Told no further treatment is possible
You have received a peritoneal carcinomatosis diagnosis and a specialist at home indicated only systemic chemotherapy. You want to know whether a surgical approach is feasible.
Reviewed by Dr. Francois Quenet and Dr. Juan Jose Torrent · Updated: June 2026
International Patients
Specialist Second Opinion for HIPEC in Spain
Your case reviewed by Dr. Quenet and the multidisciplinary committee within 48 hours. High-volume HIPEC centre with 500+ procedures. We coordinate everything from your first message to discharge.
Why international patients choose us
500+
HIPEC procedures performed
48 h
Response time for international case reviews
30+
Years combined surgical oncology experience
MSK
Collaboration with Memorial Sloan Kettering, New York
Does this describe your situation?
Cases we typically see from international patients
Looking for a HIPEC-specific second opinion
You or your oncologist have read about HIPEC and want an independent assessment from a team that performs it at high volume, not occasionally.
Complex case requiring a high-volume centre
Your tumour burden, previous surgeries, or location make your case technically demanding. You need a team that handles these situations routinely.
Seeking treatment outside your home country
Whether due to waiting times, cost of private care, or access to specific techniques, you are actively evaluating Spain as a destination for your surgery.
Progression after previous treatment
You have already received chemotherapy or prior surgery and your disease has progressed. You want to explore whether cytoreduction and HIPEC are still viable options.
Rare peritoneal tumour
Pseudomyxoma peritonei, peritoneal mesothelioma, or appendiceal tumours require super-specialised expertise that not every centre can provide.
How we approach peritoneal disease and HIPEC
Peritoneal carcinomatosis is no longer a uniformly terminal diagnosis. In correctly selected patients, cytoreductive surgery (CRS) combined with HIPEC offers the possibility of long-term disease control or cure. The key is a thorough, honest assessment before committing to any plan.
Peritoneal Cancer Index assessment
We calculate the PCI from your imaging and operative notes to determine resectability before you travel. Cases with high tumour burden receive an honest, detailed explanation of what surgery can and cannot achieve.
Complete cytoreduction as the goal
A CC-0 or CC-1 resection (no macroscopic residual disease) is the only cytoreduction associated with improved long-term outcomes. We do not proceed if completeness of cytoreduction is not achievable.
Bidirectional chemotherapy protocols
When indicated, we combine intraperitoneal HIPEC with systemic perioperative chemotherapy, following current evidence-based protocols adapted to the primary tumour type.
Multidisciplinary validation before surgery
Every international case is formally reviewed in our tumour board, integrating surgical oncology, medical oncology, radiology, and anaesthesia before a treatment plan is proposed.
Surgical team for HIPEC
The specialists who will review your case
Dr. Francois Quenet
Surgical Oncologist, HIPEC specialist
View profileOver 30 years of experience in high-complexity gastrointestinal and peritoneal oncological surgery. One of the most experienced HIPEC surgeons in Europe. Led the landmark PRODIGE 7 trial on HIPEC in colorectal carcinomatosis.
Dr. Juan Jose Torrent
Surgical Oncologist
View profileSpecialist in peritoneal surface oncology, hepatobiliary surgery, and complex oncological resections. Extensive experience coordinating multidisciplinary care for patients coming from outside Spain.
Dra. Clara Montagut
Medical Oncologist
View teamMedical oncologist specialising in gastrointestinal tumours and peritoneal disease. Responsible for perioperative systemic chemotherapy protocols and long-term oncological follow-up after surgery.
How it works
Patient journey for international patients
From your first message to the day you leave the hospital, we handle the complexity so you can focus on your health.
01
Send your reports and imaging via secure upload
Share your medical records, surgical reports, pathology results, and imaging (CT, MRI, PET) through our encrypted upload system or by email. No travel required at this stage.
02
Multidisciplinary committee reviews your case within 48 h
Your case is formally presented to our tumour board, including the HIPEC surgeon, medical oncologist, and radiologist. You receive a written summary with our assessment and a proposed plan.
03
Video consultation with the surgeon
You meet directly with the surgeon via video call. We explain the options, risks, expected recovery, and answer every question. Consultations are available in English, French, Italian, and Spanish.
04
We coordinate travel, accommodation, and pre-operative work-up
Once you decide to proceed, our international patient coordinator handles logistics: pre-op tests that can be done locally, flight timing, accommodation recommendations near the hospital, and transfers.
05
You arrive only when surgery is scheduled
Typically 1-3 weeks before the planned surgery date for final pre-operative evaluation. Your companion is welcome throughout the stay. Individual private suites available at both hospitals.
Why come to Spain for HIPEC surgery?
