Cytoreductive Surgery Consultant

• November 02, 2022
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In cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC), visible cancerous tumors are first removed from the abdominal cavity surgically. The cavity is then bathed with hot chemotherapy heated to 42 degrees Celsius to kill any microscopic cancer cells that remain. Hyperthermia augments the cytotoxicity of chemotherapy, and intraperitoneal installation allows for the delivery of much higher doses locally than are possible systemically, while minimizing toxicity. Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy have become widely accepted as an effective method of treating peritoneal metastases (PM) from various cancers. CRS is performed with the goal of removing all macroscopic diseases and comprises peritonectomy procedures and visceral resections. CRS is a technically challenging surgery that requires a considerable amount of skill and appropriate patient selection.

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