Clinical Expertise

Subspecialised Surgical Care

Comprehensive expertise in the most complex areas of surgical oncology, backed by fellowship training and over 15 years of experience.

01

Peritoneal Surface Malignancies

Peritoneal carcinomatosis was once considered an untreatable end-stage disease. Today, with cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC), selected patients can achieve long-term survival and even cure.

Key Procedures

  • Complete cytoreductive surgery (CRS)
  • Hyperthermic intraperitoneal chemotherapy (HIPEC)
  • Peritonectomy procedures
  • Multivisceral resections

Patient Outcomes

15 years of experience in peritoneal carcinomatosis management. National reference centre (CSUR) for peritoneal surface malignancies in Spain. 50–60 cases per year.

02

Retroperitoneal Sarcoma

Retroperitoneal sarcomas are rare and challenging tumours that require subspecialised surgical expertise. A well-planned, complete surgical resection remains the cornerstone of treatment, often involving compartmental resection of adjacent organs.

Key Procedures

  • En-bloc compartmental resection
  • Multivisceral resections
  • Vascular reconstruction when required
  • Multidisciplinary sarcoma board planning

Patient Outcomes

Dedicated multidisciplinary sarcoma programme with international collaboration, including active participation in major clinical trials.

03

CRS + HIPEC

CRS+HIPEC is a complex surgical procedure combining radical removal of all visible tumour deposits in the abdomen (cytoreduction) with the direct application of heated chemotherapy to the peritoneal cavity to destroy residual microscopic disease.

Key Procedures

  • Colorectal peritoneal metastases
  • Appendiceal neoplasms (PMP)
  • Ovarian peritoneal dissemination
  • Gastric peritoneal carcinomatosis
  • Peritoneal mesothelioma

Patient Outcomes

Standardised HIPEC protocols using the latest evidence-based regimens. Perioperative morbidity consistently below national benchmarks.

04

Palliative Surgical Oncology

When curative treatment is not possible, palliative surgery plays a vital role in improving quality of life. Our approach focuses on relieving symptoms, restoring function, and maximising time with meaningful quality of life for patients with advanced disease.

Key Procedures

  • Intestinal obstruction relief (bypass, stoma)
  • Palliative debulking for symptomatic disease
  • Bleeding and perforation management
  • Nutritional access procedures
  • Multidisciplinary palliative care coordination

Patient Outcomes

Integrated approach with palliative care, medical oncology, and supportive teams to ensure patient-centred decision-making at every stage.

05

Complex Pelvic Surgery

Locally advanced and recurrent pelvic tumours often require extensive surgical procedures. Our team is experienced in pelvic exenterations and complex reconstructions to achieve oncologically adequate margins.

Key Procedures

  • Total and partial pelvic exenteration
  • Lateral extended pelvic resections
  • Sacrectomy for locally advanced rectal cancer
  • Pelvic reconstruction
  • Intraoperative radiation therapy (IORT) when indicated

Patient Outcomes

Multidisciplinary pelvic tumour board ensures optimal patient selection and surgical planning for these challenging cases.

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First visits, second opinions, and international consultations available.

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