{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:09:07Z","timestamp":1790352547533,"version":"4.1.0"},"reference-count":50,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.es","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Cirug\u00eda Espa\u00f1ola"],"published-print":{"date-parts":[[2019,11]]},"DOI":"10.1016\/j.ciresp.2019.06.011","type":"journal-article","created":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T00:11:07Z","timestamp":1568247067000},"page":"480-488","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Actualizaci\u00f3n en el manejo de sarcomas retroperitoneales y p\u00e9lvicos; el papel de la cirug\u00eda compartimental"],"prefix":"10.1016","volume":"97","author":[{"given":"Jos\u00e9 Manuel","family":"Asencio Pascual","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Angel","family":"Fernandez Hernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo","family":"Blanco Fernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristobal","family":"Mu\u00f1oz Casares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"\u00c1lvarez \u00c1lvarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1rbara","family":"Fox Anzorena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Lozano Borbalas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Rodriguez Blanco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Cantin Bl\u00e1zquez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicente","family":"Artigas Ravent\u00f3s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ciresp.2019.06.011_bib0260","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1007\/s12094-016-1574-1","article-title":"SEOM Clinical Guideline of management of soft-tissue sarcoma (2016)","volume":"18","author":"L\u00f3pez-Pousa","year":"2016","journal-title":"Clin Transl Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0265","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1007\/s00280-015-2809-5","article-title":"Clinical practice guidelines for the diagnosis and treatment of patients with soft tissue sarcoma by the Spanish group for research in sarcomas (GEIS)","volume":"77","author":"Garc\u00eda del Muro","year":"2016","journal-title":"Cancer Chemother Pharmacol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0270","series-title":"Cap\u00edtulo 15-17. Tratado de sarcoma de partes blandas","author":"Martin","year":"2015"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0275","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1002\/jso.24888","article-title":"Historical perspectives and future directions in the surgical managenet of retroperitoneal sarcoma","volume":"117","author":"Tseng","year":"2018","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0280","series-title":"Weiss\u2018s soft tissue tumors","author":"Weiss","year":"2009"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0285","series-title":"WHO classification of tumors of soft tissue and bone","author":"Fletcher","year":"2013"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0290","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1148\/rg.2017160157","article-title":"Soft-tissue sarcomas of the abdomen and pelvis: Radiologic-pathologic features. Part 1-Common sarcomas","volume":"37","author":"Levy","year":"2017","journal-title":"Radiographics"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0295","doi-asserted-by":"crossref","first-page":"960194","DOI":"10.1155\/2012\/960194","article-title":"FDG\/PET\/CT in initial staging of adults solft-tissue sarcoma","volume":"2012","author":"Roberge","year":"2012","journal-title":"Sarcoma"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0300","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1200\/JCO.2008.17.8871","article-title":"Aggressive surgical policies in a retrospectively reviewed single-institution case series of retroperitoneal soft tissue sarcoma patients","volume":"27","author":"Gronchi","year":"2009","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0305","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1002\/jso.24135","article-title":"The importance of surgical margins in retroperitoneal sarcoma","volume":"113","author":"Kirane","year":"2016","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0310","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1200\/JCO.2008.18.0802","article-title":"Primary retroperitoneal sarcomas: A multivariate analysis of surgical factors associated with local control","volume":"27","author":"Bonvalot","year":"2009","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0315","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1097\/01.sla.0000086542.11899.38","article-title":"Histologic subtype and margin of resection predict pattern of recurrence and survival for retroperitoneal liposarcoma","volume":"238","author":"Singer","year":"2003","journal-title":"Ann Surg"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0320","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1097\/SLA.0000000000000869","article-title":"Lessons learned from the study of 10,000 patients with soft tissue sarcoma","volume":"260","author":"Brennan","year":"2014","journal-title":"Ann Surg"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0325","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1200\/JCO.2008.18.7138","article-title":"Resection of some -- but not all -- clinically uninvolved adjacent viscera as part of surgery for retroperitoneal soft tissue sarcomas","volume":"27","author":"Pisters","year":"2009","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0330","doi-asserted-by":"crossref","first-page":"2106","DOI":"10.1200\/JCO.2008.21.5467","article-title":"Resection of uninvolved adjacent organs can be part of surgery for retroperitoneal soft tissue sarcoma","volume":"27","author":"Gronchi","year":"2009","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0335","doi-asserted-by":"crossref","DOI":"10.1245\/s10434-013-2971-0","article-title":"Quality of local treatment or biology of the tumor: Which are the trump cards for loco-regional control of retroperitoneal sarcoma?","volume":"20","author":"Gronchi","year":"2013","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0340","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1245\/s10434-010-1061-9","article-title":"Are