Been to Wake Forest for Cytoreduction surgery and IPHC?
Stage IV colon cancer. One colon tumor, ascending side. Spread outside colon into peritoneal cavity resulting in peritoneal carcinomatosis. Considering Wake Forest for surgery and IPHC. Has anyone had this surgery?
Current regimen is Oxaliplatin, Leucovorin, and Avastin. (FOLFOX6) with FU5 home infusion for 48 additional hours. Round 6 complete with 8 more rounds scheduled.
Tagged with: avastin • colon cancer • colon tumor • home infusion • iphc • leucovorin • oxaliplatin • peritoneal carcinomatosis • peritoneal cavity • regimen • wake forest
Filed under: Colon Health Questions


The Surgery is not intended to cure in this case. It will decrease the disease burden and toilet the abdomen so that patient gets comfort and lives for some more time.
Chemotherapy and Radiation are required for further reducing and controlling the disease for some more time. But it needs clinical and serological evaluation to choose the regimen and calculate the optimum dose.
Your Medical, Surgical and Radiation Oncologists need to sit or discuss together and plan the further coarse of action in greater detail.
Wish the patient a better status and comfort!
I cannot speak about this specifically, but I live in Winston and my primary hospital is Wake Forest. I am in the hemotology dept, but have had a some contact with the entire onoclogy dept and have always been treated with respect. I know this doesnt really help you with this specific treatment, but it is a great hospital and the people are great.
The current and future trend in surgery is a focus on minimally-invasive surgery, which not only reduces hospital stay, but offers superior patient outcomes and faster recovery. Wake Forest Baptist is nationally known for developing many new minimally-invasive general surgery techniques.
Intraperitoneal hyperthermic chemoperfusion is a procedure in which a warmed solution containing anti-cancer drugs is infused and circulated in the abdominal cavity for a short period of time (usually 90 minutes). This treatment modality is used in certain advanced stage intraabdominal tumors causing peritoneal dissemination (small metastatic nodules), which otherwise are often considered inoperable.