Only palliative treatment has been proposed
You have been offered systemic chemotherapy with no mention of surgery, and you want to know whether there is an alternative with curative intent.
If another centre has told you there is no surgical option, we review your case from the beginning. The team has performed more than 3,000 CRS+HIPEC procedures.
If you recognise any of these scenarios, the team can review your case and tell you what surgical options you have.
You have been offered systemic chemotherapy with no mention of surgery, and you want to know whether there is an alternative with curative intent.
You have carcinomatosis of colorectal, ovarian or gastric origin, or pseudomyxoma, and have not consulted a team specialised in peritoneal surgery.
You have been told the PCI is too high or that surgery is not feasible. You want a second reading from a team with more than 3,000 cases.
You have had chemotherapy and want to know whether the relapse can be treated surgically at a high-volume centre.
You have been offered surgery but are not certain the team has specific experience in CRS+HIPEC.
You live in another city or abroad and want to know whether it is worth travelling to Barcelona for an in-person assessment.
The results of cytoreductive surgery with HIPEC depend to a large extent on the team's case volume and protocols.
The aim is to remove all visible macroscopic disease (complete cytoreduction, CC-0). The CC-0 rate is one of the factors that most determines the oncological outcome.
Immediately after cytoreduction, the abdominal cavity is perfused with chemotherapy at 41-43°C for 30-60 minutes. The heat increases the effect of the drug on residual cells.
The team applies enhanced recovery (ERAS) protocols and has an ICU experienced in the postoperative care of complex cancer surgery, which reduces morbidity and shortens the stay.
Each case is presented to a committee of surgical oncologists, a medical oncologist, a radiologist and a pathologist. There are no unilateral decisions: the strategy is always agreed.
At Quenet Torrent Institute the surgeon who assesses your case is the same one who operates. No intermediaries.
Surgical oncologist · Specialist in HIPEC and peritoneal carcinomatosis
View profile"Principal investigator of the PRODIGE-7 trial (The Lancet Oncology, 2021). Trained at the Institut Gustave Roussy, one of the world's reference centres for peritoneal surgery."
Surgical oncologist · Co-director of the peritoneal surgery unit
View profile"Careful selection of candidates and technical execution are the two pillars of the outcome in CRS+HIPEC."
Surgical oncologist · Specialist in complex peritonectomies
View profile"Each case of carcinomatosis is a unique scenario. An individualised approach makes the difference."
The process has four steps and does not oblige you to have surgery with us.
You fill in the form and the coordinator tells you exactly which documentation we need (CT, MRI, pathology, previous reports).
Surgeons, a medical oncologist and a radiologist analyse your case in a multidisciplinary session. If more information is needed, we tell you straight away.
The coordinator explains the committee's assessment: whether surgery is indicated, which technique, which hospital and the next practical step.
The second opinion does not commit you to anything. If you decide to have surgery with us, we organise everything; if not, we give you the clinical information in writing so you can use it wherever you want.
The team's base in Barcelona. Passeig de Carlos III, 60-66, 08017 Barcelona.
Equipped with HIPEC perfusion systems, continuous intraoperative monitoring and specific instruments for peritonectomies.
Intensive care unit experienced in the postoperative care of long cancer operations. Continuous follow-up until discharge.
All rooms are single, and a companion can stay.
Reachable by metro (L6 · La Bonanova), train (FGC Sarrià) and taxi. On-site car park. 20 minutes from Barcelona-El Prat Airport. More about Teknon.
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.
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!
Direct answers to the most common questions before getting in touch.
Dr. François Quenet and Dr. Juan José Torrent, with more than 3,000 CRS+HIPEC procedures and training at Memorial Sloan Kettering and the Institut Gustave Roussy. Prof. Luis González Bayón completes the peritoneal surgery team at Centro Médico Teknon.
The medical committee reviews the clinical documentation within 48 hours of it being complete. The coordinator then contacts you to explain the proposal and, if appropriate, book a consultation with the surgeon. If tests are missing to reach a decision, you are told exactly which ones before any appointment is made.
A recent contrast CT scan, PET-CT, pathology reports and your oncologist's latest report. If you have an abdominal MRI and blood tests with tumour markers, send those too. If anything is missing, send what you have: the team reviews the documentation and tells you which specific test is needed.
The average stay is 8 to 14 days, depending on the extent of the cytoreduction and postoperative progress. The first days may require an intensive care unit. The ERAS enhanced recovery protocols applied by the team, with early mobilisation and early nutrition, shorten that time.
Yes. A large share of patients come from other provinces or other countries. The coordinator advises on travel, accommodation and paperwork, and groups the tests into a few days. The second opinion can be started entirely remotely, by sending your reports before you travel.
Yes. Centro Médico Teknon has agreements with the main private insurers in Spain. 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 fall outside it before you take any step.
HIPEC is combined with CRS when the tumour origin and peritoneal spread are suitable. Not every carcinomatosis case is a candidate for HIPEC: the committee assesses the PCI, histology, general condition and response to previous treatments. In some cases only CRS is indicated, or PIPAC may be considered.
Fill in the form on this page or call +34 660 658 276. The coordinator contacts you within 24 hours and tells you which documentation to send. With it, the committee reviews the case and issues a written proposal.
The Quenet Torrent Institute team reviews your case in a multidisciplinary committee. If surgery is indicated, we tell you clearly.
Call us: +34 660 658 276