Request a specialized review of your medical history.
Specialized surgery in peritoneal carcinomatosis
We are one of the busiest and most experienced European centers with with over 2.000 cytoreductive surgeries (CRS) with HIPEC performed and approximately 150 intervention each year.
Request a review by our specialists to evaluate if you are a candidate for any treatment, even before traveling to Spain.
No cost. No commitment.
Tumor types treated with CRS + HIPEC or PIPAC
CRS + HIPEC or PIPAC may be an option in your case.
There are very few centers in the world with the necessary expertise for precision diagnosis and personalized treatment of the different peritoneal metastases. If you have received any of the following diagnoses, we can offer you a highly specialized assessment:
Peritoneal mesothelioma
One of the diagnoses where cytoreductive cytoreductive surgery with HIPEC is the gold standard treatment.
Pseudomyxoma peritonei
Rare mucinous tumor of the appendix where the HIPEC has shown the greatest impact on survival.
Ovarian cancer with peritoneal spread
Complete cytoreductive surgery is essential, especially when treating a recurrence and in cases where systemic chemotherapy is not effective.
Colorectal cancer with peritoneal metastases
Selected candidates may benefit from cytoreductive surgery with HIPEC.
Gastric cancer with peritoneal involvement
One of the cancers where PIPAC is showing the most promising results.
Serous-papillary carcinoma of the peritoneal surface
Rare tumor, whose origin is the peritoneum itself, and which is frequently confused with peritoneal carcinomatosis of ovarian origin.
Other diagnoses associated with peritoneal dissemination
Including neuroendocrine tumors, small bowel, pancreatic and biliary tract ,cancers, urachal carcinoma, , GIST, sarcoma and others.
Not sure if your case might need our assessment?
Send us your history. We will analyze it free of charge and give you an opinion to guide you on the possibility of treatment; transparent and accurate.
Why choose Spain for your treatment?
The United States has excellent hospitals and professionals. But in the peritoneal carcinomatosis surgery, howeverthe factor that most predicts results is not the country, it is the volume of procedures of the Center and the specific specific experience of the multidisciplinary of the multidisciplinary team. That is why patients from Boston, New York, Houston, Los Angeles and Miami choose to be treated at the Peritoneal Cancer Institute. Peritoneal Cancer Institute.
Surgical volume
We perform more than 150 CRS + HIPEC procedures per year and our team is a training center of reference in this technique, endorsed by the European Society of Surgical Oncology (ESSO) and the Peritoneal Surface Oncology Group International (PSOGI). Given the high level of specialization of the Peritoneal Cancer Institute and the high number of patients treated each year, surgeons from all over the world travel to Barcelona to train specifically in this technique before implementing it in their own hospitals or just to perfect the process.
2. PIPAC available as standard treatment
PIPAC (Pressurized Intraperitoneal Aerosol Chemotherapy) is a technique that, through minimally invasive laparoscopic surgery, allows chemotherapies to be administered directly on the peritoneal surface through micro-particles of aerosol and pressure to improve the penetration of the drugs into the tumor metastases. In most U.S. hospitals, this treatment remains experimental or unavailable.. At PCI, we have been offering it routinely for more than 6 years. more than 6 yearsas part of the arsenal of treatments for patients, initially not candidates for radical surgery, who need to slow tumor progression or in some cases reduce tumor burden before undergoing cytoreductive surgery (CRS). surgical cytoreduction (SRC) with HIPEC.
3. You speak directly with the surgeon who is going to operate on you.
From the first consultation to hospital discharge, you will be attended in a personalized way, also with a medical assistant who will transfer your doubts to the specialized medical team, assuring you a safe and responsible contact. Questions about complex oncological surgery deserve answers from the specialist who will take care of your case.
4. Transparent cost
We provide you with a total written quotation before you make any decision. No surprise fees, no separate invoices from other specialists, no hidden charges. In many cases, the total cost, including surgery, hospitalization, flights and companion stay, is comparable or less than the co-payment of an American patient in an out-of-network center.