Spain has become a destination of choice for complex oncological procedures for patients from across Europe, the Middle East, Latin America, and beyond. Several factors make it a practical and medically sound option.
Access to super-specialised expertise
HIPEC is a demanding procedure with a steep learning curve. Outcomes are strongly correlated with institutional volume. Our team has performed over 500 procedures, placing us among the highest-volume centres in southern Europe.
Cost significantly lower than US or UK private care
A HIPEC procedure in the United States or at a UK private hospital can cost three to five times more than at an equivalent centre in Spain, without any difference in surgical quality. We provide a detailed written quote after the initial assessment.
Short waiting times
For cases where surgery is indicated, we can typically schedule the procedure within 3 to 6 weeks of the decision to proceed, depending on pre-operative preparation needs.
Multilingual team and support
Consultations available in English, French, Italian, and Spanish. Our international patient coordinator speaks English and guides you through every administrative step.
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 airport, own parking, robotic operating rooms, individual private suites, 4.9/5 in 51+ Google reviews).
Transparent communication throughout
We do not promise what we cannot deliver. If your case is not suitable for HIPEC, we will tell you clearly and, if possible, suggest alternatives. Honest assessment is the foundation of everything we do.
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.
F
Hace 6 anos
★★★★★
Tengo carcinomatosis peritoneal. Enviando mi diagnostico a todos los centros, practicamente todos coincidian en una quimio paliativa con poco tiempo de supervivencia ya que tenia un tipo de celulas muy agresivas. Hasta que llegamos al Dr. Quenet, Dr. Torrent y su equipo. Solo puedo confirmar lo que su curriculo anuncia: estan muy lejos del resto. Me salvaron la vida, ya que en la operacion no se daban las celulas daninas que todos diagnosticaban y por las que no me operaban. Esta intervencion se ha convertido en la mejor inversion de mi vida.
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.
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.
Frequently asked questions from international patients
Who is on the surgical team for HIPEC?
The HIPEC programme is led by Dr. Francois Quenet and Dr. Juan Jose Torrent, two of the most experienced peritoneal surface oncology surgeons in Europe. The multidisciplinary team also includes Dra. Clara Montagut (medical oncologist), Prof. Luis Gonzalez Bayon, and Prof. Fabrizio Panaro for complex cases. Every case is reviewed by the full board before surgery is recommended.
How long until I receive a response after submitting my documents?
For international second opinions, we target a response within 48 working hours of receiving complete documentation. You will receive a written summary of the committee's assessment and a direct contact from our international patient coordinator to discuss next steps.
Do you support international patients with logistics?
Yes. Our international patient coordinator assists with pre-operative test planning (to reduce the number of trips), timing of travel, accommodation near both hospitals, and transfers. We aim to minimise the number of visits required before surgery is scheduled.
What languages can consultations be conducted in?
English, French, Italian, and Spanish. Written communication can also be handled in these languages. If your primary language is different, we will assess whether additional support can be arranged.
How much does the surgery cost approximately?
The cost depends on procedure complexity, hospital stay duration, and specific requirements. We provide a detailed written quote after the initial assessment, once we have reviewed your case and defined the surgical plan. There is no charge for the initial second opinion review.
What is the typical hospital stay after HIPEC?
Most patients remain in hospital for 7 to 14 days following a CRS+HIPEC procedure, depending on the extent of cytoreduction and individual recovery. This includes 1-2 days in a monitored recovery unit. We plan your return home based on your specific clinical evolution, not a fixed calendar.
Can my family stay with me?
Yes. Both Teknon in Barcelona and Memorial Publio Cordon in Madrid offer individual private suites where a companion can stay with the patient. We strongly encourage family presence, especially for international patients who are far from their support network.
What do I need to send for the initial assessment?
The most useful documents are: the most recent CT or PET-CT report and images if available, any surgical or operative reports from previous interventions, pathology reports with tumour histology, and the current oncological treatment summary. If you have partial documentation, send what you have, we will tell you if anything else is needed.
Ready to request your HIPEC second opinion?
Send your reports today. The Quenet Torrent Institute team will review your case within 48 hours and give you a clear, expert response.
¿Dónde tratarse HIPEC and 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
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La HIPEC es un tratamiento avanzado para carcinomatosis peritoneal. Conoce sus efectos secundarios, cómo prevenirlos y qué esperar durante la recuperación.
Estudio demuestra eficacia de HIPEC en carcinomatosis peritoneal de origen gástrico
Nuevo estudio confirma que HIPEC mejora significativamente la supervivencia en pacientes con carcinomatosis peritoneal de cáncer gástrico.
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.
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