Oncological Surgery

Highly complex oncological surgery

The Oncological Surgery Department at the Publio Cordón Memorial Hospital is dedicated to the surgical treatment of cancer in highly complex clinical settings. Under the leadership of Dr François Quenet, the unit combines specialist expertise, a structured care programme and multidisciplinary coordination within a hospital setting equipped to deal with advanced oncological conditions.

Oncological surgery requires technical precision, expert judgement and rigorous planning. Each case is approached within a defined clinical process that prioritises the appropriate indication, surgical safety and therapeutic consistency. The aim is to ensure evidence-based decisions and a structured sequence of care from the initial assessment through to follow-up.

Surgical management of advanced cancer

Certain tumours, due to their location, extent or biological behaviour, require complex procedures and individualised treatment strategies. In many cases, surgery forms part of a comprehensive cancer management plan that requires integration with other treatments and specialist disciplines.

Accurate pre-operative assessment, involving a detailed evaluation of the extent of the tumour and the determination of the appropriate timing for surgery, are crucial factors. Experience in advanced oncological pathology enables the strategy to be tailored to each clinical situation with prudence and on a technically sound basis.

Surgical planning based on expert judgement

The care process begins with a specialist clinical assessment and a comprehensive diagnostic work-up. Treatment decisions are made following a multidisciplinary review, taking into account the characteristics of the tumour, the patient’s clinical condition and the available options.

The procedure is planned on an individual basis, prioritising adequate oncological resection within a framework of safety and intraoperative monitoring. In cases requiring multi-organ approaches or highly complex procedures, joint efforts are coordinated with other specialities.

Structured follow-up is an essential part of the care model, ensuring clinical continuity and monitoring of the patient’s progress in the medium and long term.

Organisation into highly specialised units

The speciality is organised into specific clinical units, which enable us to pool expertise, standardise treatment protocols and maintain consistent criteria according to tumour type and location.

Peritoneal Carcinomatosis Unit

Dedicated to the surgical treatment of peritoneal tumour spread, a highly complex clinical condition associated with gastrointestinal and gynaecological tumours, amongst others. The unit brings together expertise in complex oncological cytoreductive surgery and in the integration of intraperitoneal therapies where clinically indicated. The treatment strategy is determined on a case-by-case basis through multidisciplinary coordination.

Hepatic Oncology Surgery Unit

Specialising in primary liver tumours and liver metastases of various origins. It handles procedures ranging from conventional resections to highly complex procedures involving vascular involvement or bilateral lesions. Planning prioritises adequate cancer control whilst preserving as much liver function as possible, through joint analysis with other relevant specialities.

Abdominal Sarcoma Unit

Focused on the surgical treatment of intra-abdominal and retroperitoneal mesenchymal tumours, rare conditions that require specific expertise. The unit has extensive experience in extensive resections and multi-organ surgeries where major vascular structures are involved, always within a coordinated and protocol-based framework.

Ovarian Cancer Unit

Focused on the comprehensive surgical management of ovarian cancer, particularly in advanced stages where the initial strategy is crucial. Our experience in complex cytoreductive surgery and coordination with Medical Oncology enables us to design treatment plans tailored to each clinical situation.

Digestive Tract Tumours Unit

Dedicated to the surgical treatment of tumours of the oesophagus, stomach, colon, rectum, liver, pancreas and bile ducts. It is organised into sub-specialist areas, allowing us to concentrate our expertise in hepatobiliopancreatic, oesophagogastric and colorectal pathology, ensuring specific protocols and individualised planning.

Clinical coordination and continuity of care

Oncological surgery is carried out through a coordinated approach involving specialist surgeons and the full team of professionals involved in the oncological process. Organisation based on shared clinical criteria ensures therapeutic consistency and safety at every stage of treatment.

The experience gained in complex oncological surgery is integrated with standardised protocols, rigorous assessment of indications and clear clinical communication. This structured system facilitates sound decision-making, technically demanding procedures and systematic follow-up throughout the entire care process.