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Related Experiment Video

Updated: Apr 14, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Consensus Guidelines on Perioperative Care in Primary Retroperitoneal Sarcoma Surgery.

Pablo Lozano Lominchar1, Óscar Díaz-Cambronero2, Paula Muñoz-Muñoz3

  • 1Department of General Surgery and Surgical Oncology, Hospital General Universitario Gregorio Maranon. IISGM, Madrid, Spain.

Annals of Surgical Oncology
|April 13, 2026
PubMed

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Surgical Management and Therapeutic Strategy of Uterine Sarcoma According to Histological Subtype and Staging: Updated Review and Recommendations.

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Turning Difficult Conversations into Opportunities.

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STRN::NTRK3-fused neoplasm with "monster cells" in the pelvis of a young adult female: expanding the clinicopathologic spectrum of NTRK-rearranged neoplasms.

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Summary
This summary is machine-generated.

This study establishes the first consensus-based guidelines for perioperative care in primary retroperitoneal sarcomas (RPS) surgery. These recommendations aim to standardize treatment and improve outcomes for patients undergoing this complex procedure.

Area of Science:

  • Surgical Oncology
  • Multidisciplinary Care

Background:

  • Primary retroperitoneal sarcomas (RPS) are rare, aggressive malignancies.
  • Standardized Enhanced Recovery After Surgery (ERAS) protocols are lacking for RPS.
  • Expert consensus is needed to optimize perioperative management.

Purpose of the Study:

  • To develop consensus-based guidelines for perioperative care in primary RPS surgery.
  • To standardize clinical practice and reduce outcome variability.
  • To improve surgical and recovery outcomes for high-risk RPS patients.

Main Methods:

  • A multidisciplinary expert panel was convened.
  • A modified Delphi process was employed, including literature review and structured voting.
  • Recommendations were graded using the GRADE framework, with consensus defined as ≥80% agreement.
Keywords:
Consensus guidelinesERASEnhanced recoveryPerioperative careRetroperitoneal sarcomaSurgical oncology

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Main Results:

  • 42 recommendations were proposed covering preoperative, intraoperative, and postoperative care.
  • 33 recommendations achieved consensus (17 weak, 16 strong).
  • Recommendations addressed anemia, nutrition, fluid therapy, analgesia, and mobilization, often supported by evidence from related surgical fields.

Conclusions:

  • These are the first multidisciplinary, consensus-based guidelines for primary RPS perioperative care.
  • The guidelines aim to harmonize practice and enhance patient outcomes.
  • Further prospective validation and international collaboration are recommended.