Department of Anesthesia, McGill University Health Center, Montreal General Hospital, 1650 Avenue Cedar, Montréal, QC H3G 1A4, Canada.
Curr Opin Anaesthesiol. 2020 Jun;33(3):411-416. doi: 10.1097/ACO.0000000000000854.
Surgery poses major threats to functional independence. Prehabilitation is a preoperative conditioning intervention that aims to prevent or attenuate surgery-related functional decline and its consequences. The present review is to summarize most recent evidence on the effectiveness of prehabilitation on key topics in cancer care, such as perioperative functional capacity, surgical and oncologic outcomes.
Recent studies predominantly focus on functional outcomes, demonstrating a positive effect of prehabilitation on perioperative physical fitness.
Prehabilitation prevents functional decline associated with major cancer surgery. Evidence is still needed to support its effectiveness in relation to postoperative complication, length of hospital stay, tumor progression, response to medical treatment, and survival. Ongoing and future research is essential to prompt the role of perioperative medicine in cancer care.
手术对功能独立性构成重大威胁。术前康复是一种术前调理干预措施，旨在预防或减轻与手术相关的功能下降及其后果。本综述旨在总结术前康复在癌症治疗关键领域的最新证据，例如围手术期功能能力、手术和肿瘤学结果。
最近的研究主要集中在功能结果上，证明了术前康复对围手术期身体健康的积极影响。
术前康复可预防与重大癌症手术相关的功能下降。仍需要证据支持其在术后并发症、住院时间、肿瘤进展、对治疗的反应和生存方面的有效性。正在进行和未来的研究对于促进围手术期医学在癌症治疗中的作用至关重要。
