Dr. - Roman Koch - Oncology surgery -

Dr. Roman Koch

Specialist for Oncology surgery, Proctology, Gastric surgery, Thyroid surgery, Liver cancer, Intestinal surgery, Gastric cancer, Biliary Surgery in

Dr. - Roman Koch - Oncology surgery -
As a proven tumor expert, Dr. Koch has a great deal of experience with cancer of the abdominal cavity. Especially in minimally invasive surgery, he has a high international reputation - and is considered a specialist in 3D technology, a particularly gentle, precise procedure. He is known for the fact that he enjoys great trust among his patients.

Special Clinical Focus

  • Interdisciplinary Abdominal Center, Intestinal Cancer Center
  • Carcinomata (cancer conditions) of the abdominal cavity
  • Certified Hernia Center
  • Minimal invasive surgery
  • Coloproctology
  • Abdominal conditions of unclear etiology
  • Thyroid surgery

About us

Dr. Roman Koch has been the Chief Physician at the Paracelsus Hospital in Henstedt-Ulzburg, Schleswig-Holstein since 2016 and is a specialist in surgery, abdominal surgery, special abdominal surgery and minimal invasive surgery (EAES), (CAMIC). Following his specialist training, he gained acknowledged expertise in the surgical treatment of benign and malignant conditions of the abdominal cavity at the University of Stellenbosch, the University of Cape Town and at the Yale School of Medicine, Department of Surgery in the USA. Subsequently, as the Chief Resident of the Department of General, Abdominal and Pediatric Surgery at the Kiel City Hospital, the 45-year-old physician was then able to focus on oncology surgery. Equipped with wide experience in surgery, in Kiel, at the certified Intestinal Cancer Center there, the specialist in abdominal and special abdominal surgery specialized in minimal invasive tumor and metastasis surgery to the entire digestive tract, whereby, together with gastric, gallbladder, liver and pancreatic surgery, colorectal surgery became a particular focus.

  • Research stay and scholarship at the Yale School of Medicine, Department of Surgery in the USA
  • Honorary Attachment / Fellowship at the Hepatobiliary Department, University of Cape Town, Groote Schuur Hospital, South Africa, General Surgery specialist, Chief Surgical Resident (South Africa)
  • International expertise, master classes in minimal invasive surgery

With his admission to the European Board of Surgery for Minimally Invasive Surgery, Dr. Roman Koch emphasizes his internationally recognized expertise in the surgical field.

The Paracelsus Hospital in Henstedt-Ulzburg in Segeberg County provides the entire range of services in general and abdominal surgery using cutting-edge surgical techniques. The hospital boasts approximately 2,200 surgical procedures in this sector, from out-patient procedures to complex procedures for tumor patients. A particular focus of our hospital is intestinal oncology surgery (cancer surgery). We treat all benign and malignant tumors of the gastrointestinal tract, from the esophagus to the rectum, tumors of the pancreas and the liver, spleen and adrenal glands. In all areas, we collaborate closely with the particular specialty hospitals, as well as with our established partners in the region.

Thanks to this interdisciplinary networking, we are able to provide our patients with the optimal tailored treatment in accordance with the latest scientific insights. A further focus of our hospital is the treatment of hernias of all types. Here, together with the frequently occurring inguinal hernias, rare and difficult to treat incisional hernias and recurrent hernias are also treated. In our Hernia Center (DHG certified), we work on the basis of the latest insights in medical research in respect of the surgical techniques applied, as well as the materials employed. Surgery by means of minimal invasive surgery (so-called keyhole surgery or laparoscopic surgery) represents one of our core competencies. In this particularly gentle technique, surgery is performed on the internal organs by means of an innovative camera using the 3-D / 4K technique, with the highest image resolution and special, very fine instruments.

For the enhanced visualization of deeper tissue layers in real time, we use the innovative ICG (indocyanine green) system. Due to the only very small incisions necessary, the skin and the soft tissue are only slightly damaged and so the subsequent healing process, as a rule, is less prone to complications, is more rapid and is less painful. In the course of his wide medical training, Dr. Koch specialized in minimal invasive tumor and metastasis surgery to the entire digestive tract, inter alia, at the certified Intestinal Cancer Center in Kiel. Here, his focus is particularly on colorectal (large intestine / rectal) surgery, gastric, biliary and hepatic surgery. Of course, the entire range of general surgical procedures, from hernia surgery to thyroid surgery to cholycystectomies, is provided at the Paracelsus Hospital. Routine procedures also include varicose vein surgery and proctology procedures. Chief Physician Dr. Koch and his colleagues provide a further particular service: they also advise and examine patients in the English, Russian or Arabic language on request. This is intended to overcome possible uncertainty in a patient consultation and to create a basis of confidence because, ultimately, a physician can only treat a patient properly when his questions are correctly understood and also responded to by the patient.

The Paracelsus Hospital works in close collaboration with the Visiorad radiology clinic in Pinneberg and with established oncologists and pathologists in the region. The Paracelsus Hospital in Henstedt-Ulzburg performs approximately 4,500 surgical procedures each year.

