Wiskemann Joachim, Köppel Maximilian
AG Onkologische Sport- und Bewegungstherapie, Abteilung Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 460, Heidelberg, Deutschland.
Chirurgie (Heidelb). 2025 Jun;96(6):454-458. doi: 10.1007/s00104-025-02294-z. Epub 2025 May 2.
Numerous randomized controlled trials confirm the clinical importance of exercise therapy in the management of side effects of cancer treatment. Physically active cancer patients also have a better prognosis. Since it has been known that the physical performance level before surgery is a strong prognostic factor for the occurrence of perioperative complications, the focus of interest has also been on exercise therapy-based prehabilitation. Studies in this field show that even very short interventions (2-4 weeks) can achieve lower perioperative complication rates, particularly for pulmonary complications. Even if the evidence is still limited, it can be concluded that every patient should be offered exercise therapy prehabilitation in preparation for major pulmonary or gastrointestinal surgical interventions. However, there are so far hardly any treatment structures that make this currently possible.
大量随机对照试验证实了运动疗法在癌症治疗副作用管理中的临床重要性。积极进行身体活动的癌症患者预后也更好。由于术前身体机能水平是围手术期并发症发生的一个强有力的预后因素，因此人们的关注焦点也集中在了基于运动疗法的术前康复上。该领域的研究表明，即使是非常短的干预措施（2 - 4周）也能降低围手术期并发症发生率，尤其是肺部并发症。即使证据仍然有限，但可以得出结论，对于准备进行重大肺部或胃肠道手术的患者，都应提供运动疗法术前康复。然而，目前几乎没有任何治疗结构能够实现这一点。
