{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:03:29Z","timestamp":1786982609037,"version":"build-2736575974"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"DOI":"10.1007\/s13304-026-02527-8","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T16:47:59Z","timestamp":1770310079000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Preoperative prognostic nutritional index in prediction of surgical complications and oncological outcomes in retroperitoneal sarcoma"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1302-2896","authenticated-orcid":false,"given":"Dorian Yarih","family":"Garcia-Ortega","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson Ovidio","family":"Lara-Robles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paulina","family":"Mel\u00e9ndez-Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia Veronica","family":"Villavicencio-Valencia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diyitzia Rosario","family":"Irineo-Cerecedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherilynn","family":"Martinez-Valdovinos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Aar\u00f3n","family":"Bujanda-Sandoval","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuauhyama","family":"Luna-Ortiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"issue":"8","key":"2527_CR1","doi-asserted-by":"publisher","first-page":"110003","DOI":"10.1016\/j.ejso.2025.110003","volume":"51","author":"M Neuberg","year":"2025","unstructured":"Neuberg M, Bonvalot S, Faron M, Decanter G, Tzanis D, Varatharajah S et al (2025) What is the primary cause of postoperative death after primary retroperitoneal sarcoma surgery in a high-volume center? A nationwide study by the French sarcoma group. Eur J Surg Oncol 51(8):110003","journal-title":"Eur J Surg Oncol"},{"key":"2527_CR2","doi-asserted-by":"publisher","first-page":"84103280","DOI":"10.1016\/j.eclinm.2025.103280","volume":"84","author":"F Tirotta","year":"2025","unstructured":"Tirotta F, Fiore M, Bonvalot S, Strauss D, Rutkowski P, Gyorki DE et al (2025) Defining benchmark values for outcomes of comprehensive resection of primary retroperitoneal liposarcoma: a retrospective multicenter study. EClinicalMedicine 84:84103280","journal-title":"EClinicalMedicine"},{"issue":"3","key":"2527_CR3","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/j.jviscsurg.2019.02.002","volume":"156","author":"M Faron","year":"2019","unstructured":"Faron M, Cavalcanti A, Honore C (2019) Compartmental resection of a retroperitoneal sarcoma. J Visc Surg 156(3):245\u2013251","journal-title":"J Visc Surg"},{"issue":"12","key":"2527_CR4","doi-asserted-by":"publisher","first-page":"7873","DOI":"10.1245\/s10434-021-09654-z","volume":"28","author":"CJ Swallow","year":"2021","unstructured":"Swallow CJ, Strauss DC, Bonvalot S, Rutkowski P, Desai A, Gladdy RA et al (2021) Management of primary retroperitoneal sarcoma (RPS) in the adult: an updated consensus approach from the transatlantic Australasian RPS working group. Ann Surg Oncol 28(12):7873\u20137888","journal-title":"Ann Surg Oncol"},{"key":"2527_CR5","doi-asserted-by":"publisher","first-page":"101997","DOI":"10.1016\/j.suronc.2023.101997","volume":"51","author":"DY Garcia-Ortega","year":"2023","unstructured":"Garcia-Ortega DY, Jim\u00e9nez-Ortega JA, Melendez-Fernandez AP, \u00c1lvarez-Cano A, Caro-Sanchez CHS, Vargas-Lara AK et al (2023) Does compartmental resection really impact retroperitoneal soft tissue sarcomas? A retrospective analysis from a single referral center. Surg Oncol 51:101997","journal-title":"Surg Oncol"},{"issue":"5","key":"2527_CR6","doi-asserted-by":"publisher","first-page":"106953","DOI":"10.1016\/j.ejso.2023.06.005","volume":"50","author":"A Brandl","year":"2024","unstructured":"Brandl A, Lundon D, Lorenzon L, Schrage Y, Caballero C, Holmberg CJ et al (2024) Current practice in assessment and management of malnutrition in surgical oncology practice\u2014an ESSO-EYSAC snapshot analysis. Eur J Surg Oncol 50(5):106953","journal-title":"Eur J Surg Oncol"},{"issue":"2","key":"2527_CR7","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1016\/j.ejso.2018.07.001","volume":"45","author":"KM Kirov","year":"2019","unstructured":"Kirov KM, Xu HP, Crenn P, Goater P, Tzanis D, Bouhadiba MT et al (2019) Role of nutritional status in the early postoperative prognosis of patients operated for retroperitoneal liposarcoma (RLS): a single center experience. Eur J Surg Oncol 45(2):261\u2013267","journal-title":"Eur J Surg Oncol"},{"issue":"6","key":"2527_CR8","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1016\/j.ejso.2022.02.016","volume":"49","author":"M Baia","year":"2023","unstructured":"Baia M, Ford SJ, Dumitra S, Sam\u00e0 L, Naumann DN, Spolverato G et al (2023) Follow-up of patients with retroperitoneal sarcoma. Eur J Surg Oncol 49(6):1125\u20131132","journal-title":"Eur J Surg Oncol"},{"key":"2527_CR9","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.2147\/CMAR.S474801","volume":"16","author":"GQ Xue","year":"2024","unstructured":"Xue GQ, Li CP, Lv A, Wu JH, Tian XY, Qiu H et al (2024) Prognostic nutritional index (PNI): A more promising nutritional predictor for patients undergoing surgery for retroperitoneal liposarcoma. Cancer Manage Res 16:1021\u20131030","journal-title":"Cancer Manage Res"},{"key":"2527_CR10","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1016\/j.clnesp.2025.06.048","volume":"69","author":"L