radical compartmental resections for retroperitoneal sarcomas justified?","volume":"17","author":"Raut","year":"2010","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0345","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1002\/bjs.9829","article-title":"Long-term morbidity after multivisceral resection for retroperitoneal sarcoma","volume":"102","author":"Callegaro","year":"2015","journal-title":"Br J Surg"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0350","doi-asserted-by":"crossref","first-page":"2107","DOI":"10.1245\/s10434-011-1746-8","article-title":"Surgery in retroperitoneal soft tissue sarcoma: a call for a consensus between Europe and North America","volume":"18","author":"Gronchi","year":"2011","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0355","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1245\/s10434-014-4130-7","article-title":"Personalizing the approach to retroperitoneal soft tissue sarcoma: Histology-specific patterns of failure and postrelapse outcome after primary extended resection","volume":"22","author":"Gronchi","year":"2015","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0360","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1097\/SLA.0000000000001447","article-title":"Variability in patterns of recurrence after resection of primary retroperitoneal sarcoma (RPS): A report on 1007 patients from the multi-institutional collaborative RPS Working Group","volume":"263","author":"Gronchi","year":"2016","journal-title":"Ann Surg"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0365","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1245\/s10434-014-3965-2","article-title":"Management of primary retroperitoneal sarcoma (RPS) in the adult: A consensus approach from the Trans-Atlantic RPS Working Group","volume":"22","author":"Trans-Atlantic","year":"2015","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0370","unstructured":"NICE (National Institute for Health and Care Excellence) Sarcoma:Quality Standard (QS78). 2015, Disponible en: https:\/\/www.nice.org.UK\/guidance\/QS78"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0375","doi-asserted-by":"crossref","first-page":"4418","DOI":"10.1245\/s10434-016-5538-z","article-title":"The Trans-Atlantic Retroperitoneal SarcomaWorking Group (TARPSWG): \u201cRed wine or white\u201d?","volume":"23","author":"Tseng","year":"2016","journal-title":"Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0380","doi-asserted-by":"crossref","first-page":"2981","DOI":"10.1245\/s10434-012-2342-2","article-title":"Technical considerations in surgery for retroperitoneals saecomas: Position paper from E-surgery, a master class in sarcoma surgery, and EORTC- STBSG","volume":"19","author":"Bonvalot","year":"2002","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0385","first-page":"19","article-title":"Leiomyosaromaof infrarenal vena cava: Management in three cases and review of the literature","volume":"14","author":"Davins","year":"2007","journal-title":"Endovas Surg"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0515","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1002\/jso.24943","article-title":"Solft tissue of the pelvis: Technical and histological considerations","volume":"117","author":"Mullen","year":"2018","journal-title":"J.Surg Oncol."},{"key":"10.1016\/j.ciresp.2019.06.011_bib0395","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1007\/s00432-014-1667-6","article-title":"Multidisciplinary therapy for patients with locally oligo-recurrent pelvic malignancies","volume":"140","author":"Sole","year":"2014","journal-title":"J Cancer Res Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0400","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1200\/JCO.2001.19.13.3203","article-title":"Treatment-induced pathologic necrosis: A predictor of local recurrence and survival in patients receiving neoadjuvant therapy for high-grade extremity soft tissue sarcomas","volume":"19","author":"Eilber","year":"2001","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0405","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1097\/SLA.0000000000000978","article-title":"Effectiveness of regional hyperthermia with chemotherapy for high-risk retroperitoneal and abdominal soft-tissue sarcoma after complete surgical resection: A randomized phase-III multicenter study","volume":"260","author":"Angele","year":"2014","journal-title":"Ann Surg"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0410","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/j.ejca.2013.11.021","article-title":"Preoperative chemo-radiation therapy for localized retroperitoneal sarcoma: A phase I-II study form the Italian Sarcoma Group","volume":"50","author":"Gronchi","year":"2014","journal-title":"Eur J Cancer"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0415","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1016\/j.ejso.2015.07.014","article-title":"Impact of chemotherapy on survival in surgically resected retroperitoneal sarcoma","volume":"41","author":"Almond","year":"2015","journal-title":"EJSO"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0420","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1200\/JCO.2011.37.7218","article-title":"Short, full-dose adjuvant chemotherapy in high-risk adult soft tissue sarcomas: A randomized clinical trial from the Italian Sarcoma Group and the Spanish Sarcoma Group","volume":"30","author":"Gronchi","year":"2012","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0425","doi-asserted-by":"crossref","first-page":"2802","DOI":"10.1002\/cncr.30721","article-title":"Soft tissue sarcoma nomograms and their incorporation into practice","volume":"123","author":"Callegaro","year":"2017","journal-title":"Cancer"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0430","doi-asserted-by":"crossref","first-page":"3531","DOI":"10.1245\/s10434-016-5336-7","article-title":"Working Group Management of Recurrent Retroperitoneal Sarcoma (RPS) in the adult: A consensus approach from the Trans-Atlantic RPS Working Group","volume":"23","author":"Trans-Atlantic","year":"2016","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0435","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1093\/annonc\/mdy052","article-title":"Management