррекции морбидного ожирения. После выполнения продольной резекции объем желудка уменьшается до примерно 25% от исходного. Это достигается хирургическим удалением большей части желудка – дна, тела и большой кривизны.  Края остающейся части (передняя и задняя стенки в области малой  кривизны) соединяются при помощи сшивающих аппаратов степлерным швом таким образом, что из оставшейся части желудка формируется трубка или рукав (sleeve – рукав).  Оставшийся объем желудка после процедуры составляет около 30-45 мл.

Помимо формирования желудка с минимальным объемом, еще одним физиологическим механизмом, определяющим эффективность продольной резекции, является удаление зоны, продуцирующей гормон голода –грелин.  Уровень грелина в норме перед приёмами пищи увеличивается, а после приёмов пищи уменьшается. Уровень грелина у пациентов с морбидным ожирением достоверно выше, чем у людей без ожирения. Считается, что грелин взаимно дополняет гормон лептин, производимый в жировой ткани, который вызывает насыщение, когда присутствует в более высоких концентрациях. При выполнения продольной резекции желудка уровень грелина у пациентов уменьшается, вызывая насыщение прежде, чем это обычно происходило бы у здоровых людей.

Процедура выполняется лапароскопическим доступом и не является обратимой.

Продольная резекция желудка выполняется пациентам с морбидным ожирением при индексе массы тела 40 и более. Несомненными достоинствами продольной резекции желудка являются  минимальные риски послеоперационных осложнений (до 1 – 3%), меньшие (по сравнению с гастрошунтированием или с панкреато-билиарным шунтированием) нарушения физиологии пищеварительного тракта и возможность проведения упомянутых  бариатрических операций по показаниям при необходимости второго этапа хирургического лечения.

Снижение массы тела после продольной резекции желудка достигает 60% в течение первых двух лет, что позволяет пациентам,  с одной стороны, нивелировать проявления метаболического синдрома и, с другой стороны, почувствовать всю полноту социальной адаптации и возможностей полноценной активной жизни.

Подробнее об операциях при ожирении — в разделе БАРИАТРИЧЕСКАЯ ХИРУРГИЯ (ОПЕРАЦИИ ПРИ ОЖИРЕНИИ)

90000 Gastric Cancer: Diagnosis and Treatment Options 90001 90002 JOHN C. LAYKE, D.O. University of Illinois Metropolitan Group Hospitals, Chicago, Illinois 90003 90002 PETER P. LOPEZ, M.D. University of Miami School of Medicine, Miami, Florida 90003 90002 90007 Am Fam Physician. 90008 2004 Mar 1; 69 (5): 1133-1141. 90003 90002 90011 Patient Information Handout 90003 90002 Although the overall incidence of gastric cancer has steadily declined in the United States, it is estimated that more than 12,000 persons died from gastric cancer in 2003.The incidence of distal stomach tumors has greatly declined, but reported cases of proximal gastric carcinomas, including tumors at the gastroesophageal junction, have increased. Early diagnosis of gastric cancer is difficult because most patients are asymptomatic in the early stage. Weight loss and abdominal pain often are late signs of tumor progression. Chronic atrophic gastritis, Helicobacter pylori infection, smoking, heavy alcohol use, and several dietary factors have been linked to increased risks for gastric cancer.Esophagogastroduodenoscopy is the preferred diagnostic modality for evaluation of patients in whom stomach cancer is suspected. Accurate staging of gastric wall invasion and lymph node involvement is important for determining prognosis and appropriate treatment. Endoscopic ultrasonography, in combination with computed tomographic scanning and operative lymph node dissection, may be involved in staging the tumor. Treatment with surgery alone offers a high rate of failure. Chemotherapy and radiotherapy have not improved survival rates when used as single modalities, but combined therapy has shown some promise.Primary prevention, by control of modifiable risk factors and increased surveillance of persons at increased risk, is important in decreasing morbidity and mortality. 