Multivisceral resections
En bloc removal of several organs affected by the tumor to ensure adequate oncological margins.
High Complexity Surgery
Complex Oncological Resections
Advanced oncological surgery for tumors affecting multiple organs or structures. Multidisciplinary specialized teams for extensive resections with curative intent.
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What are complex oncological resections?
Complex oncological resections are high technical difficulty surgical interventions performed to remove locally advanced tumors affecting multiple organs or anatomical structures. The goal is to achieve complete resection with tumor-free margins (R0).
These surgeries require highly specialized multidisciplinary teams, detailed preoperative planning, and advanced technical resources. Despite their complexity, they offer the only cure option for many patients with advanced tumors.
Types of complex resections
We perform various types of complex oncological surgeries:
Vascular resections
Surgeries involving resection and reconstruction of major blood vessels infiltrated by tumor.
Resections with bone reconstruction
Removal of bony structures (sacrum, pelvis, chest wall) with specialized reconstruction techniques.
Cytoreductive surgery
Resection of multiple tumor implants in peritoneal carcinomatosis, often combined with HIPEC.
Characteristics of complex surgery
These interventions have special characteristics that differentiate them from standard oncological surgery:
Exhaustive planning
Detailed preoperative study with advanced imaging techniques, multidisciplinary committee discussion, and three-dimensional surgical planning.
Multidisciplinary teams
Participation of multiple surgical specialties in the same operative procedure: oncological surgery, vascular, urology, orthopedics, plastics.
Extended duration
Surgeries that can extend for many hours, requiring specialized anesthetic teams and enhanced recovery protocols.
Intensive postoperative care
Postoperative management in specialized units with continuous monitoring and trained support teams.
Indications for complex resections
This type of surgery is applied in various situations:
Locally advanced tumors
Primary tumors that have grown invading neighboring structures but without distant metastases.
Retroperitoneal sarcomas
Large tumors requiring resection of multiple abdominal organs to achieve clear margins.
Tumor recurrences
Local recurrences of previously treated tumors requiring extensive salvage surgery.
Peritoneal carcinomatosis
Peritoneal tumor spread requiring peritonectomies and multiple visceral resections.
Our experience in complex surgery
At Quenet-Torrent Institute we are a reference center in complex oncological surgery. Our team has extensive experience in multivisceral resections, salvage surgery, and procedures combining techniques from multiple specialties.
Each case is evaluated individually in our tumor board, where oncologists, radiologists, surgeons from different specialties, and other professionals design the optimal strategy for each patient.
Pathologies that may require complex resections
Various oncological pathologies can benefit from this type of surgery.
Sarcomas
Retroperitoneal and extremity sarcomas requiring extensive surgery.
More informationPeritoneal carcinomatosis
Complete cytoreductive surgery with multiple peritonectomies.
More informationBiliopancreatic tumors
Locally advanced pancreatic tumors with vascular involvement.
More information
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