Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Feb 3;36(3):175-183.
doi: 10.1055/s-0043-1760870. eCollection 2023 May.

Smoking Cessation for Preoperative Optimization

Joceline V Vu  1 , Alisha Lussiez  2
Affiliations
Review

Smoking Cessation for Preoperative Optimization

Joceline V Vu et al. Clin Colon Rectal Surg. .

Abstract

Cigarette smoking is associated with pulmonary and cardiovascular disease and confers increased postoperative morbidity and mortality. Smoking cessation in the weeks before surgery can mitigate these risks, and surgeons should screen patients for smoking before a scheduled operation so that appropriate smoking cessation education and resources can be given. Interventions that combine nicotine replacement therapy, pharmacotherapy, and counseling are effective to achieve durable smoking cessation. When trying to stop smoking in the preoperative period, surgical patients experience much higher than average cessation rates compared with the general population, indicating that the time around surgery is ripe for motivating and sustaining behavior change. This chapter summarizes the impact of smoking on postoperative outcomes in abdominal and colorectal surgery, the benefits of smoking cessation, and the impact of interventions aimed to reduce smoking before surgery.

Keywords: colorectal surgery; smoking; smoking cessation; tobacco abuse.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

References

    1. Abdel-Halim M R, Moore H M, Cohen P, Dawson P, Buchanan G N. Impact of laparoscopic right hemicolectomy for colon cancer. Ann R Coll Surg Engl. 2010;92(03):211–217. - PMC - PubMed
    1. Senagore A J. Adoption of laparoscopic colorectal surgery: it was quite a journey. Clin Colon Rectal Surg. 2015;28(03):131–134. - PMC - PubMed
    1. Alvarez M P, Foley K E, Zebley D M, Fassler S A. Comprehensive enhanced recovery pathway significantly reduces postoperative length of stay and opioid usage in elective laparoscopic colectomy. Surg Endosc. 2015;29(09):2506–2511. - PubMed
    1. Lloyd G M, Kirby R, Hemingway D M, Keane F B, Miller A S, Neary P. The RAPID protocol enhances patient recovery after both laparoscopic and open colorectal resections. Surg Endosc. 2010;24(06):1434–1439. - PubMed
    1. Vu J V, Collins S D, Seese E. Evidence that a regional surgical collaborative can transform care: surgical site infection prevention practices for colectomy in Michigan. J Am Coll Surg. 2018;226(01):91–99. - PubMed