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Review
. 2023 Oct 2:10:1196981.
doi: 10.3389/fmed.2023.1196981. eCollection 2023.

Prehabilitation: a narrative review focused on exercise therapy for the prevention of postoperative pulmonary complications following lung resection

Emre Sertaç Bingül  1 , Nüzhet Mert Şentürk  2 , Ata Murat Kaynar  3   4   5   6
Affiliations
Review

Prehabilitation: a narrative review focused on exercise therapy for the prevention of postoperative pulmonary complications following lung resection

Emre Sertaç Bingül et al. Front Med (Lausanne). .

Abstract

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.

Keywords: enhanced recovery after surgery; lung resection; physical fitness; prehabilitation; thoracic anesthesia; thoracic surgery.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Brief diagram of preoperative evaluation for lung resection surgery patients (19, 30). FEV1, forced expiratory volume in one second; DLCO, diffusion capacity of the lung for carbon monoxide; ppo, predicted postoperative; SCT, stair climbing test; SWT, Shuttle-walk test; CPET, cardiopulmonary exercise test. Pulmonary function test parameters are also presented using European Respiratory Society recommendations (29).
Figure 2
Figure 2
Multimodal approach of prehabilitation.
Figure 3
Figure 3
Malnutrition universal screening tool (MUST) (77, 78).
See this image and copyright information in PMC

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