{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:52:12Z","timestamp":1785891132886,"version":"3.56.0"},"reference-count":53,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004572","name":"National Health Commission of the People&apos;s Republic of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004572","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014125","name":"Fujian Provincial Health Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejso.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ejso.2026.111922","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T16:32:55Z","timestamp":1780936375000},"page":"111922","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Continuous skeletal muscle gauge enhances preoperative risk stratification in intrahepatic cholangiocarcinoma: A multicenter study"],"prefix":"10.1016","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1721-2669","authenticated-orcid":false,"given":"Liquan","family":"Shen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6771-2016","authenticated-orcid":false,"given":"Dihang","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianlin","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guixiang","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ge","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junyong","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifeng","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8207-7479","authenticated-orcid":false,"given":"Shi","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejso.2026.111922_bib1","first-page":"198","article-title":"Advances in the treatment of intrahepatic cholangiocarcinoma: an overview of the current and future therapeutic landscape for clinicians","volume":"73","author":"Moris","year":"2023","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.ejso.2026.111922_bib2","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jhep.2023.03.010","article-title":"EASL-ILCA clinical practice guidelines on the management of intrahepatic cholangiocarcinoma","volume":"79","author":"Alvaro","year":"2023","journal-title":"J Hepatol"},{"key":"10.1016\/j.ejso.2026.111922_bib3","doi-asserted-by":"crossref","first-page":"474","DOI":"10.21147\/j.issn.1000-9604.2024.05.02","article-title":"Epidemiology of biliary tract cancer in China: a narrative review","volume":"36","author":"Zhou","year":"2024","journal-title":"Chin J Cancer Res"},{"key":"10.1016\/j.ejso.2026.111922_bib4","article-title":"Development and validation of a new prognostic immune\u2013inflammatory\u2013nutritional score for predicting outcomes after curative resection for intrahepatic cholangiocarcinoma: a multicenter study","volume":"14","author":"Zhu","year":"2023","journal-title":"Front Immunol"},{"key":"10.1016\/j.ejso.2026.111922_bib5","doi-asserted-by":"crossref","first-page":"3891","DOI":"10.1016\/j.clnu.2021.04.038","article-title":"Combination of albumin-globulin score and skeletal muscle index predicts long-term outcomes of intrahepatic cholangiocarcinoma patients after curative resection","volume":"40","author":"Li","year":"2021","journal-title":"Clin Nutr"},{"key":"10.1016\/j.ejso.2026.111922_bib6","doi-asserted-by":"crossref","first-page":"669","DOI":"10.21037\/jgo-20-341","article-title":"Prognostic value and association of sarcopenic obesity and systemic inflammatory indexes in patients with hepatocellular carcinoma following hepatectomy and the establishment of novel predictive nomograms","volume":"12","author":"Liao","year":"2021","journal-title":"J Gastrointest Oncol"},{"key":"10.1016\/j.ejso.2026.111922_bib7","doi-asserted-by":"crossref","first-page":"afae052","DOI":"10.1093\/ageing\/afae052","article-title":"The conceptual definition of sarcopenia: delphi consensus from the global leadership Initiative in Sarcopenia (GLIS)","volume":"53","author":"Kirk","year":"2024","journal-title":"Age Ageing"},{"key":"10.1016\/j.ejso.2026.111922_bib8","doi-asserted-by":"crossref","first-page":"4238","DOI":"10.1097\/JS9.0000000000000688","article-title":"Impact of sarcopenia on outcomes in surgical patients: a systematic review and meta-analysis","volume":"109","author":"Knoedler","year":"2023","journal-title":"Int J Surg"},{"key":"10.1016\/j.ejso.2026.111922_bib9","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1159\/000486867","article-title":"Low skeletal muscle density is associated with early death in patients with perihilar cholangiocarcinoma regardless of subsequent treatment","volume":"36","author":"van Vugt","year":"2019","journal-title":"Dig Surg"},{"key":"10.1016\/j.ejso.2026.111922_bib10","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1001\/jamaoncol.2018.0137","article-title":"Association of muscle and adiposity measured by computed tomography with survival in patients with nonmetastatic breast cancer","volume":"4","author":"Caan","year":"2018","journal-title":"JAMA