A multidisciplinary team dedicated exclusively to CRS + HIPEC and PIPAC
The team that will review your case
Oncologic surgeons, medical oncologists, anesthesiologists, intensivists, radiologists, internists, pathologists, nutritionists, rehabilitators and specialized nurses.
All focused on peritoneal pathology .. Each case is discussed in a multidisciplinary committee of oncology specialists before proposing a plan that is always personalized.
How the case evaluation works
From your first request for evaluation to the treatment plan, the whole process has no fine print.
Step 1: Fill in the initial form (5 minutes)
Complete the form online form with your diagnosis, oncologic history, and contact information.
Step 2: Our case manager contacts you
Your first human contact is our case manager dedicated exclusively to international patients of the Peritoneal Cancer Institute.
It’s not a generic coordinator or a call center: it’s the person who will be the person who will accompany you during the whole evaluation process, the one who knows your case in detail, and the person who will advise you for any administrative doubt and/or for any medical doubt, transmitting it to the surgical team when you need it.
Step 3: Upload your history to a secure platform
You receive a link to an encrypted and secure upload portal where you can provide all the medical information about your case. Documents that the team needs to review:
- Complete history of the disease
- Original radiological images of the most recent studies, such as CT, PET-CT and/or MRI.
- Latest radiological reports
- A scanned image of your passport or ID card for registration in the hospital system.
If something goes wrong during this process, you can count on the help of a computer assistant.
And if you are not sure how to get some data the medical assistant will explain step by step how to request it from your current hospital. It is a standard process and your hospital is obliged to provide you with everything you request.
Step 4: Clinical screening and multidisciplinary oncology committee review
This is where your case goes through two levels of evaluation:
- First, the case manager performs a thorough clinical screening of all documentation. of all documentation. This is not administrative work: it is a first filter in order to structure your case, identify structure your case, identify if critical information is missing, and prepare an orderly summary for the medical team.
- Afterwards, your case will be presented to the multidisciplinary committee: oncologic surgeons, medical oncologists, pathologists and radiologists specializing in peritoneal carcinomatosis review and discuss your case together.
- If the expert committee concludes that Peritoneal Cancer Institute cannot offer any treatment for your specific case, we will inform you with complete transparency and the the evaluation will be free of charge. In the event that, notwithstanding the explanatory e-mail, you need or require a medical consultation and/or medical report, the usual consultation fee will apply.
Our commitment is to be transparent and prioritize your wellbeing, guiding you through the whole process and avoiding offering you any treatments that will not bring the expected benefits.
Step 5: Medical consultation and closed quotation
If the expert committee determines that you are a candidate for a specific treatment, a medical consultation will be arranged, usually by video call, where the surgeons from PCI will explain all the details about your disease and multidisciplinary treatment strategy.
- The treatment options that are indicated in your case.
- Argumentation of decisions on therapeutic recommendations and treatment objectives.
- Risks specific to your situation.
- The complete plan: treatment sequence, duration and follow-up.
A few days after the consultation you will receive a complete medical report with the recommendations of the Peritoneal Cancer Institute and an and a closed budget under “forfait” modality..
Step 6: Decide calmly, but with all available information.
After the recommendations and the budget, you choose the path. We will continue to advise you in case of any doubt, in the interest of making an important therapeutic decision within a reasonable time for your specific case.
If you have additional questions, the medical assistant is still your preferred channel of contact.
If you would like your oncologist in the U.S. to review the plan, we provide you with all the documentation in your language with treatment recommendations from the PCI.
Step 7: Treatment in Barcelona and follow-up from home
If you decide to move forward with the recommended treatment plan, the team at the Peritoneal Cancer Institute team will directly coordinate your pre-operative preparation, hospital admission, arrival details, and everything else necessary so that your only concern is receiving our care.
After discharge, we deliver a report with all the details of the treatment and the evolution at the Centro Medico Teknon Medical Center. We will always be available if any complications arise. After the postoperative period, we will follow the evolution of your case with a first follow-up visit.
