Abstract
Background: At presentation, 50% of patients with gastric cancer have metastases (40% of which are peritoneal metastases). The median survival, without treatment, is 3–7 months with a 5-year survival of 0%. Palliative chemotherapy improves the median survival to one year. Heated intraperitoneal chemotherapy (HIPEC) was first described as a treatment for gastric cancer patients in 1989. Multiple studies have assessed it’s validity. In 2019, a randomised multicentre trial demonstrated a significant benefit with a median overall survival of 18.6 months and a 5-year survival of 20.2% (4).
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