{"meta":{"humanUrl":"https://pl.bookimed.com/clinics/country=ukraine/procedure=hyperthermic-intraperitoneal-chemotherapy/","canonicalUrl":"https://pl.bookimed.com/clinics/country=ukraine/procedure=hyperthermic-intraperitoneal-chemotherapy/","jsonUrl":"https://pl.bookimed.com/clinics/country=ukraine/procedure=hyperthermic-intraperitoneal-chemotherapy/data.json","title":"Hipec (Hipertermiczna Chemioterapia Dootrzewnowa) w Ukrainie 2026 – kliniki i ceny","description":"Hipec (Hipertermiczna Chemioterapia Dootrzewnowa) w Ukrainie: ceny od $6,500. Zapraszamy do porównania 2 klinik – zweryfikowane opinie i bezpłatna konsultacja.","heading":"Hipec (Hipertermiczna Chemioterapia Dootrzewnowa) w Ukrainie: ceny w 2 klinikach","locale":"pl","schemaVersion":"ClinicListingPageDataV1","snapshotId":"e1e9e3a4-17a60f57","contentVersion":"e1e9e3a4","generatedAt":"2026-11-13T17:05:48.779Z"},"filters":{"country":"ukraine","procedure":"hyperthermic-intraperitoneal-chemotherapy","page":1},"pagination":{"page":1,"totalCount":2,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Ukraina","url":"/clinics/country=ukraine/"},{"name":"Hipec (Hipertermiczna Chemioterapia Dootrzewnowa)","url":"/clinics/country=ukraine/procedure=hyperthermic-intraperitoneal-chemotherapy/"}],"entities":[{"name":"Ukraina","alias":"ukraine","type":"country","id":47},{"name":"Hipec (Hipertermiczna Chemioterapia Dootrzewnowa)","alias":"hyperthermic-intraperitoneal-chemotherapy","type":"procedure","id":293}],"clinics":{"clinics":[{"text":"<p>Dievo Surgery Center to prywatne wielospecjalistyczne centrum medyczne w Kijowie na Ukrainie. Zespół zajmuje się urologią, chirurgią, proktologią i chirurgią plastyczną. Dievo Surgery Center obsługuje wyłącznie osoby dorosłe. 4000 pacjentów wybiera to centrum chirurgiczne, aby uzyskać opiekę medyczną każdego roku. Najczęściej klinikę odwiedzają pacjenci z Europy, Wspólnoty Narodów, Państw Ligi Arabskiej, USA, Kanady i Australii.</p>\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":4736,"alias":"dievo-surgery-center","name":"Dievo Surgery Center","short_description":"<p>Dievo Surgery Center to prywatne wielospecjalistyczne centrum medyczne w Kijowie na Ukrainie. Zespół zajmuje się urologią, chirurgią, proktologią i chirurgią plastyczną. Dievo Surgery Center obsługuje wyłącznie osoby dorosłe. 4000 pacjentów wybiera to centrum chirurgiczne, aby uzyskać opiekę medyczną każdego roku. Najczęściej klinikę odwiedzają pacjenci z Europy, Wspólnoty Narodów, Państw Ligi Arabskiej, USA, Kanady i Australii.</p>\n","images":[{"base_url":"clinic/654254094587d","title":"Fasada budynku kliniki Dievo Surgery Center na Ukrainie"},{"base_url":"clinic/6542541724d0c","title":"Nowoczesna sala operacyjna w Dievo Surgery Center z zaawansowanym sprzętem chirurgicznym"},{"base_url":"clinic/6542541f67376","title":"Recepcja w Dievo Surgery Center, nowoczesne wnętrze z roślinami i miejscami do siedzenia"},{"base_url":"clinic/6542542c52373","title":"Pokój pacjenta z dwoma łóżkami w Dievo Surgery Center, Kijów"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraina","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kijów","id":109,"alias":"kiev"},"address":"112, Volodymyr Brozhko Street, Kyiv, 03069, Ukraine"},"rating":{"rating":4.9,"google":4.8,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":21,"doctors_number":37,"year_foundation":2018},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9ab0b55935.jpeg","name":"Europejska Rada Urologów","country_code":"NL"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Certyfikat dla lekarza od Międzynarodowego Towarzystwa Estetycznej Chirurgii Plastycznej (ISAPS)","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"\n<p>Dobrobot to sieć prywatnych klinik wielospecjalistycznych w Kijowie na Ukrainie.</p><p> Centra medyczne specjalizują się w 75 dziedzinach. Główne z nich to onkologia, kardiochirurgia, chirurgia wewnątrznaczyniowa, chirurgia plastyczna, ortopedia i traumatologia.