Sam\u00e0","year":"2025","unstructured":"Sam\u00e0 L, Kumar S, Covello E, D\u2019Orazio F, Pindilli S, Levi R et al (2025) Nutritional status in retroperitoneal sarcoma: implication of prognostic nutritional index (PNI) and skeletal muscle index (SMI) on postoperative and oncological outcomes. Clin Nutr ESPEN 69:167\u2013176","journal-title":"Clin Nutr ESPEN"},{"issue":"12","key":"2527_CR11","doi-asserted-by":"publisher","first-page":"108663","DOI":"10.1016\/j.ejso.2024.108663","volume":"50","author":"M Baia","year":"2024","unstructured":"Baia M, Zanframundo C, Ljevar S, Della Valle S, Misotti A, Rampello NN et al (2024) Preoperative nutritional support to tackle morbidity in multivisceral resection for retroperitoneal sarcoma. Early outcomes from a novel nutritional prehabilitation program in a prospective cohort. Eur J Surg Oncol 50(12):108663","journal-title":"Eur J Surg Oncol"},{"issue":"12","key":"2527_CR12","doi-asserted-by":"publisher","first-page":"7939","DOI":"10.1245\/s10434-021-10059-1","volume":"28","author":"F Tirotta","year":"2021","unstructured":"Tirotta F, Parente A, Hodson J, Desai A, Almond LM, Ford SJ (2021) Cumulative burden of postoperative complications in patients undergoing surgery for primary retroperitoneal sarcoma. Ann Surg Oncol 28(12):7939\u20137949","journal-title":"Ann Surg Oncol"},{"issue":"8","key":"2527_CR13","doi-asserted-by":"publisher","first-page":"1376","DOI":"10.3390\/nu17081376","volume":"17","author":"G Porciello","year":"2025","unstructured":"Porciello G, Di Lauro T, Luongo A, Coluccia S, Prete M, Abbadessa L et al (2025) Optimizing nutritional care with machine learning: identifying sarcopenia risk through body composition parameters in cancer patients\u2014insights from the nutritional and sarcopenia risk screening project (NUTRISCREEN). Nutrients 17(8):1376","journal-title":"Nutrients"},{"issue":"3","key":"2527_CR14","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1158\/1078-0432.CCR-22-2897","volume":"29","author":"M Fiore","year":"2023","unstructured":"Fiore M, Ljevar S, Pasquali S, Morelli D, Callegaro D, Sanfilippo R et al (2023) Preoperative Neutrophil-to-Lymphocyte ratio and a new inflammatory biomarkers prognostic index for primary retroperitoneal sarcomas: retrospective monocentric study. Clin Cancer Res 29(3):614\u2013620","journal-title":"Clin Cancer Res"},{"issue":"6","key":"2527_CR15","first-page":"497","volume":"26","author":"J Wall","year":"2023","unstructured":"Wall J, Paul M, Phillips BE (2023) Nutritional interventions in prehabilitation for cancer surgery. Curr Opin Clin Nutr Metab Care 26(6):497\u2013507","journal-title":"Curr Opin Clin Nutr Metab Care"},{"issue":"1","key":"2527_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13045-023-01454-0","volume":"16","author":"T Setiawan","year":"2023","unstructured":"Setiawan T, Sari IN, Wijaya YT, Julianto NM, Muhammad JA, Lee H et al (2023) Cancer cachexia: molecular mechanisms and treatment strategies. J Hematol Oncol 16(1):1\u201326","journal-title":"J Hematol Oncol"},{"issue":"5","key":"2527_CR17","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1038\/s41577-021-00624-w","volume":"22","author":"H Baazim","year":"2021","unstructured":"Baazim H, Antonio-Herrera L, Bergthaler A (2021) The interplay of immunology and cachexia in infection and cancer. Nat Rev Immunol 22(5):309\u2013321","journal-title":"Nat Rev Immunol"},{"issue":"5","key":"2527_CR18","doi-asserted-by":"publisher","first-page":"3264","DOI":"10.1245\/s10434-021-11154-z","volume":"29","author":"M Baia","year":"2022","unstructured":"Baia M, Conti L, Pasquali S, Sarre-Lazcano C, Abatini C, Cioffi SPB et al (2022) Delayed gastric emptying after multivisceral resection for retroperitoneal sarcoma. Ann Surg Oncol 29(5):3264\u20133270","journal-title":"Ann Surg Oncol"},{"key":"2527_CR19","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1016\/j.clnesp.2022.02.125","volume":"49","author":"A Casirati","year":"2025","unstructured":"Casirati A, Baia M, Vandoni G, Della Valle S, Greco G, Morosi C et al (2025) Risk of misclassification during diagnosis of malnutrition in retroperitoneal sarcoma patients. Clin Nutr ESPEN 49:459\u2013465","journal-title":"Clin Nutr ESPEN"}],"container-title":["Updates in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13304-026-02527-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s13304-026-02527-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13304-026-02527-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T16:48:00Z","timestamp":1770310080000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s13304-026-02527-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,5]]},"references-count":19,"alternative-id":["2527"],"URL":"https:\/\/doi.org\/10.1007\/s13304-026-02527-8","relation":{},"ISSN":["2038-131X","2038-3312"],"issn-type":[{"value":"2038-131X","type":"print"},{"value":"2038-3312","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,5]]},"assertion":[{"value":"19 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no relevant financial or non-financial interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This research study was conducted retrospectively using clinical files and was intended for clinical purposes. The NCI IRB granted an IRB official waiver of ethical approval.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All authors consent to the publication of this work.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}