90003 90002 The overall incidence of gastric cancer in the United States has rapidly declined over the past 50 years. Gastric cancer is now 13th most common cause of cancer mortality in the United States, with an estimated 12,100 deaths in 2003.1 However, in developing countries, the incidence of gastric cancer is much higher and is second only to lung cancer in rates of mortality.90003 90002 The typical patient with gastric cancer is male (male-to-female ratio, 1.7: 1) and between 40 and 70 years of age (mean age, 65 years). Native Americans, Hispanic Americans, and blacks are twice as likely as whites to have gastric carcinoma. 90003 90002 Ninety-five percent of all malignant gastric tumors are adenocarcinomas; the remaining 5 percent include lymphomas, stromal tumors, and other rare tumors.2 The overall declining incidence of gastric carcinoma is related to distal stomach tumors caused by Helicobacter pylori infection.Proximal stomach tumors of the cardiac region have actually increased in incidence in recent years.3 This trend has been attributed to the increased incidence of Barrett’s esophagus and its direct correlation with the development of esophageal adenocarci-noma.4 This review discusses diagnosis, treatment, and survival outcomes in patients with gastric adenocarcinoma. 90003 90021 Etiology 90022 90002 Many risk factors have been associated with the development of gastric cancer, and the pathogenesis is most likely multifactorial (Table 1).2,5,6 Although significant, genetic abnormalities (such as DNA aneuploidy, oncogene amplification or mutation, and allelic loss of tumor suppressor genes) are not understood well enough to allow formulation of a sequence of progression to the development of gastric carcinoma. One postulation on the development of this disease involves a succession of histologic changes that commence with atrophic gastritis, advance to mucosal metaplasia, and eventually result in a malignancy.2 90003 90002 Certain genetic or familial syndromes, gastric colonization by H.pylori, and conditions resulting in gastric dysplasia have been reported as definite risk factors for the development of stomach cancer. The use of tobacco, dietary risk factors (ie, high intake of salted, smoked, or pickled foods, and low intake of fruits and vegetables), and excess alcohol consumption also have been implicated as causal elements.2,5-7 A high intake of vitamin C may have a protective effect.8 [Evidence level B, case-control study] 90003 90002 90028 View / Print Table 90029 90003 TABLE 1 90031 Risk Factors for Gastric Cancer * 90032 90033 90034 90035 90002 Definite-surveillance suggested 90003 90038 90039 90034 90035 90002 Familial adenomatous polyposis 90003 90038 90039 90034 90035 90002 Gastric adenomas 90003 90038 90039 90034 90035 90002 Gastric biopsy revealing high-grade dysplasia 90003 90038 90039 90034 90035 90002 Definite 90003 90038 90039 90034 90035 90002 Chronic atrophic gastritis 90003 90038 90039 90034 90035 90002 Gastric metaplasia or biopsy 90003 90038 90039 90034 90035 90002 Helicobacter pylori infection 90003 90038 90039 90034 90035 90002 He reditary nonpolyposis colorectal cancer (Lynch II) 90003 90038 90039 90034 90035 90002 Probable 90003 90038 90039 90034 90035 90002 History of subtotal gastrectomy (> 20 years) 90003 90038 90039 90034 90035 90002 Pernicious anemia 90003 90038 90039 90034 90035 90002 Tobacco smoking (adenocarcinoma of cardia ) 90003 90038 90039 90034 90035 90002 Possible 90003 90038 90039 90034 90035 90002 Excess alcohol ingestion 90003 90038 90039 90034 90035 90002 Hamartomas 90003 90038 90039 90034 90035 90002 High intake of salted, pickled, or smoked foods 90003 90038 90039 90034 90035 90002 Low intake of fruits and vegetables 90003 90038 90039 90034 90035 90002 Ménétrier’s disease 90003 90038 90039 90034 90035 90002 Peutz-Jeghers syndrome 90003 90038 90039 90034 90035 90002 Tobacco smoking 90003 90038 90039 90034 90035 90002 Questionable 90003 90038 90039 90034 90035 90002 Benign gastric ulcers 90003 90038 90039 