Pancreatic tumors
Pancreatic adenocarcinomas infiltrating the superior mesenteric vein, portal vein, or celiac trunk.
Surgical treatment of tumors affecting major blood vessels. We combine experience in oncological and vascular surgery to offer complete resections with vascular reconstruction.
CONTACT SPECIALISTOncovascular surgery is a subspecialty that addresses the treatment of tumors that invade or are in close contact with major blood vessels (main arteries and veins). Historically, this vascular involvement was considered a contraindication for curative surgery.
Today, when oncological and vascular surgeons operate together, it is possible to remove the whole tumor along with the affected vascular segment and then reconstruct the vessel to maintain organ perfusion.
Tumor vascular involvement can present in various situations:
Pancreatic adenocarcinomas infiltrating the superior mesenteric vein, portal vein, or celiac trunk.
Large tumors encasing major vessels such as the inferior vena cava or iliac vessels.
Primary tumors or metastases affecting the hepatic veins or retrohepatic vena cava.
Recurrences growing to infiltrate vascular structures in previously operated fields.
The resected vessel is reconstructed in different ways depending on the extent of involvement:
When only part of the vessel wall is affected, it is partially resected and closed directly or with a patch.
Removal of a complete vessel segment with direct end-to-end connection when length permits.
Use of venous grafts (saphenous vein, jugular) or prosthetic grafts to replace the resected vascular segment.
Creation of a diversion that maintains blood flow while tumor resection is performed.
We have experience in reconstruction of the main abdominal vessels:
Frequently affected in pancreatic tumors. Their resection and reconstruction is feasible with good outcomes.
Infiltrated by retroperitoneal sarcomas, renal and hepatic tumors. Can be partially or completely resected.
Affected in pelvic tumors and sarcomas. Reconstruction maintains limb perfusion.
In advanced pancreatic tumors. Can be resected if adequate collateral circulation exists.
At Quenet-Torrent Institute we have an oncovascular unit made up of oncological surgeons with training in vascular techniques and vascular surgeons with experience in tumor surgery. This allows us to operate on some tumors that were previously considered inoperable.
We evaluate each case separately and plan surgery with imaging studies that show in advance which vascular reconstruction will be needed, so the necessary resources can be prepared.
Various oncological pathologies can benefit from this specialized approach.
Retroperitoneal sarcomas with major vessel involvement.
More informationPancreatic tumors with vascular involvement.
More informationTumors with hepatic vein or vena cava involvement.
More informationWe operate in two private hospitals in Spain. The same medical team treats you in Madrid and in Barcelona, with the same surgical and oncological protocols.
Private hospital in Pozuelo de Alarcón with a multidisciplinary team specialised in digestive surgical oncology.
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Private hospital in Barcelona where the team performs high-complexity surgical oncology.
View hospitalReal testimonies from patients treated by our team in high-complexity surgical oncology.
66-year-old English woman with advanced ovarian cancer and peritoneal metastases. Treated with cytoreduction + HIPEC, she is now disease-free.
Read the full case73-year-old patient with advanced cancer treated with chemotherapy and high-complexity surgical oncology, with good survival and quality of life.
Read the full caseA mistaken diagnosis of terminal colon cancer that a second opinion revealed to be pseudomyxoma peritonei, treatable with cytoreductive surgery and HIPEC.
Read the full caseDiagnosed with widespread peritoneal carcinomatosis and considered inoperable. After complete cytoreduction with HIPEC, today his is a story of survival.
Read the full caseWonderful 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.
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.
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.
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.
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.
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.
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.
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.
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!
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