of metastatic retroperitoneal sarcoma: A consensus approach from the Transatlantic Retroperitoneal Sarcoma Working Group (TARPSWG)","volume":"29","author":"MacNeil","year":"2018","journal-title":"Ann Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0440","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/S0140-6736(16)30587-6","article-title":"Olaratumab and doxorubicin versus doxorubicin alone for treatment of soft-tissue sarcoma: An open-label phase 1b and randomised phase 2 trial","volume":"388","author":"Tap","year":"2016","journal-title":"Lancet"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0445","doi-asserted-by":"crossref","first-page":"2528","DOI":"10.1200\/JCO.2010.33.6107","article-title":"Randomized phase II study comparing gemcitabine plus dacarbazine versus dacarbazine alone in patients with previously treated soft tissue sarcoma: A Spanish Group for Research on Sarcomas study","volume":"29","author":"Garc\u00eda del Muro","year":"2011","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0450","doi-asserted-by":"crossref","first-page":"1879","DOI":"10.1016\/S0140-6736(12)60651-5","article-title":"Pazopanib for metastatic soft-tissue sarcoma (PALETTE): A randomised, double-blind, placebo-controlled phase 3 trial","volume":"379","author":"Van der Graaf","year":"2012","journal-title":"Lancet"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0455","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1016\/S0140-6736(15)01283-0","article-title":"Eribulin versus dacarbazin in previously treated patients with advanced liposarcoma or leiomyosarcoma: A randomised open-label, multicentre, phase 3 trial","volume":"387","author":"Sch\u00f6ffski","year":"2016","journal-title":"The Lancet"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0460","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1002\/cncr.22005","article-title":"Preoperative radiation therapy with selective dose escalation to the margin al risk for retreoperitoneal sarcoma","volume":"107","author":"Tseng","year":"2006","journal-title":"Cancer"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0465","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.ijrobp.2006.08.023","article-title":"Intensity modulated radiation-therapy for preoperative posterior abdominal Wall irradiation of retroperitoneal liposarcomas","volume":"67","author":"Bossi","year":"2007","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0470","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/s13014-016-0751-2","article-title":"Intraoperative radiation therapy (IORT) insoft tissue sarcoma","volume":"12","author":"Roeder","year":"2017","journal-title":"Radiat Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0520","doi-asserted-by":"crossref","first-page":"3440","DOI":"10.1245\/s10434-016-5344-7","article-title":"Guidelines for the treatment of recurrent retroperitoneal sarcoma, Are we trying to fit a square peg into hole?","volume":"23","author":"Feig","year":"2016","journal-title":"Ann Surg Oncol."},{"key":"10.1016\/j.ciresp.2019.06.011_bib0480","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1016\/S1470-2045(16)30050-X","article-title":"Preoperative or postoperative radiotherapy versus surgery alone for retroperitoneal sarcoma: A case-control, propensity score-matched analysis of a nationwide clinical oncology database","volume":"17","author":"Nussbaun","year":"2016","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0490","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1093\/annonc\/mds516","article-title":"Should adjuvant radiotherapy be administered in addition to front-line aggressive surgery (FAS) in patients with primary retroperitoneal sarcoma?","volume":"24","author":"LeP\u00e9choux","year":"2013","journal-title":"Ann Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0495","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1097\/COC.0b013e3181f4796d","article-title":"Full-dose adjuvant postoperative radiation therapy for retroperitoneal sarcomas","volume":"34","author":"Pezner","year":"2011","journal-title":"Am J Clin Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0500","doi-asserted-by":"crossref","first-page":"3550","DOI":"10.1245\/s10434-008-0163-0","article-title":"Why do patients with low-grade solf tissue sarcoma die?","volume":"15","author":"Carter","year":"2008","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0505","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.ciresp.2014.02.002","article-title":"Diferences between en bloc resection and eucleation of sarcomas","volume":"92","author":"Gonzalez Lopez","year":"2014","journal-title":"Cir Esp"},{"key":"10.1016\/j.ciresp.2019.06.011_bib0510","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1245\/s10434-010-1057-5","article-title":"Aggressive surgery in retroperitonealsoft tissue sarcoma carried out higth volume centers is safe and associated with improve local control","volume":"17","author":"Bonvalot","year":"2010","journal-title":"Ann Surg Oncol"}],"container-title":["Cirug\u00eda Espa\u00f1ola"],"original-title":[],"language":"es","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0009739X1930226X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0009739X1930226X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T14:36:49Z","timestamp":1757860609000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0009739X1930226X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":50,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["S0009739X1930226X"],"URL":"https:\/\/doi.org\/10.1016\/j.ciresp.2019.06.011","relation":{},"ISSN":["0009-739X"],"issn-type":[{"value":"0009-739X","type":"print"}],"subject":[],"published":{"date-parts":[[2019,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Actualizaci\u00f3n en el manejo de sarcomas retroperitoneales y p\u00e9lvicos; el papel de la cirug\u00eda compartimental","name":"articletitle","label":"Article Title"},{"value":"Cirug\u00eda Espa\u00f1ola","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ciresp.2019.06.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 AEC. Published by Elsevier Espa\u00f1a, S.L.U. All rights reserved.","name":"copyright","label":"Copyright"}]}}