You have been told the metastases are not resectable
Another team has concluded that surgery is not viable. You want another team with experience in liver surgery to assess resectability from scratch.
Liver metastases resection · Barcelona
Liver metastases resection in Barcelona: non-resectable cases, new assessment in 48 h
Another team has said there is no surgical option. Dr. Quenet and Prof. Panaro review your case from scratch at Centro Médico Teknon.
Dr. Quenet
liver and peritoneal surgical oncology
48 h
medical committee response
Teknon
Centro Médico Teknon, Barcelona
MSK · IGR
trained at Memorial Sloan Kettering and Institut Gustave Roussy
Is this your situation?
Patients who ask for a second opinion on liver metastases
Multiple or bilobar metastases
You have metastases in both liver lobes or multiple lesions and do not know whether a viable surgical strategy exists.
Only chemotherapy has been proposed
No one has assessed whether surgery could be a complementary or main option in your case of liver metastases.
Liver recurrence after a previous resection
You have had a relapse in the liver and want to know whether there is an indication for a second resection.
Metastases of neuroendocrine or gastric origin
Your case is not colorectal in origin and you want to know whether liver resection is an option for your specific histology.
Unsure where to have surgery
Surgery has been proposed, but you want to confirm that the team has experience in complex oncological liver resections.
How we approach your case
Liver metastases resection: the technique and how we apply it
Extended resectability
The limits of resectability depend on the team's experience. Dr. Quenet operates on cases with multiple metastases, bilobar involvement or lesions close to vascular structures.
Complex hepatectomy techniques
Two-stage hepatectomy, prior portal embolisation to increase the liver remnant, resections with vascular reconstruction and complementary ablation when appropriate.
Coordination with medical oncology
The surgical strategy is integrated with systemic treatment (chemotherapy, targeted therapies) in a multidisciplinary committee, where the timing and extent of surgery are decided.
Multidisciplinary committee + ERAS
Each case is presented to the committee with a liver surgeon, medical oncologist, radiologist and pathologist. The team's ERAS protocols shorten postoperative recovery.
Medical team
The specialists in oncological liver resection in Barcelona
Dr. François Quenet
Surgical oncologist · Specialist in oncological liver surgery
View profile"Liver resection for oncological metastases has changed enormously. Today we can operate on cases that could not be treated 10 years ago."
Prof. Fabrizio Panaro
Hepatobiliopancreatic surgeon · Specialist in complex liver resections
View profile"The complexity of liver anatomy calls for specific experience in major hepatectomies and vascular reconstructions."
Dr. Juan José Torrent
Surgical oncologist · Specialist in liver metastases of peritoneal origin
View profile"The strategy for liver metastases is always decided in the context of the systemic disease: hepatectomy and medical treatment have to go hand in hand."
Patient journey
How the process works, step by step
1. You send your report
You fill in the form and the coordinator tells you which documents are needed (triphasic CT, liver MRI if available, PET, blood tests and the latest oncologist's report).
2. The committee reviews it in 48 h
A liver surgeon, medical oncologist, radiologist and pathologist jointly analyse resectability and the strategy.
3. We call you with the proposal
The coordinator explains whether surgery is indicated, which technique is proposed and what the next steps are.
4. You decide with no obligation
The assessment does not commit you to anything. If you decide to have surgery, we organise everything; if not, we give you the clinical information in writing.
Where we see you
Centro Médico Teknon, Barcelona
The team's base in Barcelona. Passeig de Carlos III, 60-66, 08017 Barcelona.
Operating theatres for complex liver resections
Equipped with intraoperative monitoring, intraoperative liver ultrasound and an anaesthesiology team specialised in high-complexity oncological surgery.
Specialised ICU
Intensive care unit with experience in the postoperative care of major hepatectomies.
Single rooms
All rooms are single, and a companion can stay during the recovery.
How to get there
Metro (L6 La Bonanova), FGC (Sarrià), taxi and on-site parking. 20 minutes from the airport. More about Teknon.
Verified reviews
See on Google
4.5/5
What our patients say
L
4 weeks ago
5/5
Wonderful surgical team, among the best out there. Dr. Torrent (expert in peritoneal carcinomatosis) is an exceptional surgeon and an even better person. His coordinator is super kind, fast and efficient. The personal care is excellent and so are the results. This is of vital importance for cancer patients.
K
5 months ago
5/5
In the public healthcare system they gave my father a maximum of one year to live. They only offered him chemo and no hope, said it was impossible, that nothing could be done. He had several tumors inside the peritoneal sac with metastases. A year and a half later he is clean, completely cured. His latest PET scan came back clean. We are very happy. Thanks to Dr. Torrent and his team. THANK YOU.
M
A year ago
5/5
Excellent professionals, especially Dr. Torrent, attentive at all times to the patient (my wife), operated for peritoneal pseudomyxoma. They helped us with all our needs since we came from outside Barcelona. Thank you Elisabeth. We are very grateful to Quenet Torrent Institute, thank you for everything.