FAQ
These are the most frequently asked questions among U.S. patients who are deciding how to cope with their diagnosis. If yours isn’t here, write to us directly so we can help you.
On the initial assessment
Is there any cost to send my reports from the U.S. to find out if I am a candidate?
No. Sending your clinical documentation and radiological images through our secure portal is free of charge. The medical assistant does an initial clinical screening, and then your case is reviewed by our multidisciplinary medical committee. If we determine that you are not a candidate for any of our treatments, we will inform you via email at no cost.
How do I know if I am a candidate for HIPEC or PIPAC?
The indication depends on several factors: the type of primary cancer, extent of peritoneal diseaseThe indication depends on several factors: the type of primary cancer, extent of peritoneal disease, radiological imaging findings, previous surgeries, response to chemotherapy, nutritional status and general health. The only way to know is to have an expert team review your complete history.
That’s why this initial assessment is free of charge.
What is the difference between HIPEC and PIPAC?
HIPEC (Hyperthermic Intraperitoneal Chemotherapy) is the administration of chemotherapeutic agents diluted in a liquid solution that is heated up to 42ºC inside the abdominal cavity. It is administered only once, usually after surgical removal of all visible disease through cytoreductive surgery (CRS), and its goal is to eradicate microscopic disease after surgery.
PIPAC (Pressurized Intraperitoneal Aerosol Chemotherapy) is the administration of chemotherapy drugs into the abdominal cavity, via laparoscopy, in the form of a pressurized aerosol. It is a minimally invasive technique and is usually repeated at least three times, alternating with two sessions of systemic chemotherapy.
The most appropriate treatment depends entirely on your diagnosis and several other factors. The decision is made by the specialized oncology committee after reviewing your complete history.
What if HIPEC is not possible in my case, can I consider PIPAC?
In selected patients, yes. PIPAC may be an option when CRS + HIPEC is not appropriate at this time. For example, in cases where the tumor burden is too extensive for complete surgery, or when there is a need to reduce tumor volume before considering major intervention, decreasing surgical aggressiveness. But the PIPAC is not applicable to all types of tumors either, its indication depends on the specialized review of your case.
Do I have to travel to Spain just to find out if I am a candidate?
No. The entire initial assessment process is done virtually.You upload your documentation on the PCI portal, the team reviews it, and if necessary, a video consultation is scheduled with the PCI surgeons. PCI SURGEONS. You will only travel to Barcelona after you have all the information available and if you want to undergo the recommended treatment.
Who will be my first point of contact?
The medical assistant dedicated exclusively to international patients of the Peritoneal Cancer Institute’s Peritoneal Cancer Institute team. It is not a generic coordinator or a call center: it is the person who will accompany you throughout the evaluation process. Communication is usually managed by email and/or telephone until you decide to travel to Barcelona, at which time the team of the Centro Medico Teknon’s International Department coordinates the details of your arrival.
Can a family member file the case for me?
Yes. Many requests are submitted by spouses, children or close family members, especially when the patient is in the middle of a chemotherapy cycle or does not feel energized to manage it. We only ask that the patient has authorized the exchange of medical information before sending personal health information or reports.
Regarding cost and insurance
Is the quote (forfait) really closed, or will I be charged extras if there are complications?
We work under a closed price.
Our quotations for CRS + HIPEC and/or PIPAC include absolutely the whole processThe preoperative, surgery, HIPEC, PIPAC, anesthesia, ICU admission, complete hospitalization, the intervention of a multidisciplinary team in the postoperative period, and any medical-surgical complication requiring a longer stay or additional interventions..
You will never pay more than what was agreed at the beginning. No separate bills for other specialists. No room charges. No additional charges if an unexpected postoperative complication arises. No fine print.
In addition, within the budget are included bed and board for a companion during the whole process.
Does my insurance cover it?
It depends on your plan. Some U.S. insurances have coverage for out-of-country treatment, especially for treatments not available in the U.S. such as PIPAC. Most international private insurances do cover these types of procedures.
