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Dr Harsh Shah, MS, MCh (Surgical Gastroenterology), DrNB (Surgical Gastroenterology), performs cytoreductive surgery with HIPEC for peritoneal and colorectal cancer at Apollo Hospital, Bhat, Gandhinagar. Consultations: Shah’s Gastro, Cancer & Robotic Surgery Centre, Gota, Ahmedabad.
Before getting CRS and HIPEC, doctors check if the patient is healthy enough for surgery. They use tests like CT scans, MRIs, and blood work to see how much the cancer has spread. The main goal is to make sure the cancer is only in the belly area and that the patient can handle a big surgery.
The first step is cytoreductive surgery (CRS). The doctor removes as much cancer as possible from the belly lining and nearby organs. Sometimes, parts of organs like the intestines, spleen, or liver must be taken out to remove all visible cancer.
After CRS, the doctor applies heated chemotherapy (HIPEC) inside the belly. The chemotherapy is warmed to about 107°F (42°C) and moved around inside the belly for 60-90 minutes.
After surgery, patients stay in the intensive care unit (ICU) for close monitoring. Most people stay in the hospital for 1-2 weeks. During this time, doctors help manage pain, provide nutrition, and guide patients through physical therapy. Full recovery can take a few months.
CRS (Cytoreductive Surgery) and HIPEC (Hyperthermic Intraperitoneal Chemotherapy) are advanced treatments for peritoneal cancers. The table below outlines the key cancers and conditions where CRS and HIPEC are considered effective.
| Cancer Type/Condition | Description | Suitability for CRS + HIPEC |
|---|---|---|
| Peritoneal Carcinomatosis (from Colorectal Cancer) | Cancer spread within the abdominal lining from colorectal origin. | Highly effective if complete cytoreduction is achieved. |
| Peritoneal Mesothelioma | Rare cancer of the peritoneum, often caused by asbestos exposure. | Best treatment option for long-term survival. |
| Ovarian Cancer (Advanced/Recurrent) | Cancer originating in the ovaries and spreading to the peritoneum. | Used in select cases to improve survival. |
| Gastric Cancer with Peritoneal Spread | Stomach cancer that has metastasized to the peritoneum. | Used in carefully selected patients, with variable success. |
| Pseudomyxoma Peritonei (PMP) | A rare condition where mucin-producing tumors spread in the abdomen. | Best treatment available, with excellent long-term outcomes. |
| Appendix Cancer with Peritoneal Metastasis | Cancer arising from the appendix that spreads into the peritoneum. | Standard-of-care treatment for long-term disease control. |
⦿ Possible complications – Surgery may lead to infections, bleeding, or blocked intestines.
⦿ Side effects of heated chemotherapy – Some patients may feel sick, tired, or have belly pain after HIPEC.
⦿ Long hospital stay and slow healing – Patients may take weeks or months to fully recover.
⦿ Surgery risks – Like any big surgery, there are risks from anesthesia, blood clots, and damage to nearby organs.
Where to get help
Dr Harsh Shah, MS, MCh (Surgical Gastroenterology), DrNB (Surgical Gastroenterology), does CRS and HIPEC surgery at Apollo Hospital, Bhat, Gandhinagar.
He operates here in Ahmedabad. You can read what this care involves on our page on CRS and HIPEC surgery in Ahmedabad. Bring your reports. Second opinions are welcome.
Call +91 63590 11009
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Last updated: 12 September 2026
MS, MCh (G I cancer Surgeon)
Dr. Harsh Shah is a renowned GI and HPB Robotic Cancer Surgeon in Ahmedabad.
MS, DrNB (Surgical Oncology)
Dr. Swati Shah is a Robotic Uro and Gynecological Cancer Surgeon in Ahmedabad.
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