Peritoneal spread declared inoperable
Your treating team has indicated that peritoneal dissemination is too extensive or that cytoreduction is not feasible. You want an independent, specialist evaluation of resectability.
Reviewed by Dr. Francois Quenet and Dr. Juan Jose Torrent · Updated: June 2026
International Patients
Peritoneal Cytoreduction Surgery in Spain
Specialist assessment of your peritoneal disease by Dr. Quenet's committee within 48 hours. Complete cytoreduction at high-volume centres in Barcelona and Madrid. Full international patient support from first contact to discharge.
What sets us apart
500+
Peritoneal cytoreduction procedures
48 h
MDT review for international cases
CC-0
Target completeness of cytoreduction
4.9/5
Google rating, 51+ verified patient reviews
Does this describe you?
Situations where international patients seek cytoreduction
Colorectal, gastric, or gynaecological peritoneal disease
Peritoneal involvement from colorectal cancer, gastric cancer, ovarian cancer, or pseudomyxoma peritonei requires specific surgical expertise. We specialise in all these origins.
Previous HIPEC or cytoreduction elsewhere
You have had a prior cytoreduction and are facing recurrence. Redo cytoreduction is technically demanding and requires a team experienced in reoperative peritoneal surgery.
Discordant opinions between specialists
You have received conflicting recommendations from different oncology teams. An independent assessment from a high-volume peritoneal surgery centre can provide clarity.
Rare peritoneal tumours
Peritoneal mesothelioma, desmoplastic small round cell tumour, and other rare entities require super-specialised centres where these diagnoses are seen regularly, not once a year.
Seeking treatment in a cost-effective, quality centre
You want a centre that combines surgical excellence with significantly lower costs than private hospitals in the US, UK, or Switzerland.
Our approach to peritoneal cytoreduction
Complete cytoreductive surgery, defined as removal of all visible peritoneal tumour deposits (CC-0 or CC-1 resection), is the oncological goal in patients with peritoneal surface malignancy. The decision to proceed requires careful staging, honest PCI assessment, and a multidisciplinary plan that accounts for the patient's overall fitness and tumour biology.
Remote resectability assessment
Before any travel is required, we review your imaging and operative history to estimate the Peritoneal Cancer Index and provide an honest judgement on whether complete cytoreduction is achievable.
Tumour-origin adapted protocols
Cytoreduction for colorectal, gastric, ovarian, pseudomyxoma, or mesothelioma follows different technical and chemotherapy protocols. We adapt the approach to your specific diagnosis.
Visceral resections when required
Complete cytoreduction often requires multi-visceral resections (bowel, peritonectomy, diaphragm stripping, splenectomy, or partial hepatectomy). Our team is experienced in all combined resections.
Intraoperative HIPEC when indicated
When the evidence supports adding HIPEC to cytoreduction for your specific tumour type and stage, it is incorporated into the procedure. We follow current guidelines and do not apply it indiscriminately.
Surgical team
Specialists who lead peritoneal surgery
Dr. Francois Quenet
One of the leading peritoneal surface oncology surgeons in Europe with over 30 years of experience. He led the PRODIGE 7 randomised trial, the most significant contemporary study on HIPEC in colorectal carcinomatosis. His surgical precision and judgement in highly complex cases are the foundation of the programme.
Dr. Juan Jose Torrent
Surgical Oncologist
View profileSpecialist in peritoneal surface oncology and complex gastrointestinal surgery. Extensive experience in cytoreductive procedures across all primary tumour types and international patient coordination.
Prof. Luis Gonzalez Bayon
Surgical Oncologist
View profileProfessor and surgical oncologist with a long career in peritoneal surface malignancy. Expertise in gastric and colorectal peritoneal disease, multi-visceral resections, and HIPEC protocols.
Prof. Fabrizio Panaro
Surgical Oncologist
View teamInternationally trained hepatobiliary and oncological surgeon with experience across European high-volume centres. Specialist in complex combined resections and hepatic involvement in peritoneal disease.
Step by step
Your patient journey as an international patient
01
Send your reports and imaging via secure upload
Upload CT, PET-CT, or MRI images, surgical reports, and pathology results through our encrypted system. No travel required at this point.
02
Multidisciplinary committee review within 48 h
Your case is reviewed by the full tumour board: surgical oncology, medical oncology, and radiology. You receive a written report with our assessment of resectability and the proposed plan.
03
Video consultation with the surgeon
You speak directly with the surgeon responsible for your case. He explains the cytoreduction plan, expected extent of surgery, recovery, and answers all your questions. Available in English, French, Italian, and Spanish.
04
We coordinate travel, accommodation, and pre-operative tests
Our international coordinator handles logistics once you decide to proceed. Pre-op tests are optimised to minimise the number of trips. Accommodation near both hospitals is available for you and your companion.
05
You arrive when surgery is fully planned
Typically 1-3 weeks before the planned date. Individual private suites at both hospitals allow your companion to stay with you throughout. Post-operative follow-up planning begins before you leave.
Why choose Spain for peritoneal cytoreduction?
High-volume programme with documented outcomes
Peritoneal cytoreduction outcomes are volume-dependent. Our team has performed over 500 procedures, with completeness of cytoreduction rates and morbidity in line with the best published international series.
Cost well below US and UK private benchmarks
A complete cytoreduction and HIPEC in the United States can cost between 80,000 and 150,000 USD in a private setting. In Spain, the cost is a fraction of this without compromising on surgical quality or hospital standards.
Two premium hospital locations
We operate at Centro Medico Teknon in Barcelona and Hospital Memorial Publio Cordon in Madrid, 25-30 km from Madrid-Barajas International Airport, with own parking, robotic operating rooms, and individual private suites.