90034 90035 90 002 Fundic gland polyps 90003 90038 90039 90034 90035 90002 Hyperplastic polyps 90003 90038 90039 90184 TABLE 1 90031 Risk Factors for Gastric Cancer * 90032 90033 90034 90035 90002 Definite-surveillance suggested 90003 90038 90039 90034 90035 90002 Familial adenomatous polyposis 90003 90038 90039 90034 90035 90002 Gastric adenomas 90003 90038 90039 90034 90035 90002 Gastric biopsy revealing high-grade dysplasia 90003 90038 90039 90034 90035 90002 Definite 90003 90038 90039 90034 90035 90002 Chronic atrophic gastritis 90003 90038 90039 90034 90035 90002 Gastric metaplasia or biopsy 90003 90038 90039 90034 90035 90002 Helicobacter pylori infection 90003 90038 90039 90034 90035 90002 Hereditary nonpolyposis colorectal cancer (Lynch II) 90003 90038 90039 90034 90035 90002 Probable 90003 90038 90039 90034 90035 90002 History of subtotal gastrectomy (> 20 years) 90003 90038 90039 90034 90035 90002 Pernicious anemia 90003 900 38 90039 90034 90035 90002 Tobacco smoking (adenocarcinoma of cardia) 90003 90038 90039 90034 90035 90002 Possible 90003 90038 90039 90034 90035 90002 Excess alcohol ingestion 90003 90038 90039 90034 90035 90002 Hamartomas 90003 90038 90039 90034 90035 90002 High intake of salted, pickled, or smoked foods 90003 90038 90039 90034 90035 90002 Low intake of fruits and vegetables 90003 90038 90039 90034 90035 90002 Ménétrier’s disease 90003 90038 90039 90034 90035 90002 Peutz-Jeghers syndrome 90003 90038 90039 90034 90035 90002 Tobacco smoking 90003 90038 90039 90034 90035 90002 Questionable 90003 90038 90039 90034 90035 90002 Benign gastric ulcers 90003 90038 90039 90034 90035 90002 Fundic gland polyps 90003 90038 90039 90034 90035 90002 Hyperplastic polyps 90003 90038 90039 90184 90021 Diagnosis 90022 90002 The initial diagnosis of gastric carcinoma often is delayed because up to 80 percent of patients are asymptomatic during the early stages of stomach cancer.9 In Japan, a higher incidence of adenocarcinoma and rigorous screening processes have led to a greater number of cases of gastric cancer being detected in an early stage (i.e., when limited to the mucosa and submucosa, with or without lymph node involvement). Unfortunately, in the United States, most cases of gastric cancer are discovered only after local invasion has advanced. 90003 90002 Weight loss, abdominal pain, nausea and vomiting, early satiety, and peptic ulcer symptoms may accompany late-stage gastric cancer.Signs may include a palpably enlarged stomach, a primary mass (rare), an enlarged liver, Virchow’s node (ie, left supraclavicular), Sister Mary Joseph’s nodule (periumbilical), or Blumer’s shelf (metastatic tumor felt on rectal examination, with growth in the rectouterine / rectovesical space). 90003 90002 Patients presenting with the aforementioned symptoms and those with multiple risk factors for gastric carcinoma require further work-up. Esophagogastroduodenoscopy (EGD) is the diagnostic imaging procedure of choice in the work-up of gastric carcinoma.10 However, a double-contrast barium swallow, a cost-conscious, noninvasive, and readily available study, may be the initial step11 (Figure 1). This radiographic study provides preliminary information that may help the physician determine if a gastric lesion is present and whether the lesion has benign or malignant features. Gastric ulcers without any malignant characteristics seen on barium swallow have a specificity of more than 95 percent in ruling out gastric cancer. However, when indeterminate results are reported or when both benign and malignant signs are present, further diagnostic evaluation is necessary.90003.90000 90001 Cost of Gastric Bypass Surgery 90002 90003 90004 90005 90006 90007 90008 90005 90010 90008 90005 90006 90014 90005 90006 90017 90007 90006 90020 90007 90006 Medium: Copays, deductibles and coinsurance with insurance coverage 90007 90006 90025 90007 90006 High: Typically $ 18,000- $ 35,000 without insurance 90007 90008 90030 90007 90008 90005 90006 90007 90008 90005 90006 90039 Gastric bypass