Best HIPEC Surgery in Delhi for Peritoneal Cancer Treatment

Introduction:

Certain cancers that have spread to the lining of the abdominal cavity and peritoneal cancer are difficult to treat. An advanced treatment method, called HIPEC (Hyperthermic Intraperitoneal Chemotherapy), may be considered in carefully selected patients. Knowing about HIPEC and what you can expect from it, eligibility, risks and recovery can help you make an informed decision on choosing the best HIPEC Surgery in Delhi.

In most cases, HIPEC is done in addition to cytoreductive surgery (CRS). The cancer deposits that can be seen are surgically removed, and heated chemotherapy circulates within the abdomen. This is to treat any microscopic cancer cells that might be left after surgery.

HIPEC Surgery in Delhi
Best HIPEC Surgery in Delhi for Peritoneal Cancer Treatment

What is HIPEC Surgery?

Hyperthermic Intraperitoneal Chemotherapy or HIPEC. The advantages of HIPEC over conventional chemotherapy are that the heated chemotherapy is administered directly into the abdomen and not through the bloodstream during surgery.

The treatment would normally consist of two stages:
  • Cytoreductive Surgery (CRS): This procedure involves the removal of visible tumors and cancer deposits from the abdomen as much as is both safe and possible.

  • HIPEC: Once the tumor has been removed, the heated chemotherapy solution is pumped through the abdomen under control for a set amount of time to kill the smaller cancer cells.
The HIPEC is a complex procedure and is suitable for only a limited number of patients following careful assessment by an experienced multi-disciplinary cancer centre team.

When Is HIPEC Used for Peritoneal Cancer?

For some cancers that have spread to the lining of the abdomen, or for cancers that have spread to the peritoneum (lining of the abdomen), HIPEC may be considered. 

It might be assessed for some cases of:
  • Colorectal cancer with peritoneal spread
  • Appendiceal cancer
  • Certain stomach cancers
  • Peritoneal surface malignancies
  • Selected gynecological/ovarian cancer diagnosis
  • Other carefully selected abdominal cancers
Not all patients who have peritoneal cancer will be appropriate for HIPEC. Some of these include type of cancer, the amount of cancer, health status, history of treatments, and if the tumor can be completely removed or not.

Why Choose HIPEC Surgery in Delhi?

Delhi has state-of-the-art cancer hospitals equipped with experienced teams of surgeons, oncologists, anaesthetists, radiologists and critical-care specialists. For patients who are considering going into HIPEC surgery, it is important to find a center that considers all cases of an abdominal cancer using a multidisciplinary approach.

Important factors when choosing a HIPEC center include:
  • Thorough understanding of cytoreductive surgery and HIPEC
  • A qualified gastrointestinal/surgical oncologist
  • High-level diagnostics and imaging equipment.
  • Multidisciplinary cancer care
  • Supported in the operating room and intensive care unit (ICU)
  • Comprehensive postoperative monitoring
  • Explicit expectations and risks communicated
The experience of the surgical team is quite significant as CRS and HIPEC can be lengthy procedures.

How Does HIPEC Work?

HIPEC involves treatment with chemotherapy drug that is heated and infused throughout the abdomen. The goal is to first take out any obvious tumor deposits, then expose the abdominal surfaces to chemotherapy.

The heated solution can be of assistance to chemotherapy's local action on microscopic cancer cells. The way the medicine is given is different from normal, systemic chemotherapy, since it is injected into the belly.

The type of chemotherapy, the temperature, how long the treatment is given and the technique used depends on the patient's diagnosis and the protocol used by the chemotherapy team.

Benefits of HIPEC for Selected Patients

Peritoneal cancer in certain patients may be a type of cancer that can be treated with a combination of cytoreductive surgery with HIPEC.

These can be:
  • Removal of cancer that can be seen in the abdomen.
  • Intraperitoneal chemotherapy (IPO).
  • Treatment for small amounts of cancer that have not been completely removed.
  • A special treatment for some cancers of the omentum and peritoneum.
  • Improved disease control for patients who have been appropriately selected
HIPEC is not guaranteed to cure however, should not be offered as an option for all patients. The outcome will be influenced by the type of cancer, the extent of the disease, the biology of the cancer, how completely the tumour is removed, a person's general health and other factors.

Who May Be a Candidate for HIPEC?

Choosing patients for HIPEC treatment is a crucial aspect of its implementation.

A cancer surgeon might examine:
  • Biopsy/Pathology Reports
  • Further imaging (CT, MRI, PET or other appropriate investigations)
  • The extent of the peritonitis.
  • Previous surgery and chemotherapy may have been performed
  • Fit and healthy for significant operations
  • Site of tumour deposit and number of tumours
  • Opportunity to obtain suitable cytoreduction.
It is important to consult a specialist to determine if HIPEC is right for you before making a decision.

Recovery following HIPEC Surgery

The recovery from cytoreductive surgery and HIPEC can be longer than the recovery time of many routine abdominal surgeries because the surgery can be extensive. Most often hospitalization and close monitoring are needed.

During recovery, patients may feel tired, weak, in pain, have digestive issues or may have a change in appetite. The treatment team gives specific advice on diet, activity, wound care, medication and follow-up visits.

The recovery period is different for each individual depending on the amount of surgery performed, patient's overall health, and if there are any complications.

Risks and Possible Complications

HIPEC and cytoreductive surgery are advanced treatments for cancer, which also have risks associated. 

These may include:
  1. Infection
  2. Bleeding
  3. Blood clots
  4. Anesthetic complications
  5. Complications of the abdomen or digestion
  6. Temporary nutritional difficulties
  7. Kidney or organ problems
  8. Delayed recovery
The treating surgeon should discuss the individual risk profile prior to treatment.

Choosing the Best HIPEC Surgeon in Delhi

The important factors to consider while choosing best HIPEC Surgeon is qualifications, experience in complex abdominal cancer surgery, multidisciplinary approach, communication etc. instead of on any ranking or advertisements alone.

The doctor who is experienced in the surgery should explain the diagnosis, treatment goals, options, benefits, risk factors, length of hospital stay, and recovery process.

Conclusion:

For a select group of patients with peritoneal cancer and some intra-abdominal cancers, HIPEC Surgery in Delhi is an advanced treatment option. The treatment is a combination of cytoreductive surgery and heated intraperitoneal chemotherapy to remove the visible disease and to treat microscopic cancer cells.

For those who have received a diagnosis of peritoneal cancer, speak to a cancer surgeon who has experience with the procedure to see if CRS and HIPEC are a good option for you or your family member. A tailored assessment is important as each patient is unique in their need for treatment.

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