Oncol"},{"key":"10.1016\/j.ejso.2026.111922_bib11","doi-asserted-by":"crossref","first-page":"3005","DOI":"10.1245\/s10434-024-14913-w","article-title":"Predictive value of a new muscle parameter in patients with resectable gastric cancer: a pooled analysis of three prospective trials","volume":"31","author":"Zhong","year":"2024","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ejso.2026.111922_bib12","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1002\/jcsm.12440","article-title":"Muscle radiodensity loss during cancer therapy is predictive for poor survival in advanced endometrial cancer","volume":"10","author":"Lee","year":"2019","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.ejso.2026.111922_bib13","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1002\/jpen.1597","article-title":"Cancer\u2010associated malnutrition and CT\u2010defined sarcopenia and myosteatosis are endemic in overweight and obese patients","volume":"44","author":"Martin","year":"2020","journal-title":"J Parenter Enteral Nutr"},{"key":"10.1016\/j.ejso.2026.111922_bib14","doi-asserted-by":"crossref","DOI":"10.1016\/j.nut.2019.110642","article-title":"Prognostic value of muscle measurement using the standardized phase of computed tomography in patients with advanced ovarian cancer","volume":"72","author":"Huang","year":"2020","journal-title":"Nutrition"},{"key":"10.1016\/j.ejso.2026.111922_bib15","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1158\/1078-0432.CCR-16-0940","article-title":"Skeletal muscle measures as predictors of toxicity, hospitalization, and survival in patients with metastatic breast cancer receiving taxane-based chemotherapy","volume":"23","author":"Shachar","year":"2017","journal-title":"Clin Cancer Res"},{"key":"10.1016\/j.ejso.2026.111922_bib16","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1111\/tbj.12952","article-title":"Beyond sarcopenia: characterization and integration of skeletal muscle quantity and radiodensity in a curable breast cancer population","volume":"24","author":"Weinberg","year":"2018","journal-title":"Breast J"},{"key":"10.1016\/j.ejso.2026.111922_bib17","doi-asserted-by":"crossref","first-page":"8451","DOI":"10.1002\/cam4.4354","article-title":"Skeletal muscle gauge as a prognostic factor in patients with colorectal cancer","volume":"10","author":"Park","year":"2021","journal-title":"Cancer Med"},{"key":"10.1016\/j.ejso.2026.111922_bib18","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1159\/000522403","article-title":"Liver cancer study group of Japan clinical practice guidelines for intrahepatic cholangiocarcinoma","volume":"11","author":"Kubo","year":"2022","journal-title":"Liver Cancer"},{"key":"10.1016\/j.ejso.2026.111922_bib19","doi-asserted-by":"crossref","first-page":"403","DOI":"10.6004\/jnccn.2025.0042","article-title":"Biliary tract cancers, version 2.2025, NCCN clinical practice guidelines in oncology","volume":"23","author":"Benson","year":"2025","journal-title":"J Natl Compr Cancer Netw"},{"key":"10.1016\/j.ejso.2026.111922_bib22","first-page":"93","article-title":"The eighth edition AJCC cancer staging manual: continuing to build a bridge from a population\u2010based to a more \u201cpersonalized\u201d approach to cancer staging","volume":"67","author":"Amin","year":"2017","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.ejso.2026.111922_bib23","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1002\/jcsm.12573","article-title":"Evaluation of automated computed tomography segmentation to assess body composition and mortality associations in cancer patients","volume":"11","author":"Cespedes Feliciano","year":"2020","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.ejso.2026.111922_bib24","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jhep.2015.02.031","article-title":"Sarcopenia, intramuscular fat deposition, and visceral adiposity independently predict the outcomes of hepatocellular carcinoma","volume":"63","author":"Fujiwara","year":"2015","journal-title":"J Hepatol"},{"key":"10.1016\/j.ejso.2026.111922_bib25","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s41747-019-0122-5","article-title":"Reproducibility of semiautomated body composition segmentation of abdominal computed tomography: a multiobserver study","volume":"3","author":"Kj\u00f8nigsen","year":"2019","journal-title":"Eur Radiol Exp"},{"key":"10.1016\/j.ejso.2026.111922_bib26","doi-asserted-by":"crossref","first-page":"1712","DOI":"10.1016\/j.surg.2022.09.007","article-title":"Impact of sarcopenia on the surgical outcomes in patients with hepatolithiasis: a multicenter 10-year experience","volume":"172","author":"Wang","year":"2022","journal-title":"Surgery"},{"key":"10.1016\/j.ejso.2026.111922_bib27","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/j.ejso.2022.12.009","article-title":"Textbook outcomes of hepatocellular carcinoma patients with sarcopenia: a multicenter analysis","volume":"49","author":"Wu","year":"2023","journal-title":"Eur J Surg