surgery — the most common type is called Roux-en-Y gastric bypass — is a form of weight loss surgery in which the doctor permanently reduces the size of the stomach to a small pouch, then attaches a tube of intestine to the pouch, bypassing about two feet of intestines.This restricts the amount of food the patient can eat and inhibits absorption of some calories. Typical costs: 90007 90008 90005 90006 90044 90045 Gastric bypass surgery typically costs between 90046 $ 18,000 90047 and 90046 $ 35,000, 90047 depending on the surgeon and geographic region. It usually costs toward the higher end of the range in large, urban areas, especially on the East and West coasts.Cash prices quoted for gastric bypass surgery almost always are for laparoscopic 90050 [1] 90051 surgery, which is less invasive and has fewer complications than open surgery.For example, according to the Obesity Surgery Center of Louisiana, the typical cash price paid for a laparoscopic gastric bypass is $ 21,500. At the Videoscopic Institute of Atlanta, Dr. J.K. Champion, M.D. offers laparoscopic gastric bypass surgery for $ 23,000 to $ 23,500. The Weight Loss Surgery Centers 90050 [2] 90051 in Houston, Dallas and Baton Rouge, quote a price of $ 25,000. 90054 90045 Gastric bypass surgery sometimes is covered by insurance, but that varies based on the insurance company, the policy, the geographic location and the patient’s individual health status and history.Some health plans specifically exclude weight loss surger 90054 90045 Medicare covers gastric bypass surgery for individuals with a BMI of 35 or higher, an unsuccessful history of weight loss attempts and at least one co-morbidity — other health problem — associated with obesity. 90054 90045 For patients with insurance coverage, it is not uncommon for out-of-pocket costs for gastric bypass surgery — which often include copays for office visits and coinsurance for surgery, to run from hundreds to several thousand of dollars.For example, federal employees covered by one Blue Cross Blue Shield plan pay 10 percent of the plan allowance for the surgery and a 90046 $ 100 90047 hospital admission fee when using a preferred provider. In a weight loss surgery forum on ThinnerTimes.com 90050 [3] 90051, patients share their individual out-of-pocket costs with various insurance companies. 90054 90065 Related articles: Lap Band, Liposuction, Tummy Tuck, Breast Lift 90007 90008 90005 90006 What should be included: 90007 90008 90005 90006 90044 90045 The surgeon will meet with the patient to do an initial screening, take a health history, make sure the patient is a candidate for the procedure and clearly explain the options, procedures, benefits and risks .90054 90045 In addition to the surgery, the total fee usually includes the hospital’s facility fee and the anesthesiologist’s services. 90054 90045 Routine follow-up visits for the first year after surgery generally are included. 90054 90045 After the surgery, patients must change their eating habits, including eating different types of foods and much smaller portions, in order to feel well and have successful weight loss. The MayoClinic offers general information on the required changes. To help patients maintain these changes, many doctors include lifetime membership in a support group.90054 90045 Benefits can include loss of large amounts of weight, lowering of cholesterol and blood pressure and improvements in sleep apnea and type 2 diabetes. 90054 90045 The Mayo Clinic 90050 [4] 90051 offers a primer on gastric bypass surgery. 90054 90065 Additional costs: 90007 90008 90005 90006 90044 90045 Patients sometimes have to pay additional fees of a few hundred dollars or more for consultations with a nutritionist and psychologist, before and sometimes after surgery. 