I could feel the carbon buildup in my saturn s-series. They were stick shifts and would bog off the line due to timing retard. I tried all sorts of stuff-- techron, thicker oil, water decarbs, a ring job...
A prius has a pretty healthy electric motor boost right off the line, so may not appear to "bog" to the casual driver. So they wouldn't do any of this stuff. They also don't engine brake, unless someone uses "B" mode, which I've never felt a need to do. Engine braking is better for sealing rings.
Took my 05 prius to 303k without it really burning oil. Maybe 1/2 qt in 5k miles. Getting the battery pack out is a cinch-- you could do it with the $10 HF 40-pc socket set if you really wanted to. No rust inside the passenger compartment, no crazy torques.