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Doruk Hospital
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HIPEC (Heated Intraperitoneal Chemotherapy)

In selected cancers that have spread to the peritoneum, the visible tumor is cleared with surgery and the abdomen is then washed with heated chemotherapy in the same operation.

HIGHLIGHTS

What stands out in this treatment

The Right Patient Selection

The spread is measured before surgery with the PCI score, imaging and, when needed, diagnostic laparoscopy.

Aiming to Leave No Visible Tumor

Cytoreductive surgery aims to clear all visible tumor on the peritoneum.

Heated Drug in the Same Operation

Chemotherapy is given directly into the abdomen, heated and at high concentration.

Tumor Board Decision

Surgery and oncology decide together whether the operation suits you.

International Patient Support

End-to-end services including visa, transfer, accommodation and interpreter; remote follow-up after return.

Insurance & agreements

Transparent payment with contracted institutions and private insurers, at home and abroad.

Accommodation & rooms

Companion-friendly modern patient rooms and in-city accommodation support.

International patient services

Visa, airport transfer and 24/7 multilingual medical interpreters.

Transparent, guaranteed price

A quote prepared from your medical information; no extra charge for the treatments it covers.
OVERVIEW

Who it's for & conditions treated

Who is it for?
Patients whose cancer has spread only to the peritoneum, without distant organ spread
Patients in whom imaging and diagnostic laparoscopy show that all visible tumor can be removed
Those diagnosed with ovarian, colon or stomach cancer, or peritoneal mesothelioma
Those in good enough general health to undergo a major operation
TREATMENTS

About the operation

Who this operation is for, and why
HIPEC is a single operation in two stages: first all visible tumor on the peritoneum is removed (cytoreductive surgery), then the abdominal cavity is washed with a heated chemotherapy drug. The aim is to clear the visible tumor and target cells that cannot be seen by giving the drug directly into the abdomen.

HIPEC is not suitable for every spread to the peritoneum. If the cancer has spread to distant organs such as the liver or lungs, if the tumor on the peritoneum is too widespread to be fully removed, or if general health cannot support a major operation, drug treatment comes first.

Suitability is measured with imaging, tumor markers and, when needed, diagnostic laparoscopy; surgery, medical oncology and radiology decide together at the tumor board.

Cytoreductive surgery + HIPEC and drug treatment alone
Both paths target cancer that has spread to the peritoneum. The difference lies in whether the visible tumor is removed and how the drug reaches the tumor. The extent of spread and general health decide which one suits you.
CriterionDrug treatment alone (intravenous)Cytoreductive surgery + HIPECAt Doruk
Visible tumorDrug treatment alone (intravenous)Stays in place; drugs aim to shrink itCytoreductive surgery + HIPECFully removed with surgery
Drug reaching the peritoneumDrug treatment alone (intravenous)Through the blood; a limited amount reaches the peritoneumCytoreductive surgery + HIPECDirectly into the abdomen, at high concentration
Contribution of heatDrug treatment alone (intravenous)NoneCytoreductive surgery + HIPECHeated drug penetrates tumor cells better
Cells that cannot be seenDrug treatment alone (intravenous)Targeted through the bloodCytoreductive surgery + HIPECTargeted inside the abdomen in the same operation
Effect on the rest of the bodyDrug treatment alone (intravenous)The drug spreads through the whole bodyCytoreductive surgery + HIPECMost of the drug stays inside the abdomen
DeliveryDrug treatment alone (intravenous)Outpatient cycles over weeks to monthsCytoreductive surgery + HIPECOnce, as part of a major operation
RecoveryDrug treatment alone (intravenous)A few days after each cycleCytoreductive surgery + HIPECSurgical recovery including intensive care and a hospital stay
Used togetherDrug treatment alone (intravenous)On its own or before/after surgeryCytoreductive surgery + HIPECCombined with drugs before or after surgery in most patients

The two paths are not rivals: most patients who have HIPEC also receive intravenous chemotherapy before or after surgery.

Stages of the operation
The extent of spread on the peritoneum sets the scope of the operation; the team makes the plan before surgery.

Measuring the spread: PCI and diagnostic laparoscopy

The abdomen is divided into 13 regions and the amount of tumor in each is scored (peritoneal cancer index, PCI). When imaging is not enough, a camera is used through small incisions (diagnostic laparoscopy). This measurement shows before surgery whether the tumor can be fully cleared.

Related treatmentsRelated treatments

Cytoreductive surgery

The involved parts of the peritoneum and tumor-bearing organ parts are removed; the aim is to leave no visible tumor. Depending on the source of the cancer, bowel, ovaries, uterus, spleen or the fatty apron (omentum) may be part of the operation. General surgery and gynecologic oncology work together in the same operation when needed.

Related treatmentsRelated treatments

The HIPEC stage

After the tumor is cleared, a heated chemotherapy drug is circulated through tubes placed in the abdominal cavity; a perfusion device keeps the drug’s temperature and flow steady. The drug stays in the abdomen for a set time and is then drained. The type of cancer decides which drug is used.

Related treatmentsRelated treatments
Which cancers
Each cancer's page explains the role of HIPEC; here you find a short summary.

Ovarian cancer

In advanced ovarian cancer, HIPEC can be given during interval surgery in selected patients who first received chemotherapy. The ovarian cancer page has the details.

Colon cancer

In colon cancer spread only to the peritoneum, visible tumor is cleared with cytoreductive surgery; the board decides in selected patients whether HIPEC is added. The colon cancer page has the details.