Diagnostic Services

  • Clinical examination
  • Video capsule endoscopy
  • Laboratory diagnostics
  • Ultrasound diagnostics
  • X-ray
  • CT
  • MRI
  • Proctology examination

Therapeutic Services

  • Minimal invasive surgery to the gastrointestinal tract using cutting edge 3-D / 4K technique including ICG
  • Colorectal surgery
  • Intestinal cancer surgery
  • Tumor conditions of the visceral pleura and the costal pleura, benign lung conditions
  • Tumor surgery and metastasis surgery to the liver (in combination with local tumor destruction by high-frequency ablation / thermoablation, if required) and lungs
  • Gallbladder surgery
  • Functional gastric surgery (fundoplication)
  • Hernia surgery (inguinal hernia, incisional hernia) predominantly minimal invasive
  • Proctology surgery, hemorrhoids, fistula and prolapse
  • Pelvic floor surgery (minimal invasive)
  • Thyroid surgery with neuromonitoring (goiter)
  • Varicose vein surgery
  • Chemotherapy
  • Radiotherapy (rectum)
  • Combination of radiotherapy and chemotherapy (rectum)
  • Targeted treatments, immunotherapy
  • Physical methods (cryotechniques, thermotechniques, high-frequency and laser techniques)
  • Regular exchange between specialists, together with external experts, in the weekly tumor conference

Medical spectrum


  • Anal abscess
  • Anal carcinoma
  • Anal eczema
  • Anal fissure
  • Anal fistula
  • Anal polyp
  • Anal skin tags
  • Anal thrombosis
  • Appendicitis
  • Basedow's / Grave's disease
  • Biliary colic
  • Cancer of the gallbladder
  • Cancer of the large intestine
  • Cancer of the pancreas / Pancreatic cancer
  • Cholangiocarcinoma
  • Cholangitis
  • Cholestasis
  • Cholesystitis
  • Chronic intestinal disorders
  • Cirrhosis of the liver
  • Colonic cancer
  • Crohn’s disease
  • Cryptitis
  • Cystocele
  • Disorders of the biliary tract
  • Duodenal ulcer
  • Fecal incontinence
  • Gallbladder disorders
  • Gallstones
  • Gastric cancer
  • Genital / anal warts
  • Goiter
  • Hemorrhoids
  • Hyperparathyroidism
  • Hyperthyroidism
  • Hypothyroidism
  • Incisional hernia
  • Inguinal hernia
  • Intestinal polyps
  • Liver cancer
  • Liver metastases
  • Mast colon cancer
  • Pancreatic diseases
  • Pancreatitis
  • Paralytic ileus
  • Perforations of the gastrointestinal tract
  • Proctitis
  • Pulmonary metastases
  • Rectal cancer
  • Rectal disorders
  • Rectal prolapse
  • Rectal ulceration
  • Renal cancer
  • Richter's hernia
  • Thyroid autonomy
  • Thyroid cancer
  • Ulcerative colitis
  • Urinary incontinence
  • Uterine prolapse
  • Uterine prolapse


  • Anal carcinoma surgery
  • Anal fissure surgery
  • Anal polyp surgery
  • Artificial anus
  • Cancer treatment
  • Cholecystectomy
  • Colorectal surgery
  • Endocrine surgery
  • Gastrectomy
  • Gastric surgery
  • Gastric cancer surgery
  • Gastroenterostomy
  • Hemorrhoid surgery
  • Hepatic cancer surgery
  • Hepatic metastasis surgery
  • Hepatic surgery
  • Incisional hernia surgery
  • Inguinal hernia operation
  • Intestinal cancer surgery
  • Intestinal resection
  • Laparocopic pancreatic surgery
  • Large intestine surgery
  • Liver resection
  • Liver transplantation
  • Lung cancer surgery
  • Minimal invasive biliary surgery
  • Minimal invasive gastric surgery
  • Minimal invasive hernia surgery
  • Minimal invasive intestinal / colorectal surgery
  • Minimal invasive liver surgery
  • Minimal invasive pancreatic surgery
  • Oncology surgery
  • Palliative care in colonic carcinoma
  • Pancreas transplantation
  • Pancreatic cancer surgery
  • Pancreatic surgery
  • Pancreatitis surgery
  • Peritonectomy and HIPEC
  • Peritonectomy and HIPEC
  • Rectal surgery
  • Rectal surgery
  • Rectal surgery
  • Single-port cholycystectomy
  • Surgery to the parathyroid glands
  • Thyroid surgery
  • TULC
  • Ulcerative colitis surgery
  • Vagotomy


  • Colonic cancer prevention
  • Colonoscopy

Special Offers / Arrangements / Rooms

Our optional extras in detail:
  • Single room
  • Treatment by the Chief Physician
  • Bedside telephone
  • Separate catering services
  • Accommodation for a companion
  • Safe for valuables
  • Daily newspaper
  • Use of WLAN at no charge
With the provision by the buffet cart, Paracelsus Hospital Henstedt-Ulzburg is providing a new and innovative service concept
  • Kiosk
  • Bistro
  • Cafeteria
  • Pink Ladies
  • Hospital chaplaincy
  • Psychooncology support



Paracelsus Hospital, Henstedt-Ulzburg

Wilstedter Strasse 134
24558 Henstedt-Ulzburg

Webseite: www.paracelsus-kliniken.de

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