</p><p> Chirurdzy Dobrobutu wykonują ponad 11 000 operacji rocznie.</p><p> Rocznie leczeniu poddaje się ponad 330 000 pacjentów.</p>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":39.8326138656351,"price_to":0,"currency":"USD","id":33854},"diagnostic":{"id":102,"name":"Konsultacja onkologiczna","alias":"consultation-of-oncologist"}},{"prices":{"price_from":48.6354014602506,"price_to":0,"currency":"USD","id":33836},"diagnostic":{"id":42,"name":"Konsultacja z neurochirurgiem","alias":"consultation-neurosurgeon"}}],"reviews":[],"clinic":{"id":1591,"alias":"dobrobut","name":"Dobrobut Medical Network","short_description":"\n<p>Dobrobot to sieć prywatnych klinik wielospecjalistycznych w Kijowie na Ukrainie.</p><p> Centra medyczne specjalizują się w 75 dziedzinach. Główne z nich to onkologia, kardiochirurgia, chirurgia wewnątrznaczyniowa, chirurgia plastyczna, ortopedia i traumatologia.</p><p> Chirurdzy Dobrobutu wykonują ponad 11 000 operacji rocznie.</p><p> Rocznie leczeniu poddaje się ponad 330 000 pacjentów.</p>","images":[{"base_url":"clinic/618547228e206","title":"Recepcja w Dobrobut Medical Network, nowoczesne wnętrze kliniki na Ukrainie"},{"base_url":"clinic/618547064bd47","title":"Pokój pacjenta z nowoczesnym sprzętem medycznym w klinice Dobrobut Medical Network"},{"base_url":"clinic/618546c168f04","title":"Pracownia tomografii komputerowej z nowoczesnym sprzętem Siemens w klinice Dobrobut Medical Network"},{"base_url":"clinic/618546e815326","title":"Nowoczesna sala operacyjna w Dobrobut Medical Network z zaawansowanym sprzętem chirurgicznym"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraina","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kijów","id":109,"alias":"kiev"},"address":"Simi Idzykovskykh St, 3, Kyiv, Ukraine, 02000"},"rating":{"rating":0,"google":4.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2500,"year_foundation":2001},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Międzynarodowa Organizacja Normalizacyjna ISO","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":55},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":9336,"user":{"id":384261,"name":"Михаил ","country_code":"UA","country_name":{"pl":"Ukraina","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"pl":"Lekarze są bardzo profesjonalni. Dziękuję im za profesjonalizm. W moim konkretnym przypadku pozwoliło to uniknąć błędów w początkowej diagnozie. Opieka pooperacyjna również jest bardzo uprzejma. Sala jest przestronna, wszystkie funkcjonalności dostępne.","en":"The doctors are very professional Thanks to them for their professionalism In my particular case, it helped to avoid mistakes during the initial diagnosis Postoperative care is also very attentive The ward is spacious all the functionality is available"},"order":{"illness":{"id":416,"name":{"pl":"Rak odbytnicy","en":"Rectal cancer"}}},"clinic_info":{"id":105,"name":"Spizhenko ​​Clinic ","alias":"cyber-clinic-spizhenko","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2022-07-29T10:14:37.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"pl":"Tak","en":"Yes"},"summary":{"positive":{"pl":"Lekarze są bardzo profesjonalni.","en":"The doctors are very professional."}}},{"id":12495,"user":{"id":499928,"name":"Амалия ","country_code":"UA","country_name":{"pl":"Ukraina","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"relative_price","value":2},{"name":"nps","value":8},{"name":"manager","value":5},{"name":"translation","value":0}],"text":{"pl":"Podobało mi się, że lekarze byli uprzejmi i uprzejmi.Rozpoczęliśmy chemioterapię i mój stan jest stabilny.","en":"I liked that the doctors were courteous and attentive. We have started chemotherapy and my condition is stable."