Role of nutritional status in the early postoperative prognosis of patients operated for retroperitoneal liposarcoma (RLS): A single center experience

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
Krassen M KirovSylvie Bonvalot

Abstract

To assess the nutritional status and its role in the outcome of patients operated for retroperitoneal liposarcoma (RLS). Retrospective study on consecutive patients operated with en bloc compartment resection for primary or local recurrence of RLS between 2016 and 2017. Preoperative nutritional and laboratory assessment comprising serum albumin, serum transthyretin, orosomucoid, and CRP was systematically performed. The following preoperative parameters were analysed: weight, body mass index (BMI), significant weight loss (>5% in one month and/or >10% in 6 months), serum albumin, transthyretin, CRP, orosomucoid. PINI (prognostic inflammatory and nutritional index) was calculated. There were 40 patients operated for RLS: 22 women and 18 men with a median age of 61 years (34-90). Median tumour was 280 mm (80-530). Median preoperative BMI was 24.8 (18-42) and median postoperative BMI was 23 (17.8-44). Twenty-one patients (52.5%) were considered to be malnourished: 3 with biological signs of malnutrition and 18 with weight loss. Eleven (47.6%) in the group of malnourished patients and 4 (26.3%) in the group with satisfactory nutritional status developed postoperative complications (p = 0.042). A PINI score>1 was related to signific...Continue Reading

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Citations

Jun 28, 2019·Current Opinion in Clinical Nutrition and Metabolic Care·Daniel J TabernaJose A Martinez
Aug 8, 2019·Current Opinion in Supportive and Palliative Care·Shilpa Mukunda Chowdhry, Varun Kumar Chowdhry
Mar 14, 2020·Journal of Surgical Oncology·Sam Z ThaljiUNKNOWN other members of the US Sarcoma Collaborative
Aug 19, 2020·Journal of Surgical Oncology·Yael NetanyahuEran Nizri
Feb 2, 2021·World Journal of Clinical Cases·Qi-Gang ZhengXiao-Jun Huang
Apr 15, 2021·Annals of Surgical Oncology·Carol J SwallowUNKNOWN Transatlantic Australasian RPS Working Group (TARPSWG)
Jul 1, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Luca ImprotaSylvie Bonvalot
Jan 16, 2022·Annals of Surgical Oncology·Marco BaiaMarco Fiore

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