90054 90045 Patients should be aware that surgery complications can result in extended hospitalizations and even the need for further surgery, which can run up medical bills into the thousands and tens of thousands of dollars or more, depending on the situation.To lessen risks, some surgeons use the BLIS program, which is a type of insurance against complications. Usually surgeons who use BLIS build the cost of the premium into the price of surgery and then, if complications occur, the company covers the cost. Even without major complications, patients will have to pay for follow-up visits, usually after the first year. 90054 90045 Some patients, once they lose weight, require plastic surgery to remove loose, extra skin. Some also choose to have breast lifts, liposuction, or other surgeries.90054 90065 Discounts: 90007 90008 90005 90006 90044 90045 A patient who pays for the surgery out-of-pocket might be eligible for tax breaks if the cost is high enough in relation to income. The U.S. Internal Revenue Service 90050 [5] 90051 has information on medical deductions. 90054 90065 Shopping for gastric bypass surgery: 90007 90008 90005 90006 90044 90045 A doctor performing gastric bypass surgery should be board certified in general surgery by The American Board of Surgery 90050 [6] 90051, and should have extensive additional training in bariatric — weight loss — — surgery.90054 90045 90046 Tip: 90047 Ask the doctor what kind of training he or she has in gastric bypass surgery, and how many years of experience performing it. Also ask if the doctor is a member of a professional organization such as the American Society for Bariatric & Metabolic Surgery 90050 [7] 90051, which offers ongoing training and support in weight loss surgery. 90054 90045 Most surgeons only will perform weight loss surgery on obese patients with a body mass index (BMI) of 40 or higher — which is about 80 pounds overweight for women and 100 for men.However, some will accept patients with a BMI of 35 to 39 if they have additional complications such as sleep apnea. The U.S. Centers for Disease Control and Prevention 90050 [8] 90051 offers a BMI calculator. 90054 90045 It is important to be aware of and discuss with your doctor the very serious risks associated with gastric bypass surgery. These include about one death for every 200 to 300 surgeries as well as serious health conditions such as blood clots in the legs, leaking at the staple lines in the stomach, incision hernia and dumping syndrome.90054 90065 90007 90008 90005 90006 90046 Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures. 90047 90039 90007 90008 90005 90006 90007 90008 90005 90010 90008 90005 90006 CostHelper News 90007 90008 90005 90006 90007 90008 90005 90010 90008 90161 90006 What People Are Paying — Recent Comments 90007 90008 90005 90010 90008 90005 90006 90007 90008 90030 90007 90030.90000 Gastric Bypass Surgery Cost & Treatment Guide 90001 90002 90003 90004 About Us 90005 90004 Our Medical Experts 90005 90004 Patient Stories 90005 90004 Contact Us 90005 90004 Online Consultation 90005 (+1) 424 283 4732 90014 Bariatric Surgery 90003 90004 Sleeve Gastrectomy 90005 90004 Laparoscopic Gastric Banding 90005 90004 Gastric Bypass 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Cardiac Science 90003 90004 EPS & RFA 90005 90004 Abdominal Aortic Aneurysm (AAA) 90005 90004 Angiography 90005 90004 Angioplasty 90005 90004 Aortic Valve Replacement / Mitral Valve Replacement 90005 90014 90003 90004 ASD / VSD 90005 90004 Bentall Surgery 90005 90004 Cardiac Tumour 90005 90004 Coronary Artery Bypass Grafting (CABG) 90005 90004 Fontan 90005 90014 90003 90004 ICD Combo Devices 90005 90004 Double Valve Replacement 90005 90004 Norwood Procedure 90005 90004 Pacemaker Implantation 90005 90004 TAPVC Repair Arterial Switch 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Cosmetic Surgery 90003 90004 Arm LIft 90005 90004 Rhinoplasty 90005 90004 Cleft Lift and Palate 90005 90004 Facial Fat Transfer 90005 90004 Reconstructive Surgeries 90005 90014 90003 90004 Abdominoplasty / Tummy Tuck 90005 90004 Blepheroplasty 90005 90004 Breast augmentation 90005 90004 Breast Lift 90005 90004 Butt Lift 90005 90014 90003 90004 Male Breast Reduction 90005 90004 Maxillofacial Surgery 90005 90004 Vaser Liposuction 