},"order":{"operation":{"id":454,"name":{"pl":"Resekcja odbytnicy","en":"Rectal resection"}},"illness":{"id":416,"name":{"pl":"Rak odbytnicy","en":"Rectal cancer"}},"diagnostic":{"id":102,"name":{"pl":"Konsultacja onkologiczna","en":"Consultation with an oncologist"}}},"clinic_info":{"id":105,"name":"Spizhenko ​​Clinic ","alias":"cyber-clinic-spizhenko","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2023-08-14T08:10:22.721+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"would_recommend","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}]},{"id":9678,"user":{"id":384261,"name":"Михаил ","country_code":"UA","country_name":{"pl":"Ukraina","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"pl":"Chirurg dr Rami to wysoce wykwalifikowany specjalista.Pokój jest doskonały.Wszystko w porządku.","en":"Doctor surgeon Dr. Rami highly qualified specialist The ward is excellent Everything is fine"},"order":{"operation":{"id":37,"name":{"pl":"Chemioterapia","en":"Chemotherapy"}}},"clinic_info":{"id":105,"name":"Spizhenko ​​Clinic ","alias":"cyber-clinic-spizhenko","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2022-09-26T20:33:37.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"pl":"Tak","en":"Yes"},"summary":{"positive":{"pl":"Wszystko jest w porządku.","en":"Everything is fine."}}},{"id":7496,"user":{"id":255475,"name":"Светлана ","country_code":"UA","country_name":{"pl":"Ukraina","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"pl":"Bardzo fajna klinika!","en":"Very cool clinic!"},"order":{"illness":{"id":53,"name":{"pl":"Czerniak","en":"Melanoma"}}},"clinic_info":{"id":105,"name":"Spizhenko ​​Clinic ","alias":"cyber-clinic-spizhenko","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2021-06-24T13:11:02.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"pl":"Tak","en":"Yes"}}],"meta":{"total_count":13,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_country":{"text":"<p class=\"bm-h1-lead\">Bookimed lists 2 hyperthermic intraperitoneal chemotherapy clinics in Ukraine, all in Kyiv. These clinics are rated 4.9/5 in 21 verified patient reviews on Bookimed.</p>"},"txt_price":{"text":"<p>Koszt chemioterapii dootrzewnowej w hipertermii (HIPEC) na Ukrainie wynosi od _op_293_price_from_ do _op_293_price_to_. Ostateczna cena zależy od złożoności zabiegu, protokołu chemioterapii oraz długości pobytu w szpitalu. W Polsce podobne procedury kosztują średnio _price_compare_PL_average_. Pacjenci oszczędzają około _price_percent_discount_% w porównaniu z polskimi cenami. Większość pakietów w Kijowie obejmuje diagnostykę, operację, znieczulenie oraz opiekę pooperacyjną.</p>\r\n\r\n<ul>\r\n<li><strong>Złożoność operacji:</strong> Rozległa cytoredukcja, mająca na celu usunięcie widocznych nowotworów, podnosi koszt zabiegu.</li>\r\n<li><strong>Pobyt w szpitalu:</strong> Koszty zależą od liczby dni spędzonych na oddziale intensywnej terapii oraz na oddziale ogólnym.</li>\r\n<li><strong>Protokoły leków:</strong> Rodzaj użytych środków chemioterapeutycznych oraz wymagane dawki mają znaczący wpływ na końcowe wydatki.</li>\r\n<li><strong>Centra regionalne:</strong> Większość zaawansowanych usług onkologicznych skupia się w Kijowie, który oferuje wysokiej jakości opiekę prywatną.</li>\r\n</ul>\r\n\r\n<p><strong>Opinia ekspercka Bookimed:</strong> Wybór dużej sieci, takiej jak Dobrobut Medical Network, to korzystne rozwiązanie przy złożonych przypadkach. Placówka obsługuje ponad 284 000 pacjentów rocznie i utrzymuje międzynarodowe standardy ISO. Duża skala działalności zapewnia chirurgom wysokie doświadczenie zdobyte podczas 9 500 operacji rocznie. Pacjentom zagranicznym te wyspecjalizowane centra często oferują opiekę pięciogwiazdkową za ułamek polskich cen. Najbardziej efektywnym kosztowo podejściem jest wybór centrum multidyscyplinarnego, które prowadzi leczenie onkologiczne na każdym etapie.</p>"}},"texts":{"txt_procedure_3_clinics":{"text":"<p><strong>HIPEC</strong> lub <strong>hipertermiczna chemioterapia dootrzewnowa</strong> (\"gorąca chemia\") – innowacyjna procedura, która pozwala leczyć przerzuty do jamy brzusznej przy różnych typach i lokalizacjach nowotworów.