Oncol"},{"key":"10.1016\/j.ejso.2026.111922_bib28","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1002\/jcsm.12267","article-title":"Loss of skeletal muscle during systemic chemotherapy is prognostic of poor survival in patients with foregut cancer","volume":"9","author":"Daly","year":"2018","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.ejso.2026.111922_bib29","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1002\/jcsm.12039","article-title":"Sarcopenic obesity and myosteatosis are associated with higher mortality in patients with cirrhosis: sarcopenic obesity and myosteatosis in cirrhosis","volume":"7","author":"Montano-Loza","year":"2016","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.ejso.2026.111922_bib30","doi-asserted-by":"crossref","first-page":"7252","DOI":"10.1158\/1078-0432.CCR-04-0713","article-title":"X-tile: a new bio-informatics tool for biomarker assessment and outcome-based cut-point optimization","volume":"10","author":"Camp","year":"2004","journal-title":"Clin Cancer Res"},{"key":"10.1016\/j.ejso.2026.111922_bib31","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.3390\/jcm11061530","article-title":"Preoperative assessment of skeletal muscle mass and muscle quality using computed tomography: incidence of sarcopenia in patients with intrahepatic cholangiocarcinoma selected for liver resection","volume":"11","author":"Ardito","year":"2022","journal-title":"J Clin Med"},{"key":"10.1016\/j.ejso.2026.111922_bib32","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejso.2024.108246","article-title":"Impact of sarcopenia on the short-term and long-term outcomes of intrahepatic cholangiocarcinoma undergoing hepatectomy: a multi-center study","volume":"50","author":"Li","year":"2024","journal-title":"Eur J Surg Oncol"},{"key":"10.1016\/j.ejso.2026.111922_bib33","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.nutres.2021.08.003","article-title":"Myosteatosis reduces overall survival in patients with digestive system malignancies: a meta-analysis with trial sequential analysis","volume":"94","author":"Wang","year":"2021","journal-title":"Nutr Res"},{"key":"10.1016\/j.ejso.2026.111922_bib34","article-title":"Skeletal muscle gauge as a prognosticator of survival in resected early-stage non-small cell lung cancer","author":"Khan","year":"2025","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ejso.2026.111922_bib35","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1136\/ijgc-2022-003387","article-title":"Quality is more important than quantity: Pre-operative sarcopenia is associated with poor survival in advanced ovarian cancer","volume":"32","author":"Polen-De","year":"2022","journal-title":"Int J Gynecol Cancer"},{"key":"10.1016\/j.ejso.2026.111922_bib36","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1016\/j.numecd.2020.02.021","article-title":"Trunk muscle quality and quantity predict the development of metabolic syndrome and the increase in the number of its components in individuals without metabolic syndrome","volume":"30","author":"Tanaka","year":"2020","journal-title":"Nutr Metab Cardiovasc Dis"},{"key":"10.1016\/j.ejso.2026.111922_bib37","first-page":"2432","article-title":"Myosteatosis and the survival of patients with hepatocellular carcinoma: a meta-analysis","volume":"38","author":"Wu","year":"2019","journal-title":"Clin Nutr"},{"key":"10.1016\/j.ejso.2026.111922_bib38","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1097\/RLI.0000000000001012","article-title":"Muscle reference values from thoracic and abdominal CT for sarcopenia assessment: the Framingham Heart Study","volume":"59","author":"Tonnesen","year":"2024","journal-title":"Investig Radiol"},{"key":"10.1016\/j.ejso.2026.111922_bib39","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1002\/jcsm.12848","article-title":"Percentile-based averaging and skeletal muscle gauge improve body composition analysis: validation at multiple vertebral levels","volume":"13","author":"Marquardt","year":"2022","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.ejso.2026.111922_bib40","doi-asserted-by":"crossref","DOI":"10.1016\/j.esmoop.2021.100092","article-title":"Cancer cachexia in adult patients: ESMO clinical practice guidelines","volume":"6","author":"Arends","year":"2021","journal-title":"ESMO Open"},{"key":"10.1016\/j.ejso.2026.111922_bib41","doi-asserted-by":"crossref","DOI":"10.3389\/fphys.2020.597675","article-title":"Inflammation and skeletal muscle wasting during cachexia","volume":"11","author":"Webster","year":"2020","journal-title":"Front Physiol"},{"key":"10.1016\/j.ejso.2026.111922_bib42","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1038\/nature07205","article-title":"Cancer-related inflammation","volume":"454","author":"Mantovani","year":"2008","journal-title":"Nature"},{"key":"10.1016\/j.ejso.2026.111922_bib43","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1002\/jcsm.12043","article-title":"Skeletal muscle wasting in cachexia and sarcopenia: