In Brazil, almost all surgeons involved in the treatment of pseudomyxoma are trained oncological surgeons. However, training in oncological surgery alone is not sufficient in terms of professional preparation. The training to perform cytoreduction with HIPEC is lengthy, ideally one to two years, and is usually conducted outside Brazil.
The main questions to ask the surgical team are:
– Where did they receive training to perform HIPEC?
– How many HIPEC procedures have they performed to date? How many of these were for pseudomyxoma?
– How many HIPEC procedures, especially for pseudomyxoma, does the team perform each year?
The so-called “learning curve” for treating pseudomyxoma is long. According to the largest study related to the subject published to date (https://pubmed.ncbi.nlm.nih.gov/32833761/), it is recommended that the lead surgeon have performed at least 100 procedures and treat at least 30 patients per year with this technique.
Studies show that patients treated in centers with surgeons who have less experience than this, and who perform the surgery less frequently, can expect inferior results, with a higher risk of mortality, surgical complications, and a reduced chance of curing the disease.
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