</p>\n\n<h2>Jak przebiega gorąca chemioterapia?</h2>\n\n<div class=\"accordion-item-text\">\n<p style=\"text-align:justify;\">Metoda ta jest stosowana w trakcie operacji chirurgicznej usuwania złośliwych zmian w jamie brzusznej. Do samej procedury przystępuje się po tym, jak większość guza została już usunięta.</p>\n\n<p style=\"text-align:justify;\">Sterylizowany roztwór leku przeciwnowotworowego podgrzewany jest do 42°C i wlewany do jamy brzusznej pacjenta. W jamie brzusznej cyrkuluje on przez 1,5 godziny. W tym czasie lek oddziałuje bezpośrednio na pozostałe komórki rakowe, niszcząc je.</p>\n\n<p style=\"text-align:justify;\">Na końcu procedury roztwór jest odprowadzany, a jama brzuszna zszywana.</p>\n\n<p style=\"text-align:justify;\">Hipertermiczna chemioterapia dootrzewnowa niszczy komórki rakowe, których chirurg nie mógł usunąć.</p>\n\n<div>\n<p style=\"text-align:justify;\"><strong>Dlaczego podgrzewa się wprowadzany lek?</strong></p>\n\n<p style=\"text-align:justify;\">Procedura gorącej chemioterapii pozwala dostarczać duże dawki leków przeciwnowotworowych bezpośrednio do komórek nowotworowych. Pozytywny efekt tej metody leczenia osiąga się również dzięki podwyższonej temperaturze wprowadzanego roztworu.</p>\n</div>\n</div>\n\n<h2>Główne zalety HIPEC:</h2>\n\n<div class=\"accordion-item-text\">\n<ul class=\"list\">\n\t<li>podgrzany lek niszczy komórki złośliwe, nie wpływając przy tym na zdrowe;</li>\n\t<li>dawka wprowadzanego gorącego leku może być znacznie wyższa niż w przypadku innych metod podawania chemioterapii;</li>\n\t<li>podgrzany lek prawie nie przenika do krwi, co zmniejsza ryzyko wystąpienia skutków ubocznych;</li>\n\t<li>komórki rakowe są bardziej podatne na podgrzany lek;</li>\n\t<li>lek może przenikać głębiej w guz.</li>\n</ul>\n</div>\n\n<h2>Koszt chemioterapii HIPEC</h2>\n\n<div class=\"accordion-item-text\">\n<p style=\"text-align:justify;\">\"Gorąca chemia\" lub hipertermiczna chemioterapia jest przeprowadzana raz w trakcie operacji, dlatego koszt zabiegu jest podawany razem z kosztem interwencji chirurgicznej.</p>\n\n<p style=\"text-align:justify;\">Hipertermiczna chemioterapia jest dobrze tolerowana przez pacjentów i prawie nie ma przeciwwskazań. Najczęściej stosuje się ją wtedy, gdy inne metody leczenia okazały się nieskuteczne.</p>\n</div>"},"guide_mc":{"text":"<p>1 dzień</p><ul><li> Przyjazd do wskazanego szpitala.</li><li> Rejestracja w recepcji.</li><li> Spotkanie z asystentem językowym, jeśli to konieczne.</li></ul><p> Dzień 2</p><ul><li> Konsultacja z onkologami, anestezjologami i chirurgami.</li><li> Wykonanie badania USG przezpochwowego.</li><li> Wykonanie innych niezbędnych badań zleconych przez specjalistów.</li></ul><p> Dzień 3</p><ul><li> Otrzymanie instrukcji przedoperacyjnych.</li><li> Przygotowanie do procedury HIPEC.</li></ul><p> Dzień 4</p><ul><li> Przeprowadzenie procedury HIPEC w znieczuleniu ogólnym.</li><li> Procedura trwa od 6 do 8 godzin.</li></ul><p> od 5 do 14 dnia</p><ul><li> Opieka pooperacyjna w szpitalu.</li><li> Monitorowanie rekonwalescencji i zarządzanie ewentualnymi działaniami niepożądanymi.</li></ul><p> od 3 do 6 tygodnia</p><ul><li> Rozpoczęcie rehabilitacji w domu lub w specjalistycznej placówce.</li><li> Stopniowy powrót do zwykłej aktywności.</li></ul><p> Tydzień 7 i dalej</p><ul><li> Powrót do pracy lub szkoły, jeśli to możliwe.</li><li> Wznowienie uprawiania sportu i innych aktywności fizycznych, jeśli są dobrze tolerowane.</li></ul><p> <i>Proszę pamiętać, że czas rekonwalescencji każdego pacjenta może się różnić w zależności od indywidualnego stanu zdrowia i reakcji na leczenie.</i></p>"},"overview":{"text":"<h3>Hipertermiczna chemioterapia dootrzewnowa (HIPEC)</h3> <p>HIPEC polega na dostarczeniu podgrzanej chemioterapii bezpośrednio do jamy brzusznej w celu leczenia raka.