90005 90004 Eyebrow Lift 90005 90004 Face Lift 90005 90014 90003 90004 Forehead Lift 90005 90004 Jaw Shaping 90005 90004 Mentoplasty / Chin Augmentation 90005 90004 Pinnaplasty 90005 90004 Scar Removal 90005 90014 90003 90004 Thigh lift 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Neurology 90003 90004 Craniotomy 90005 90004 Spinal Stabilization 90005 90004 Kyphoplasty 90005 90004 Microdiscectomy 90005 90004 Brachial Plexus Injury 90005 90014 90003 90004 Spinal Fusion 90005 90004 Deep Brain Stimulation 90005 90004 Brain Tumor Treatment 90005 90004 VP Shunt 90005 90004 Laminectomy 90005 90014 90003 90004 Scoliosis 90005 90004 Spine Stimulation 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Oncology 90003 90004 Brachytherapy 90005 90004 Cervical Cancer Treatment 90005 90004 90005 90014.90000 Bariatric Surgery — Procedures & Cost Guide for Weight Loss Surgery Treatment 90001 90002 90003 90004 About Us 90005 90004 Our Medical Experts 90005 90004 Patient Stories 90005 90004 Contact Us 90005 90004 Online Consultation 90005 (+1) 424 283 4732 90014 Bariatric Surgery 90003 90004 Sleeve Gastrectomy 90005 90004 Laparoscopic Gastric Banding 90005 90004 Gastric Bypass 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Cardiac Science 90003 90004 EPS & RFA 90005 90004 Abdominal Aortic Aneurysm (AAA) 90005 90004 Angiography 90005 90004 Angioplasty 90005 90004 Aortic Valve Replacement / Mitral Valve Replacement 90005 90014 90003 90004 ASD / VSD 90005 90004 Bentall Surgery 90005 90004 Cardiac Tumour 90005 90004 Coronary Artery Bypass Grafting (CABG) 90005 90004 Fontan 90005 90014 90003 90004 ICD Combo Devices 90005 90004 Double Valve Replacement 90005 90004 Norwood Procedure 90005 90004 Pacemaker Implantation 90005 90004 TAPVC Repair Arterial Switch 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Cosmetic Surgery 90003 90004 Arm LIft 90005 90004 Rhinoplasty 90005 90004 Cleft Lift and Palate 90005 90004 Facial Fat Transfer 90005 90004 Reconstructive Surgeries 90005 90014 90003 90004 Abdominoplasty / Tummy Tuck 90005 90004 Blepheroplasty 90005 90004 Breast augmentation 90005 90004 Breast Lift 90005 90004 Butt Lift 90005 90014 90003 90004 Male Breast Reduction 90005 90004 Maxillofacial Surgery 90005 90004 Vaser Liposuction 90005 90004 Eyebrow Lift 90005 90004 Face Lift 90005 90014 90003 90004 Forehead Lift 90005 90004 Jaw Shaping 90005 90004 Mentoplasty / Chin Augmentation 90005 90004 Pinnaplasty 90005 90004 Scar Removal 90005 90014 90003 90004 Thigh lift 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Neurology 90003 90004 Craniotomy 90005 90004 Spinal Stabilization 90005 90004 Kyphoplasty 90005 90004 Microdiscectomy 90005 90004 Brachial Plexus Injury 90005 90014 90003 90004 Spinal Fusion 90005 90004 Deep Brain Stimulation 90005 90004 Brain Tumor Treatment 90005 90004 VP Shunt 90005 90004 Laminectomy 90005 90014 90003 90004 Scoliosis 90005 90004 Spine Stimulation 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Oncology 90003 90004 Brachytherapy 90005 90004 Cervical Cancer Treatment 90005 90004 CyberKnife Treatment 90005 90004 Immunotherapy 90005 90004 Laryngeal Cancer 90005 90014 90003 90004 Liver Cancer 90005 90004 Lung Cancer Treatment 90005 90004 Mastectomy 90005 90004 Abdominoperineal Resection 90005 90004 Brain Cancer Treatment 90005 90014 90003 90004 Hemicolectomy 90005 90004 Ovarian Cancer Treatment 90005 90004 Radiosurgery 90005 90004 Bladder Cancer Treatment 90005 90004 Chemotherapy 90005 90014 90003 90004 Colon / Bowel Cancer Treatment 90005 90004 Esophageal cancer 90005 90004 Penile Cancer Treatment 90005 90004 Stereotactic Radiotherapy (SRT) 90005 90004 Thyroid Cancer Treatment 90005 90014 90003 90004 Whipple Procedure 90005 90004 Oral Cancer Treatment 90005 90004 Prostate Cancer Treatment 90005 90014 Explore More 90023 90003 90004 90026 Best Hospitals 90005 90014 Orthopedic Surgery 90003 90004 Carpal Tunnel Release 90005 90004 Hip Resurfacing 90005 90004 Shoulder Arthroscopy 90005 90004 Anterior Cruciate Ligament Reconstruction 90005 90014.