07 april 2023

Multimodal Prehabilitation in Patients Undergoing Complex Colorectal Surgery,

Liver Resection, and Hyperthermic Intraperitoneal Chemotherapy (HIPEC): A Pilot Study on Feasibility and Potential Efficacy. Surgery plays a key role in the treatment of metastatic bowel cancer. Over the last years, more patients with metastatic bowel cancer are surgically treated, leading to increased survival rates.

However, the surgical procedure is associated with a high risk of complications after surgery (up to 75%), such as bleeding, wound healing disorders, anastomotic leakage, and medical complications. Research has shown that prehabilitation improves outcomes after surgery for bowel cancer: it lowers the risk of complications and reduces the length of stay after surgery. Prehabilitation is a process of improving a patient’s condition between the time of diagnosis and the surgical procedure to enable a patient to withstand this stressful event. Most prehabilitation programs comprise multiple modalities, including an exercise program, nutritional intervention, psychological support, and intoxication cessation support. It is suggested that multimodal prehabilitation might also improve outcomes after procedures for metastatic bowel cancer. This pilot study aimed to determine the feasibility and potential efficacy of a prehabilitation program for patients undergoing surgery for metastases from bowel cancer. Lees hier verder.