Stomach cancer

In selected stomach cancer patients with spread limited to the peritoneum, cytoreductive surgery and HIPEC are considered after response to drug treatment. The stomach cancer page has the details.

What to keep in mind

Before surgery: The spread is mapped with CT, MRI or PET-CT; nutrition, heart and kidney function are measured. Nutritional support is started before surgery when needed; if you take blood thinners, the team sets the day to stop.

After surgery: You are monitored in intensive care for the first days; eating restarts gradually. The hospital stay and the timing of your return flight depend on the scope of surgery; your surgeon decides after the follow-up visit.

Tumor board
The HIPEC decision is not left to one doctor: general surgery, gynecologic oncology, medical oncology, radiology and pathology review your file together. You can also get a second opinion on an existing treatment plan.
General surgeryGynecologic oncologyMedical oncologyRadiologyPathology
TREATMENT TIMELINE

From day one to discharge

The timeline below is an average and varies by patient, diagnosis and clinical status. Exact timing and all included services are detailed in your personalized treatment offer.
Application
File sharing — pathology, imaging and prior treatments
Assessment
CT/MRI/PET-CT, tumor markers; diagnostic laparoscopy when needed
Board
Suitability and surgical plan at the tumor board
Surgery
Cytoreductive surgery and HIPEC; then intensive care monitoring
Follow-up
Pathology result, drug treatment if needed and regular imaging
Every treatment offer is presented in full detail — accommodation, transfer, interpreter and follow-up included — clearly stating what is covered.
HOW IT WORKS

A completely carefree treatment journey

1
Online application
Fill the form or message us on WhatsApp; share your file in seconds.
2
Free evaluation
Our specialists review your file and reply within 24 hours.
3
Personalized plan
Treatment steps, timeline and transparent cost are clarified.
4
Welcome & treatment
Airport pickup, accommodation and treatment — coordinated end to end.
BY THE NUMBERS

Our center in numbers

12,000+
oncology cases per year at our center
Weekly
tumor board
18+
oncologists & oncologic surgeons
30+
cancer types treated
TECHNOLOGY

Our diagnostic and treatment technologies

Technology

Advanced Imaging

WHY DORUK

What sets us apart here

Staging and surgery under one roof
The spread is measured with CT, MRI and PET-CT, and surgery and HIPEC are done in the same hospital by the same team; your file never changes hands.
The surgical decision is made by the board
Surgery, medical oncology and radiology decide together at the tumor board whether HIPEC suits you.
Surgical teams together
General surgery and gynecologic oncology work together in the same operation; intensive care and nutrition teams follow your recovery.
INFO & BLOG

About diagnosis, treatment and recovery

What is HIPEC?
Who is it suitable for?
How long does the operation take?
How long will I stay in hospital, and when can I fly?
Is chemotherapy needed after HIPEC?
Why is a heated drug used?
Is the operation open or minimally invasive?
How does the process work for international patients?
PRICING

Transparent treatment pricing

Consultation & second opinion
Every HIPEC case is individual; the quote is provided after imaging and board review.
Free
Radiotherapy course (IMRT)
Planning + sessions included
$5,000 – $8,900
Chemotherapy (per cycle)
Excl. meds, incl. administration
$1,000 – $2,800
Robotic tumor surgery
3–4 night stay included
$10,000 – $14,000
Indicative price range, given before we have seen you. After medical communication and consultation you receive a net, payment-guaranteed price in writing: unless a medical obstacle arises, only the quoted amount is charged when the procedures are performed, and it covers the procedures listed as included in the quote. Our priority is to do what is medically right; our financial promise is to deliver the promised service at the promised price.
PRICE GUARANTEE

Our quote is a binding commitment

The quote prepared and shared based on the medical information you provide is guaranteed: for every treatment it covers, the hospital charges no extra fees.

Written, binding quote
Your quote is prepared from your medical information and shared in writing.
No surprise charges
For the treatments the quote covers, the hospital requests no extra charge.
All covered treatments included
Every planned treatment is included in the guaranteed price.
PATIENT STORIES

Recovery journeys in their own words

Patient stories
All patient stories
PATIENT VOICES

What our patients say

The oncology team was with me medically and emotionally. In a word, they gave me confidence.

Ayşe
Türkiye · Oncology

All my tests were done in one centre and the tumour board produced a plan the same week.

Klaus
Germany · Oncology

I came for a second opinion; it was the doctor himself who explained that I should stay and be treated.

Ivan
Bulgaria · Oncology

A Russian-speaking coordinator was with me at every appointment; I never had to guess anything.

Elena
Russia · Oncology

The file of the treatment I began at home was read here in full; I did not start from zero.

Aigul
Kazakhstan · Oncology

Accommodation and transfers were planned in one schedule during radiotherapy; it did not exhaust me.

Faisal
Saudi Arabia · Oncology

They explained both my illness and my options in my own language. Knowledge eased my fear.

Zainab
Iraq · Oncology

I had my follow-up calendar in hand after treatment ended; I did not return home into a vacuum.

Sarah
United Kingdom · Oncology
FAQ

Frequently asked questions

Is the consultation paid?
How do I apply from abroad?
Visa and transfer support?
How is post-care follow-up?

Free evaluation for HIPEC (Heated Intraperitoneal Chemotherapy)

Our international team replies within 24 hours. Visa, transfer and accommodation included.

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