Cancer can spread through the body via different routes. In some patients
with cancer, the tumor spreads throughout the abdominal cavity, also called
the peritoneal cavity, and this condition is known as carcinomatosis.
Cancers which are often associated with carcinomatosis include colorectal
cancer, ovarian cancer, gastric cancer, appendiceal tumors, and peritoneal
In patients with carcinomatosis, intravenous chemotherapy alone may not
be the most effective treatment. For some patients, a combination of chemotherapy
and surgery (cytoreductive surgery) with
heated intraperitoneal chemotherapy, also known as HIPEC, may offer a better outcome. Our surgical oncologist
has experience evaluating and treating patients with peritoneal malignancies,
and we are only one of few centers in Florida that can offer this treatment.
Surgical treatments for the peritoneal malignancies are carefully tailored
to meet each patient's individual case.
Cytoreductive surgery (CRS) and heated intraperitoneal chemotherapy (HIPEC)
Our surgical oncologist performs the surgical procedures necessary for
removing all the tumor from the abdomen. This may include a bowel resection,
splenectomy, and/or removal of the peritoneal lining. Once the tumor sites
have been removed, heated chemotherapy is infused in order to target any
remaining cancer nodules during the same surgery.
In certain cases, we offer laparoscopic HIPEC, which allows patients all
the benefits of minimally invasive surgery.