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Surgery of cancer spreading in the peritoneum

At Oslo University Hospital in Norway, maximal cytoreductive surgery (CRS) has been performed since 1994 for pseudomyxoma peritonei. For cases of peritoneal carcinomatosis from colorectal cancer, CRS has been performed since 2005.

Since 2003 chemotherapy has been given as hyperthermic intraperitoneal chemotherapy (HIPEC). In 2016, 120 patients underwent surgery and HIPEC was performed in 80 of these patients. Oslo University Hospital is currently the national center for this multimodality treatment (19).

When detecting carcinomatosis during primary surgery of an abdominal tumor in local hospitals, it is essential to minimize the separation. Tumor tissue tends to adhere to fibrous adhesions and complicate final surgery. In Norway, these patients should be referred to Oslo University Hospital for maximal cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC). For relevant patients, x rays and anamnesis is discussed and evaluated in a weekly specialist meeting involving radiologists, oncologists and surgeons.

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