Эмч нарт зориулсан / For Doctors

Илгээлтийн заавар
Referral Guide

Бээжин Юнайтед Фэмили эмнэлэг нь Монголын эмч нарт CAR-T эсийн эмчилгээ болон да Винчи робот мэс засалд зориулсан тусгай илгээлтийн замыг санал болгож байна.

Beijing United Family Hospital provides a dedicated referral pathway for Mongolian physicians to access CAR-T cell therapy and da Vinci robotic surgery for their patients.

Healthcare, Medical service and Health insurance concept. Medicine doctor use tablet to review patient medical records on virtual screens for digital healthcare, health document checklist.
48h
Review Time
JCI
Accredited
CAR-T Therapy

CAR-T Эмчилгээний Заалт
Indications for CAR-T Therapy

Дараах тохиолдолд CAR-T эсийн эмчилгээ хэрэглэх боломжтой
CAR-T cell therapy may be appropriate for the following conditions

Цус-судасны хавдар (ALL)

Relapsed/Refractory Acute Lymphoblastic Leukemia

Өмнөх эмчилгээнд хариу үзүүлээгүй эсвэл дахин үүссэн өвчин

  • B-cell ALL in pediatric and young adult patients
  • Failed ≥2 prior lines of therapy
  • Post-transplant relapse

Лимфомын хавдар (DLBCL)

Diffuse Large B-Cell Lymphoma

Өргөн тархалттай лимфомын хавдар

  • Relapsed after first-line chemotherapy
  • Primary refractory disease
  • Not eligible for autologous stem cell transplant

Мантийн эсийн лимфом

Mantle Cell Lymphoma

Тусгай төрлийн лимфомын хавдар

  • After ≥2 prior treatment regimens
  • Including BTK inhibitor therapy
  • Relapsed or refractory disease

Олон тооны миелом

Multiple Myeloma

Ясны чөмгийн хавдар

  • After ≥4 prior lines of therapy
  • Including proteasome inhibitor, immunomodulator, and anti-CD38
  • Progressive disease on or within 60 days of last therapy

Хүүхдийн тусгай анхаарал / Pediatric Considerations

CAR-T эмчилгээ нь хүүхдийн цус-судасны хавдрын эмчилгээнд онцгой үр дүнтэй байдаг. Гэвч хүүхдийн хувьд эцэг эх асран хамгаалагчийн оролцоо, сэтгэл зүйн бэлтгэл онцгой чухал.

CAR-T therapy has shown exceptional results in pediatric blood cancers. However, pediatric cases require special considerations including caregiver availability, psychological preparation, and age-appropriate supportive care.

Өвчтөний сонгон шалгаруулалтын шалгуур
Patient Eligibility Criteria

Оношлогоо баталгаажуулсан

Confirmed diagnosis with pathology and immunophenotyping

Өмнөх эмчилгээ

Failed ≥2 prior lines of therapy (disease-dependent)

Эрүүл мэндийн байдал

Adequate organ function (cardiac, hepatic, renal)

Биеийн үйл ажиллагаа

Performance status: ECOG 0-2 or Karnofsky ≥60%

Халдваргүй байх

No active uncontrolled infections or sepsis

Асран хамгаалагч

Dedicated caregiver available 24/7 during treatment

Сэтгэл зүйн бэлэн байдал

Psychological readiness & understanding of risks/benefits

Аялах чадвар

Ability to travel and stay near treatment center

Зөвшөөрөл

Informed consent & willingness to comply with protocol

Эрсдэлтэй тохиолдлууд / Боломжгүй өвчтөнүүд

Red Flags / Non-Eligible Cases

Absolute Contraindications

  • Active CNS involvement with progressive disease
  • Severe cardiac dysfunction (EF <40%)
  • Active uncontrolled infections or sepsis
  • Severe pulmonary disease requiring oxygen
  • Pregnancy or unwillingness to use contraception

Relative Contraindications

  • Prior history of severe autoimmune disease
  • Hepatic dysfunction (bilirubin >2x normal)
  • Renal impairment (CrCl <30 mL/min)
  • ECOG performance status >2
  • No available caregiver support

Note: Эдгээр тохиолдолд UFH-ийн баг хувь хүний үнэлгээ хийх боломжтой. For borderline cases, UFH clinical team can provide individualized assessment and recommendations.

Robotic Surgery

Да Винчи Робот Мэс Заслын Заалт
da Vinci Surgical Indications by Specialty

Мэргэжлээр ангилсан робот мэс заслын боломжууд
Comprehensive robotic surgery capabilities across multiple specialties

Урология / Urology

Шээсний замын өвчлөл, бөөрний болон түүвэрлэг булчирхайн хагалгаа

Common Procedures:

  • Radical prostatectomy (prostate cancer)
  • Partial or radical nephrectomy (kidney tumors)
  • Pyeloplasty (ureteropelvic junction obstruction)
  • Cystectomy (bladder tumors)

Key Benefits:

  • Nerve-sparing precision (erectile function preservation)
  • Reduced blood loss
  • Faster continence recovery
  • Shorter hospital stay (typically 2-3 days)

Эмэгтэйчүүдийн эмнэлэг / Gynecology

Эмэгтэйчүүдийн нөхөн үржихүйн эрхтний мэс засал

Common Procedures:

  • Hysterectomy (benign & malignant conditions)
  • Myomectomy (fibroid removal)
  • Endometriosis resection
  • Pelvic floor reconstruction (prolapse repair)

Key Benefits:

  • Minimal scarring with small incisions
  • Preservation of reproductive anatomy when possible
  • Faster return to daily activities
  • Less postoperative pain

Гэдэс-арьсны гаралгийн өвчин / Colorectal Surgery

Бүдүүн гэдэс, шулуун гэдсийн хавдар болон үрэвсэлт өвчин

Common Procedures:

  • Low anterior resection (rectal cancer)
  • Right/left colectomy (colon cancer)
  • Total mesorectal excision (TME)
  • IBD surgery (Crohn's, ulcerative colitis)

Key Benefits:

  • Precise dissection in narrow pelvis
  • Better sphincter preservation
  • Lower conversion rate to open surgery
  • Faster bowel function recovery

Цээжний хөндийн мэс засал / Thoracic Surgery

Уушигны хавдар болон цээжний эрхтний өвчлөл

Common Procedures:

  • Lobectomy (lung cancer)
  • Segmentectomy (limited lung resection)
  • Mediastinal tumor resection
  • Thymectomy (myasthenia gravis, thymoma)

Key Benefits:

  • Enhanced visualization in tight spaces
  • Reduced chest wall trauma
  • Less postoperative pain
  • Faster respiratory recovery

Толгой хүзүү / Чих хамар хоолой / Head & Neck / ENT

Толгой хүзүүний хавдар болон бусад өвчлөл

Common Procedures:

  • Transoral robotic surgery (TORS) for throat cancer
  • Thyroidectomy (thyroid cancer)
  • Skull base tumor resection
  • Laryngeal procedures

Key Benefits:

  • Access to difficult-to-reach areas
  • Better functional outcomes (speech, swallowing)
  • No external scars (transoral approach)
  • Reduced need for adjuvant therapy

Ерөнхий мэс засал / Хорт хавдрын мэс засал / General / Oncology Surgery

Хэвлийн хөндийн хавдар болон бусад мэс засал

Common Procedures:

  • Gastrectomy (stomach cancer)
  • Pancreatic resection (Whipple procedure)
  • Hepatectomy (liver tumors)
  • Hernia repair (complex cases)

Key Benefits:

  • Precision in complex anatomy
  • Improved lymph node dissection
  • Reduced blood loss
  • Faster recovery to adjuvant therapy

UFH-тай зөвлөлдөх шаардлагатай тохиолдлууд

When to Seek Second Opinion from UFH

Complex cases requiring advanced surgical expertise

Patients seeking minimally invasive options

Cases where local surgical resources are limited

Patients with high-risk comorbidities

Revision surgery after prior open procedures

Desire for faster recovery and return to work

Step-by-Step Process

Илгээлтийн дарааллын заавар
Referral Pathway

9 алхамд хүрэх үйл явц
A clear 9-step process from initial referral to long-term follow-up

1

Илгээлтийн жагсаалт татаж авах

Doctor Downloads Referral Checklist

Access comprehensive checklist templates for CAR-T and robotic surgery referrals including required documentation, medical records, and imaging studies.

2

Баримт бичгийг илгээх

Send Scanned Records via Secure Email / Portal

Submit patient medical records, pathology reports, imaging (CT, MRI, PET scans), and laboratory results through our secure online portal or encrypted email.

HIPAA-compliant secure transmission
3

48 цагийн дотор хянагдана

UFH Clinical Review Within 48 Hours

Our multidisciplinary team reviews the case including oncologists, surgeons, radiologists, and pathologists to provide comprehensive assessment.

Fast turnaround guaranteed
4

Монголын зохицуулагчтай виртуал уулзалт

Virtual Discussion with Mongolia Coordinator

Schedule a video consultation with our Mongolian-speaking clinical coordinator to discuss the case, answer questions, and explain the treatment plan in detail.

5

Эмчилгээний төлөвлөгөө буцаах

Treatment Planning Sent Back to Referring Doctor

Receive detailed treatment plan including timeline, expected outcomes, potential risks, costs, and post-procedure follow-up requirements.

6

Виз, аялалын дэмжлэг зохион байгуулалт

UFH Arranges Visa, Travel Support

Our international patient services team assists with visa invitation letters, accommodation booking, airport pickup, and interpreter services.

Visa support Accommodation Transport Translation
7

Эмчилгээ / Мэс засал хийгдэнэ

Procedure / Therapy

Patient undergoes CAR-T therapy or robotic surgery with comprehensive monitoring, supportive care, and daily updates to referring physician and family.

8

Монголын эмчид тайлан хүргэх

Return Handover Report to Mongolia Doctor

Comprehensive discharge summary including treatment delivered, outcomes, pathology results, medication list, and follow-up care instructions for the referring physician.

9

Урт хугацааны хяналт зохицуулалт

Long-term Follow-up Coordinated Locally

Ongoing communication between UFH specialists and referring doctor for monitoring, imaging interpretation, lab review, and management of late complications.

Continuous collaborative care model

Асуултай бол: Questions? Contact our Mongolia coordinator