How to learn the Sugarbaker Procedure, cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC)? The surgeon needs to observe and participate in at least 100 cases of peritoneal cancer treatment procedure before becoming qualified to perform it independently. Renowned Harvard-trained American cancer surgeon discusses how surgeons can learn and master the peritoneal cancer treatment. How to master cytoreductive surgery and HIPEC. Dr. Paul Sugarbaker, inventory of cytoreductive surgery and HIPEC explains how a surgeon can master the cytoreductive surgery treatment. Dr. Paul Sugarbaker, MD. Colon cancer, gastric cancer, ovarian cancer spread in the abdomen and peritoneal cavity. Dr. Anton Titov, MD. Peritoneal metastases in advanced stage 4 colon cancer treatment by cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) [hot chemo bath, heated chemotherapy]. Medical second opinion clarifies colon cancer or ovarian cancer diagnosis. Dr. Paul Sugarbaker, MD. Medical second opinion confirms that cure is possible in metastatic colon cancer. Intraperitoneal chemotherapy treatment for advanced stage 4 cancer with metastatic lesions in the abdomen. Dr. Anton Titov, MD. Medical second opinion helps to select a precision medicine treatment for stage 4 ovarian cancer or stage 4 colon cancer or metastatic stage 4 gastric cancer. Get medical second opinion on advanced cancer with peritoneal metastases. Best peritoneal metastatic advanced cancer treatment by surgical operation and regional chemotherapy. Video interview with Dr. Paul Sugarbaker. Leading expert in peritoneal metastatic cancer treatment (cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC), hot chemo bath, heated chemotherapy. Learn Sugarbaker Procedure for peritoneal cancer treatment. How to learn to do cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). Dr. Anton Titov, MD. How can one learn the Sugarbaker Procedure to treat peritoneal cancer metastases? Sometimes we have a surgeon who is interested to become an expert in cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). Sugarbaker Procedure is lengthy and technically demanding from both the surgeon and the surgical team. Dr. Anton Titov, MD. What is the best method to learn the Sugarbaker Procedure to treat peritoneal cancer? Perhaps the best method to hear about it is from Dr. Sugarbaker! Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. Several medical groups have studied the learning curve for safe and effective cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (HIPEC). The estimates of learning curve are that over a hundred cases of peritoneal metastatic cancer treatment procedure need to be observed. Dr. Paul Sugarbaker, MD. The surgeon needs to participate in the procedure but he does not necessarily need to perform himself all of the cytoreduction and all peritonectomies. But the surgeon who wants to learn the Sugarbaker Procedure needs to participate in over a hundred cases. That is before he or she should move out on their own to perform peritoneal metastatic cancer treatment by cytoreduction and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). Therefore you need to find a mentor who has considerable experience in the peritoneal cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). You need to work with them over a couple of years to become good at removing metastatic cancer from peritoneum. Dr. Paul Sugarbaker, MD. Just visiting Peritoneal Surface Oncology Center for a week or two doesn't make it you an expert in treating peritoneal metastatic cancer. You really need an experienced mentor that you can work with on developing your peritoneal cancer removal skills over a couple of years. Dr. Anton Titov, MD. Are there centers of excellence for peritoneal cancer metastatic disease treatment that you would consider to be high quality? Maybe you can name a few centers for peritoneal metastatic cancer treatment in Europe, United States or around the world. Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. Definitely. Dr. Anton Titov, MD. There are centers that have twenty years of experience and that treated thousands of cases of peritoneal metastatic cancer. Just to mention a few peritoneal metastatic cancer treatment centers (cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC). In England the two centers are Basingstoke and Manchester Christie hospital. In Germany the major center is in Regensburg and the Christie hospital in Berlin. In the Netherlands there are five centers that are quite well geographically distributed. In Sweden there five centers for peritoneal metastatic disease treatment. France is well supplied with experienced centers for peritoneal metastatic cancer treatment. Dr. Paul Sugarbaker, MD. The two centers of excellence that train surgeons in cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Paris and in Lyon and also in Marseille. Dr. Anton Titov, MD. there are centers of excellence for peritoneal metastatic cancer treatment outside of your own hospital. Therefore, patients with metastatic peritoneal cancer [from colon cancer, ovarian cancer or gastric cancer] can select the most experienced and high-volume treatment center for the successful application of the Sugarbaker Procedure to treat peritoneal cancer metastases. Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. Definitely there is a wide range of peritoneal cancer treatment expertise available. Survival of patients with metastatic peritoneal cancer of course depends on their PCI, this measures the Peritoneal Cancer Index and the extent of peritoneal cancer disease. That's very important for prognosis. Dr. Anton Titov, MD. But another very important determinant of survival in metastatic peritoneal cancer [from colon cancer, gastric cancer or ovarian cancer] is where the treatment procedure is done. Dr. Anton Titov, MD. The surgeon as the prognostic factor in cancer treatment? Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. Absolutely. It is very real in peritoneal surface oncology. [treatment of metastatic cancer spread in the peritoneal space by cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC)]. How to master cytoreductive surgery and HIPEC cancer treatment? Dr. Paul Sugarbaker on learning The Sugarbaker Procedure for peritoneal cancer treatment.