If you think HIPEC is just hot chemotherapy, you are missing the point.
In the OR, HIPEC is brutally physical.
It is surgery, heat, and physics working together.
The real “Shake & Bake” of HIPEC 👇
Step 1. Surgery comes first 🧹
Hours are spent removing every visible tumor.
HIPEC targets microscopic disease only.
Bulky cancer left behind = wash fails.
Step 2. The abdomen becomes a circuit 🔧
Inflow tubes push heated chemo.
Outflow tubes drain it.
Temperature probes protect organs 🌡️
Controlled circulation, not guesswork.
Step 3. The Coliseum setup 🏟️
Open technique used in many centers.
Skin edges lifted to form a “bowl.”
Why open?
So the surgeon can reach in directly.
Step 4. Shake & Bake, literally 🔥
Chemo heated to ~42°C.
For 60–90 minutes.
Bowel and fluid gently moved.
Every fold exposed.
No hiding spots left.
Step 5. Rinse cycle 🚿
Chemo drained.
Liters of saline flush the abdomen clean.
Step 6. Rebuild 🏗️
Only after chemo is gone.
Bowel reconnected.
Abdomen closed.
HIPEC is not magic.
It is surgery + heat + physics + patience.
The most aggressive spring cleaning cancer will ever face.
#HIPEC #OncoTwitter #SurgicalOncology #CancerCare #MedTwitter
@OncoAlert@ASCO@myESMO@ESMO_Open@ESGO_society
#DCRJournal Didactic Video | Mastering Endorectal Advancement Flap. Step By Step Technique and Pro Tips by @ZBalcol@GVAdsarnau@EsteoChristian. Watch full video: https://t.co/w3lADqBEXi
JSES IllustCon 64
📌Passive splenic flexure mobilization via omental bursa using IMV as a landmark.
📝Using the dissected IMV at the inferior pancreatic margin as a landmark, incising the anterior layer of the transverse mesocolon allows easy access to the omental bursa. Dissect the mesocolon along the inferior margin of the pancreas.
🖊Anonymous
#JSESイラストコンテスト #JSES_illustration_contest
#DCRJournal Didactic Video Recap
Laparoscopic complete splenic flexure mobilization and D2 left colectomy: https://t.co/y2Z9UFEEDk
@jchinelli01@grodriguez1979
Artificial intelligence model for perigastric blood vessel recognition during laparoscopic radical gastrectomy with D2 lymphadenectomy in locally advanced gastric cancer
➡️https://t.co/zoe67VTuJV
Intraoperative videos and images can be utilized to develop a deep learning-based perigastric blood vessel recognition model in laparoscopic radial gastrectomy with D2 lymphadenectomy. The performance of the perigastric blood vessel recognition model was evaluated using four metrics (precision, recall, intersection over union, and F1 score) and dynamic videos. The evaluation outcomes were satisfactory and suggested that the model has promising applications in surgical recognition, education, and surgical skill communication.
👏👏👏Guanjian Chen, Yequan Xie, Bin Yang, JiaNan Tan, Guangyu Zhong, Lin Zhong, Shengning Zhou, Fanghai Han
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery@young_bjs@juliomayol@JJEarnshaw @OUPMedicine #some4UGI #uppergi #esophagealcancer #gastriccancer @ISDE_net@Augishealth@roux_group@T4UGIS #ESDE @young_esde