Role of Cytoreductive surgery and HIPEC in metastatic colorectal cancer management
The role of Cytoreductive surgery and HIPEC for metastatic colorectal cancer is described from basics to actual cases performed by a very senior cancer surgeon in Mumbai - Dr. Deepak Chhabra who has extensive experience in these surgeries in this field.
He describes the rationale of peritoneal metastasis, summarizes the key developments in the field of cytoreductive surgery including the PRODIGE 7 trial, and then describes the actual technique of cytoreductive surgery followed by the rationale and technique for HIPEC.
The ongoing controversy of whether HIPEC helps or not is highlighted in this talk as well as the future directions of studies in this field is also discussed. He then demonstrates his technique for cytoreductive surgery and HIPEC and the outcomes. Using this surgery in an appropriately selected patient can have good outcomes. The key is to perform the standard techniques for the standard duration of HIPEC and at the appropriate temperature. Also, complete cytoreduction is a must before HIPEC and this is highlighted.
Peritoneal carcinomatosis index is also described in detail with calculation in an actual case managed by sir. The video is a must-watch for everyone who wishes to perform these surgeries and is a treat for all academic surgeons so, do have a look at the video.