Multilingual care and full logistics support
English, French, Italian, and Spanish. Our international patient coordinator handles everything from the first message to post-operative follow-up scheduling.
Patient stories
See on Google
★★★★★
What patients say about their experience
(Original reviews in Spanish, authentic patient testimonials)
K
Hace 5 meses
★★★★★
A mi padre en la Salud publica le daban un ano de vida maximo. Solo le daban un tratamiento de quimio y ninguna esperanza, decian que era imposible, que no se podia hacer nada por el. Tenia varios tumores dentro del saco peritoneal con metastasis. Un ano y medio despues esta limpio, totalmente curado. En el ultimo PET (prueba de imagen) ha salido limpio. Estamos muy contentos. Gracias al Dr. Torrent y su equipo. GRACIAS.
P
Hace 2 anos
★★★★★
Soy una paciente de 63 anos. Me detectan un cancer de la glandula suprarrenal y me dicen que no hay nada que hacer. Busco una segunda opinion y me hablan del equipo Quenet Torrent, especialistas en operaciones complejas. El doctor Torrent, desde el primer momento, me dice que pueden operarme. Me intervienen y me extraen una gran masa tumoral. Estuve una semana en la UCI y un mes en planta. No hay que arrojar la toalla. Soy feliz por haber encontrado a estos profesionales que me han devuelto la vida. Gracias.
M
Hace un ano
★★★★★
Excelentes profesionales, en especial el Dr. Torrent, pendiente en todo momento de la paciente (mi esposa), operada de pseudomixoma peritoneal. Nos ayudaron con todas nuestras necesidades puesto que veniamos de fuera de Barcelona. Gracias Elisabeth. Estamos muy agradecidos al Quenet Torrent Institute, gracias por todo.
L
Hace 4 semanas
★★★★★
Maravilloso equipo quirurgico, de lo mejor que hay. El Dr. Torrent (experto en carcinomatosis peritoneal) es un cirujano excepcional y mejor persona. Su coordinadora super amable, rapida y eficiente. El trato humano es estupendo y los resultados tambien. Esto es de vital importancia para los pacientes con cancer.
Questions from international patients about cytoreduction
Who performs the cytoreduction surgery?
Dr. Francois Quenet and Dr. Juan Jose Torrent lead the peritoneal cytoreduction programme. For complex cases, Prof. Luis Gonzalez Bayon and Prof. Fabrizio Panaro also participate. The surgical team is defined after reviewing each individual case in the multidisciplinary tumour board.
How soon will I receive feedback after sending my documents?
We target a written response within 48 working hours of receiving complete documentation. Our international patient coordinator will contact you directly to discuss the committee's assessment.
Is it possible to determine resectability remotely, without travelling?
In most cases, yes. A recent CT or PET-CT with operative and pathology reports allows our team to provide a reliable preliminary assessment of resectability. In some cases, additional imaging or a physical pre-operative visit may be needed, but we minimise unnecessary travel.
What languages are available for consultation?
English, French, Italian, and Spanish. Our patient coordinator communicates in English throughout the process.
Can you provide a cost estimate before I commit to coming?
Yes. After reviewing your case, we provide a detailed written quote covering the surgical procedure, hospitalisation, and standard post-operative care. The quote is provided before you make any travel arrangements.
How long will I need to stay in Spain after the surgery?
Cytoreductive surgery typically requires 7 to 14 days of hospitalisation. After discharge, we recommend staying in the area for an additional 5 to 7 days before travelling home, depending on your recovery. Total time in Spain is usually 3 to 4 weeks from pre-operative evaluation to departure.
Can a companion stay with me during the hospitalisation?
Yes. Both Teknon in Barcelona and Memorial Publio Cordon in Madrid have individual private suites where a companion can stay overnight throughout the admission. We strongly encourage family presence, particularly for international patients.
What happens with follow-up after I return home?
We provide a detailed discharge report with all follow-up recommendations for your local oncology team. Video follow-up consultations with our team are available at defined intervals. We coordinate with your treating oncologist at home to ensure continuity of care.
Request your cytoreduction assessment today
Send your imaging and reports. The Quenet Torrent Institute team will give you an expert assessment of resectability within 48 hours.
¿Dónde tratarse peritoneal cytoreduction?
Operamos en dos hospitales privados de referencia en España. El mismo equipo médico te atiende en Madrid y Barcelona, con los mismos estándares quirúrgicos y oncológicos.
Madrid
Hospital Memorial Publio Cordón
Hospital privado en Pozuelo de Alarcón con equipo multidisciplinar especializado en cirugía oncológica digestiva y tecnología quirúrgica de vanguardia.
Ver hospital
Barcelona
Centro Médico Teknon
Hospital privado de referencia internacional en Barcelona donde el equipo desarrolla su actividad de cirugía oncológica de alta complejidad.
Ver hospitalArtículos relacionados
La cirugía citorreductora como piedra angular del tratamiento de la carcinomatosis peritoneal
La cirugía citorreductora combinada con HIPEC ha transformado el pronóstico de la carcinomatosis peritoneal, una condición previamente considerada terminal.
Supervivencia en carcinomatosis peritoneal: factores pronósticos y tratamientos
La supervivencia en carcinomatosis peritoneal ha mejorado dramáticamente con cirugía citorreductora y HIPEC. Descubre los factores que influyen en el pronóstico.
Contacta de manera sencilla
¿Necesitas hablar con un especialista?
Completa el formulario y agenda tu cita para hablar directamente con el cirujano.