</p> <div>[icon-pros<b>]Zalety:</b><span> HIPEC pozwala na bardziej efektywne oddziaływanie na komórki rakowe w jamie brzusznej w porównaniu z chemioterapią systemową. Wykazał 50-procentowy wzrost przeżywalności w niektórych rodzajach raka.</span></div> <div>[icon-cons<b>]Wady:</b><span> Procedura ta może prowadzić do bardziej bezpośrednich skutków ubocznych, takich jak ból brzucha, i wymaga hospitalizacji w celu obserwacji. Odpowiednia tylko dla nowotworów zlokalizowanych w jamie otrzewnej.</span></div> <div>[icon-effect<b>]Skuteczność:</b><span> 70% sukcesu w zwiększeniu przeżywalności pacjentów przy określonych rodzajach raka otrzewnej.</span></div> <div>[icon-clock<b>]Czas trwania:</b><span> 6-12 godzin.</span></div> <div>[icon-run<b>]Odzyskiwanie:</b><span> 4-6 tygodni.</span></div> <div>[icon-thumbs<b>]Najlepiej pasuje do:</b><span> Rakotwórczość otrzewnej i guzy jamy brzusznej, zwłaszcza pochodzenia jelita grubego i jajnikowego.</span></div> <div>[icon-price<b>]Ceny:</b><span> 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Durability varies by tumour type and completeness of cytoreduction; some patients remain disease-free for years, others recur and need surveillance.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Unplanned return to theatre within 30-90 days, e.g. for leak, bleeding or abscess"},"scars":"Long midline abdominal incision (xiphoid to pubis) is typical, plus drain sites; a stoma may be needed in some patients.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One combined operation: cytoreductive surgery followed by HIPEC perfusion."},"stages":[{"code":"cytoreduction","label":"Cytoreductive surgery removing visible tumour and affected tissue","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}},{"code":"hipec_perfusion","label":"Heated intraperitoneal chemotherapy perfusion (typically 30-90 minutes)","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation, after cytoreduction"}},{"code":"reconstruction","label":"Bowel reconstruction or closure","after":{"min":0,"max":0,"unit":"days","qualifier":"Same operation"}}],"qualifier":"Single operative session with sequential stages."},"success":{"metric":"5-year overall survival after complete cytoreduction with HIPEC","value":50,"unit":"percent","horizon":"5 years","population":"Adults with peritoneal metastases, mixed tumour types, complete or near-complete cytoreduction","evidence_status":"limited"},"techniques":[{"name":"Open (coliseum) HIPEC with cytoreductive surgery","suits_whom":"Patients with peritoneal surface malignancy where abdomen is kept open during perfusion for uniform heat distribution and surgeon access.","recovery":"Inpatient stay of about 10-21 nights; recovery over several weeks to months."},{"name":"Closed-abdomen HIPEC with cytoreductive surgery","suits_whom":"Patients with peritoneal surface malignancy where the abdomen is closed before perfusion to maintain temperature and reduce exposure.","recovery":"Similar to open technique: about 10-21 nights inpatient and recovery over weeks to months."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":6,"max":12,"unit":"hours","qualifier":"Complete operation, cytoreductive surgery plus HIPEC perfusion; varies with disease extent."},"initial_assessment_documents":["Histopathology report of primary tumour or biopsy","Contrast CT of chest, abdomen and pelvis","Abdominopelvic MRI report","Tumour marker blood results","Previous operative and chemotherapy reports","Recent kidney and liver function blood tests"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single combined operation; about 10-21 nights inpatient until discharge and fitness to fly. Surveillance usually at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's established track record with these complex operations. 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