Key result
Multimodal prehabilitation shows promise in reducing postoperative pulmonary complications after lung resection.
Why the study?
Prehabilitation approaches are emerging across surgical disciplines to reduce perioperative morbidity by improving physical wellness, which may benefit patients undergoing lung cancer surgery.
Does prehabilitation reduce postoperative pulmonary complications in patients undergoing lung resection?
Does prehabilitation reduce postoperative pulmonary complications in patients undergoing lung resection?
Prehabilitation strategies combining respiratory and aerobic training with nutritional and psychological support may reduce perioperative morbidity in lung resection patients, but standardized protocols are still needed.
Hypothesis-generating for prehabilitation in lung resection; prospective RCTs needed before clinical adoption.
Extensive preventive strategies in the perioperative period are popular worldwide. Novel "prehabilitation" approaches are being defined for every individual surgical discipline. With intention to reduce perioperative morbidity, "prehabilitation" was developed to increase "physical wellness" considering exercise capacity, nutritional status, and psychological support. Thus, prehabilitation could be well-suited for patients undergoing lung cancer surgery. Theoretically, improving physical condition may increase the chances of having a better post-operative course, especially among frail patients. In this review, we describe the concept of prehabilitation with possible benefits, its role in the Enhanced Recovery After Surgery protocols, and its potential for the future.
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Bingül et al. (2023) conducted a review in Lung resection. Prehabilitation was evaluated on Postoperative pulmonary complications. Multimodal prehabilitation, including aerobic endurance and inspiratory muscle training, shows promise in reducing postoperative pulmonary complications following lung resection.
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