molecular pathophysiology and impact of exercise training: muscle wasting and exercise training","volume":"6","author":"Bowen","year":"2015","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.ejso.2026.111922_bib44","first-page":"456.e19","article-title":"Changes in skeletal muscle and adipose tissue during cytotoxic chemotherapy for testicular germ cell carcinoma and associations with adverse events","volume":"40","author":"Phuong","year":"2022","journal-title":"Urol Oncol Semin Orig Investig"},{"key":"10.1016\/j.ejso.2026.111922_bib45","doi-asserted-by":"crossref","DOI":"10.1136\/jitc-2020-000821","article-title":"Impact of body composition on outcomes from anti-PD1 +\/\u2212 anti-CTLA-4 treatment in melanoma","volume":"8","author":"Young","year":"2020","journal-title":"J Immunother Cancer"},{"key":"10.1016\/j.ejso.2026.111922_bib46","first-page":"168","article-title":"The anathema of arbitrary categorization of continuous predictors","volume":"206","author":"Vintzileos","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ejso.2026.111922_bib47","doi-asserted-by":"crossref","first-page":"1080.1","DOI":"10.1136\/bmj.332.7549.1080","article-title":"The cost of dichotomising continuous variables","volume":"332","author":"Altman","year":"2006","journal-title":"Br Med J"},{"key":"10.1016\/j.ejso.2026.111922_bib48","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1111\/1759-7714.15313","article-title":"Exploring previously used thresholds for computed tomography\u2010defined low skeletal muscle mass in predicting functional limitations among lung cancer patients","volume":"15","author":"Timsina","year":"2024","journal-title":"Thorac Cancer"},{"key":"10.1016\/j.ejso.2026.111922_bib49","article-title":"Subcutaneous and visceral adipose tissue reference values from the Framingham Heart Study thoracic and abdominal CT","volume":"25","author":"Marquardt","year":"2024","journal-title":"Investig Radiol"},{"key":"10.1016\/j.ejso.2026.111922_bib50","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1002\/jcsm.12848","article-title":"Percentile-based averaging and skeletal muscle gauge improve body composition analysis: validation at multiple vertebral levels","volume":"13","author":"Marquardt","year":"2022","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.ejso.2026.111922_bib51","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1016\/j.pan.2018.09.004","article-title":"Dilemma of elevated CA 19-9 in biliary pathology","volume":"18","author":"Tsen","year":"2018","journal-title":"Pancreatology"},{"key":"10.1016\/j.ejso.2026.111922_bib52","doi-asserted-by":"crossref","first-page":"2888","DOI":"10.1245\/s10434-020-08350-8","article-title":"The impact of preoperative CA19-9 and CEA on outcomes of patients with intrahepatic cholangiocarcinoma","volume":"27","author":"Moro","year":"2020","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ejso.2026.111922_bib53","doi-asserted-by":"crossref","first-page":"749","DOI":"10.21037\/hbsn-20-332","article-title":"Development and validation of a machine learning-based nomogram for prediction of intrahepatic cholangiocarcinoma in patients with intrahepatic lithiasis","volume":"10","author":"Shen","year":"2021","journal-title":"Hepatobiliary Surg Nutr"},{"key":"10.1016\/j.ejso.2026.111922_bib54","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.ejso.2020.09.002","article-title":"The prognostic value of sarcopenia combined with hepatolithiasis in intrahepatic cholangiocarcinoma patients after surgery: a prospective cohort study","volume":"47","author":"Deng","year":"2021","journal-title":"Eur J Surg Oncol"},{"key":"10.1016\/j.ejso.2026.111922_bib55","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1245\/s10434-016-5751-9","article-title":"Prognosis of intrahepatic cholangiocarcinomas with HBV infection is better than those with hepatolithiasis after R0 liver resection: a propensity score matching analysis","volume":"24","author":"Wang","year":"2017","journal-title":"Ann Surg Oncol"}],"container-title":["European Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074879832600541X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074879832600541X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:26:16Z","timestamp":1785889576000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S074879832600541X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":53,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S074879832600541X"],"URL":"https:\/\/doi.org\/10.1016\/j.ejso.2026.111922","relation":{},"ISSN":["0748-7983"],"issn-type":[{"value":"0748-7983","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Continuous skeletal muscle gauge enhances preoperative risk stratification in intrahepatic cholangiocarcinoma: A multicenter study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Surgical Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejso.2026.111922","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"111922"}}