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.
| Drug treatment alone (intravenous) | Cytoreductive surgery + HIPECAt Doruk | |
|---|---|---|
| Visible tumor | Stays in place; drugs aim to shrink it | Fully removed with surgery |
| Drug reaching the peritoneum | Through the blood; a limited amount reaches the peritoneum | Directly into the abdomen, at high concentration |
| Contribution of heat | None | Heated drug penetrates tumor cells better |
| Cells that cannot be seen | Targeted through the blood | Targeted inside the abdomen in the same operation |
| Effect on the rest of the body | The drug spreads through the whole body | Most of the drug stays inside the abdomen |
| Delivery | Outpatient cycles over weeks to months | Once, as part of a major operation |
| Recovery | A few days after each cycle | Surgical recovery including intensive care and a hospital stay |
| Used together | On its own or before/after surgery | Combined 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.
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.
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.
The oncology team was with me medically and emotionally. In a word, they gave me confidence.
All my tests were done in one centre and the tumour board produced a plan the same week.
I came for a second opinion; it was the doctor himself who explained that I should stay and be treated.
A Russian-speaking coordinator was with me at every appointment; I never had to guess anything.
The file of the treatment I began at home was read here in full; I did not start from zero.
Accommodation and transfers were planned in one schedule during radiotherapy; it did not exhaust me.
They explained both my illness and my options in my own language. Knowledge eased my fear.
I had my follow-up calendar in hand after treatment ended; I did not return home into a vacuum.