P
2 years ago
5/5
I am a 63-year-old patient. They detected adrenal gland cancer and told me there was nothing to be done. I sought a second opinion and they told me about the Quenet Torrent team, specialists in complex operations. Dr. Torrent, from the first moment, told me they could operate. They operated and removed a large tumor mass. I spent a week in the ICU and a month on the ward. Every day he came morning and evening, no matter Saturday or Sunday. Never throw in the towel. I am happy to have found these professionals who gave me my life back. Thank you.
I
3 years ago
5/5
Many thanks for your attention. Dr. Torrent always attentive, involved and decisive. The reception staff very pleasant and always offering the best option. 100% RECOMMENDED. THANK YOU.
M
5 years ago
5/5
Dr. Torrent helped me make the best decision at a difficult moment. I think he is a great professional and a person capable of accompanying you and putting himself in another's shoes. Thank you for everything.
F
6 years ago
5/5
I have peritoneal carcinomatosis. When I sent my diagnosis to every center, practically all of them agreed on palliative chemo with little survival time, since I had a very aggressive type of cell. Until we reached Dr. Quenet, Dr. Torrent and their team. I can only confirm what their CV announces: they are far ahead of the rest. They saved my life, because during the operation the harmful cells that everyone had diagnosed, and that were the reason nobody would operate on me, were not there. This intervention has become the best investment of my life.
M
6 years ago
5/5
The best decision of my life was finding this excellent team of surgeons who saved my husband's life. At a prestigious international clinic in Madrid he was given up for lost with advanced peritoneal carcinomatosis from appendiceal cancer, and thanks to them, the best professionals in this field, he was operated on very successfully. A perfect recovery with no complications, because they were on top of his progress at all times. They have a great quality: from the start they were very honest and close. I can only be deeply grateful; we went to buy time and thanks to them my husband got his life back.
E
7 years ago
5/5
Dr. Torrent is a brilliant surgeon and a very approachable and warm doctor, whose manner reveals all the qualities that make him a great person and professional: perseverance, innate curiosity and a desire to learn, humility, sincerity and empathy. Going through an operation is undoubtedly an intense experience, physically and emotionally, in which anxieties arise and you feel very vulnerable. All of that is normal, and as his former patient I can say that his care and professionalism throughout the process were absolutely exceptional. I felt very supported by him, with the confidence of knowing I was in the best hands. I will always be grateful to him. Moltes gràcies Dr. Torrent!
Frequently asked questions about liver metastases resection in Barcelona
Direct answers before you contact the team.
Who operates on liver metastases in Barcelona?
Dr. François Quenet, a surgical oncologist experienced in liver resection, operates together with Prof. Fabrizio Panaro, a specialist in complex hepatobiliopancreatic surgery. They operate at Centro Médico Teknon in Barcelona. It is the same team that operates at the Madrid site, with the same protocols.
What types of liver metastases can be operated on?
Metastases of colorectal origin, which are the most frequent, and of neuroendocrine and gastric origin. In each case the committee assesses resectability by looking at the number and location of the lesions, their relationship to the vessels and the healthy liver that would remain afterwards. The number of lesions alone does not rule out surgery.
What does it mean for a case to be "non-resectable" and can that assessment change?
It means that the team assessing it cannot remove the disease with an adequate margin, or that the remaining liver would be insufficient. It is an assessment that depends on the team's experience, not a fixed feature of the tumour: techniques such as two-stage hepatectomy or portal embolisation widen the possibilities.
How long does the medical committee take to respond?
The committee reviews the documentation within 48 hours of it being complete. The coordinator then contacts you to explain the proposal and the next steps. If tests are missing to decide safely, you are told exactly which ones are needed instead of being given an answer based on incomplete data.
How long is the hospital stay after liver resection?
The average stay is 5 to 10 days for major resections, and minor resections allow earlier discharge. ERAS enhanced recovery protocols, with early mobilisation and nutrition, shorten that time. Discharge is decided by how liver function progresses, not by a fixed period.
Do you work with insurers in Barcelona?
Yes. Centro Médico Teknon has agreements with the main private insurers. Cover for this type of surgery depends on each policy and on prior authorisation, so the coordinator reviews your case and explains what your insurance covers and what would be left out before any step is taken.
Do you see patients from outside Barcelona or from abroad?
Yes. A large share of patients come from other provinces or from abroad. The coordinator advises on travel and accommodation, arranges visits so that tests are grouped into a few days and lets you send reports in advance, so the trip is only made when there is a concrete proposal.
How do I request an assessment?
Fill in the form on this page or call +34 660 658 276. The coordinator replies within 24 hours and tells you which reports and imaging to send. With that documentation, the committee assesses resectability and proposes a concrete plan.
Liver metastases · Barcelona
Send your report and receive an assessment in 48 h
Dr. Quenet and Prof. Panaro review your case in a multidisciplinary committee. If surgery is indicated, they tell you clearly.
Call us: +34 660 658 276
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