Large tumors
Bulky tumors requiring en bloc extraction that cannot be safely managed laparoscopically or robotically.
High Complexity Surgery
Oncological Open Surgery
Open surgery remains fundamental in oncology for large tumors or those requiring extensive resections. We combine experience and technique to achieve the best oncological outcomes.
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EXTENSIVE EXPERIENCE +20,000 surgeries performed
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LATEST TECHNOLOGY in surgical strategy
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What is oncological open surgery?
Open surgery is the traditional surgical approach in which a wide incision is made to directly access the area to be operated. Despite advances in minimally invasive techniques, it remains the technique of choice in many complex oncological cases.
It allows optimal exposure of the surgical field, facilitating extensive resections, complex reconstructions, and control of major vascular structures. It is especially indicated for large tumors or those affecting multiple organs.
When is open surgery indicated?
Open surgery is the preferred technique in certain situations:
Multivisceral resections
Surgeries involving en bloc removal of multiple organs to ensure adequate oncological margins.
Major vascular involvement
Tumors infiltrating large blood vessels requiring vascular resection and reconstruction.
Salvage surgery
Reoperations in previously operated surgical fields with significant fibrosis and anatomical distortion.
Types of approach in open surgery
We select the most appropriate incision based on tumor location and extent:
Midline laparotomy
Vertical incision from the sternum to the pubis providing access to the entire abdominal cavity.
Subcostal incision
Incision below the ribs, unilateral or bilateral, ideal for hepatic, gastric, and pancreatic surgery.
Thoracoabdominal incision
Combined thoracic and abdominal approach for tumors of the esophagogastric junction or with diaphragmatic extension.
Combined incisions
Combination of incisions adapted to the specific needs of each case to optimize exposure.
Advantages of open surgery
Open surgery offers specific benefits in complex oncological cases:
Complete direct vision
Allows direct palpation of tissues and complete visualization of the operative field without optical limitations.
Immediate vascular control
Rapid response capability to bleeding and direct control of major vascular structures.
Technical flexibility
Allows real-time modification of surgical strategy based on intraoperative findings.
Complex reconstructions
Facilitates anastomoses, vascular grafts, and reconstruction techniques requiring extensive tissue manipulation.
Our experience in open surgery
At Quenet-Torrent Institute open surgery remains a fundamental tool in our therapeutic arsenal. Our surgeons have extensive training and experience in high complexity oncological open surgery techniques.
We select the most appropriate approach for each patient, always prioritizing oncological outcomes. In many complex cases, open surgery continues to offer the best results and greatest safety for the patient.
Pathologies treated with open surgery
Open surgery is frequently used in the treatment of various oncological pathologies.
Esophagogastric tumors
Esophagectomies and total gastrectomies for advanced tumors.
More informationSarcomas
Resection of large retroperitoneal sarcomas.
More informationPeritoneal carcinomatosis
Complete cytoreductive surgery with HIPEC.
More information
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