手術前後
運動強化

Prehabilitation
Rehabilitation for Surgery

Exercise before surgery promotes recovery

Latest high quality research shows that preoperative exercise in patients scheduled for cardiovascular surgery is well tolerated and effective1.
In addition, circumstantial evidence suggests preoperative exercise for thoracic, abdominal and major joint replacement surgery is effective, provided that this is offered to the high-risk patients1.

1. Hoogeboom T.J., Dronkers J.J., Hulzebos E.H.J., van Meeteren N.L.U. Merits of exercise therapy before and after major surgery. Curr Opin Anaesthesiol. 2014;27(2):161.

Harrison Medical

Exercising before major abdominal surgery can reduce risk of lung problems and reduce overall morbidity

Liver surgery

Colorectal surgery

General abdominal surgery

Stomach surgery

Esophageal surgery

A meta-analysis of 8 studies in which 442 patients underwent liver, colorectal, gastroesophageal, and general abdominal surgery showed preoperative exercise significantly reduced pulmonary complications as well as in postoperative overall morbidity in exercise group2.

2. A Systematic Review and Meta-analysis of Physical Exercise Prehabilitation in Major Abdominal Surgery Heger, P., Probst, P., Wiskemann, J. et al. J Gastrointest Surg (2019).

Montreal Study on prehabilitation program on Colorectal Cancer Surgery

Body strengthening before surgery

In the study 116 colorectal cancer patients were either assigned to a prehabilitation group or control.

Results shows only 4 weeks of training lead to a significant improvement in physical function3.

3. Chen BP, Awasthi R, Sweet SN, Minnella EM, Bergdahl A, Santa Mina D, Carli F, Scheede-Bergdahl C. Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer. Support Care Cancer. 2017;25(1):33–40.

Exercise and rehabilitation after Non small cell lung cancer surgery

01

Healthier after surgery with 6 months of exercise

Patients with non-small cell lung cancer (NSCLC) who are more active before and after surgery up to 6 months reported better health outcomes after half a year4.

02

Reduce complications and increase mobility

Meta-analytic evidence shows that pre-operative exercise training shortens hospital stays, reduces the chance of complications, and improves 6-minute walking test capabilities5.

4. Physical behavior and associations with health outcomes in operable NSCLC patients: A prospective study Timmerman, J.G. (Josien) et al. Lung Cancer, Volume 119, 91 - 98
5. Hui-Juan Ni, Bigyan Pudasaini, Xun-Tao Yuan, He-Fang Li, Lei Shi, Ping Yuan Integr Cancer Ther. 2017 Mar; 16(1): 63–73. Published online 2016 May 5.

Clinical results stated that pre-exercise for Liver, gallbladder, pancreas, bile duct surgery results in superior outcome

Liver surgery

Gallbladder surgery

Bile duct surgery

Pancreas surgery

152 patients in which half performed physical fitness training before liver, gall, pancreas, and bile duct surgery, analysis showed that in the exercise group serum albumin rose instead of fall, the muscle to fat ratio improved, 6-minute walking test was better and discharge time was accelerated6.

6. Clinical Benefit of Preoperative Exercise and Nutritional Therapy for Patients Undergoing Hepato-Pancreato-Biliary Surgeries for Malignancy; Hiroki Nakajima, Yukihiro Yokoyama, Takayuki Inoue, Motoki Nagaya, Yota Mizuno, Izumi Kadono, Kimitoshi Nishiwaki, Yoshihiro Nishida, Masato Nagino Ann Surg Oncol. 2018 Oct 26 Published online 2018 Oct 26.

With professional guidance, exercise before and after surgery can safely enhance the body’s ability to recover and reduce hospital stay.

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