What we do for you: we provide you with all the clinical and administrative documentation that your insurance company may need. With Teknon’s International Department, we can advise you during this process. But coverage depends on the specific conditions of your health insurance plan and we want you to make any decision with realistic expectations.
What happens if I am not a candidate?
If after the first review of your history, the PCI medical committee determines that you are not a candidate for any specific treatment, we will notify you in writing.we will notify you in writing free of charge. The purpose of the first evaluation is precisely that: to help you avoid unnecessary travel and expense.
About treatment and risks
What are the actual complication and mortality rates for this surgery at your center?
Cytoreductive surgery with HIPEC is an intervention with significant risks, although much depends on the degree of experience of the surgical team. It is important that you know this clearly before making any decision.
In our center, 30-day mortality is 0.2%, the overall complication rate is approximately 30%, and the rate of major complications is 5%. These figures are below or comparable to those published by international centers of worldwide reference in peritoneal pathology.
How long would I have to be in Barcelona?
It depends on the treatment and clinical course.
For CRS + HIPEC the usual hospital stay is 14-21 days, including the day of admission before surgery for preoperative preparation.
Many patients want to return home after discharge from the hospital, while others prefer to stay 4-5 days of rest in Barcelona for their comfort and safety. In principle, at the time of discharge, they can travel back to their country.
For PIPAC the stay is significantly shorter, usually 2 days because it is a minimally invasive procedure.
In any case, the exact schedule is discussed during the medical consultation, since it depends on the specific complexity of the proposed treatment.
Will I receive a written treatment plan before I travel?
If the multidisciplinary PCI committee determines if there are therapeutic options in your case, you will receive a full medical a full medical report with clear recommendations, before making your final your final decision. This includes: expected treatment sequence, proposed surgical technique, estimated hospital stay, specific recovery considerations, follow-up plan, and complete closed budget.
About logistics and family
Will I be able to communicate in English with the medical team?
Yes, the entire medical team that will treat you is fluent in English. All clinical documentation you receive is in English. If at any time you prefer to be addressed in Italian, French or Croatian our PCI medical team you will be able to communicate in these languages.
Russian interpreters are also available at Centro Medico Teknon’s International Department, as well as other languages for complex clinical situations, free of charge.
Who helps us with travel logistics and accommodation?
Teknon’s International Department assigns you a dedicated coordinator to manage:
- Documentation if a visa is required in your case, including an official invitation letter.
- List of hotels near the hospital with negotiated rates for more companions.
- Airport transfers
- Interpreter support if needed at any time.
- Complete coordination of hospital admissions from the moment you land.
The flights and the consular appointment for the visa are managed directly by you, but we give you all the information to make the process as simple as possible.
Can my family be with me during the admission?
Yes, complete Teknon rooms are suites of 46-50 m² designed specifically so that a companion can stay with you 24 hours a day with sleeping space, full bathroom and living area.
For family members not staying in the room, we provide a list of hotels near the hospital with negotiated rates.
Do you help with visa documentation?
When a visa is required, yes, our team provides the official letter of invitation. official letter of invitation and all relevant medical documentation to support the application. You are responsible for making an appointment at the relevant consulate and completing the process, but the medical part of the file is prepared by us.
Regarding continuity and follow-up
Can my oncologist in the U.S. participate in the process?
Yes, and it is something we actively recommend. Prior to surgery we can share the treatment plan with your oncologist if you wish. After the treatment, we send you all the surgical documentation and later the anatomopathology result in English, so that you can continue your follow-up in the USA with all the necessary information.
What if I have a complication when I return home?
It is difficult for complications to occur after a prolonged postoperative period, especially if it is something relevant. However, you have direct access to the surgical team via email and video consultation. If a complication arises that requires face-to-face care, we coordinate directly with your oncologist or a hospital near you, providing all the clinical information they need to treat you properly.
Do you have a question that is not here?
We are here to help you.
Write to us or send your case directly. Anabel responds personally.