Detemble Charlotte, Schnitzbauer Andreas A
Knappschaft Kliniken Universitätsklinikum Bochum, Klinik für Chirurgie, Ruhr-Universität Bochum, In der Schornau 23-25, 44892, Bochum, Deutschland.
Chirurgie (Heidelb). 2025 May 12. doi: 10.1007/s00104-025-02292-1.
Prehabilitation is rehabilitation before surgery. This emerging discipline within the canon of perioperative patient optimization is increasingly being incorporated into treatment strategies for patients undergoing major surgical procedures. This narrative review primarily presents the evidence for nononcological patients.
Thie article gives a systematic review of the literature.
The specific evidence for prehabilitation in nononcological visceral surgery is low. Most publications have examined mixed patient populations. Nevertheless, across the publications, patients benefit from prehabilitation measures and significantly fewer complications are observed. One group that particularly benefits are patients with pre-existing frailty. Prehabilitation should be incorporated into the preparation for major surgery, regardless of whether for oncological or nononcological patients, especially considering that only 10% of all guideline recommendations are based on high-quality evidence.
术前康复是手术前的康复。这一围手术期患者优化领域内新兴的学科正越来越多地被纳入接受大型外科手术患者的治疗策略中。本叙述性综述主要呈现非肿瘤患者的相关证据。
本文对文献进行了系统综述。
非肿瘤内脏手术中术前康复的具体证据较少。大多数出版物研究的是混合患者群体。然而，在所有出版物中，患者都从术前康复措施中获益，且观察到的并发症明显减少。一个特别受益的群体是已存在虚弱状况的患者。术前康复应纳入大型手术的准备过程中，无论患者是肿瘤患者还是非肿瘤患者，尤其考虑到所有指南建议中只有10%基于高质量证据。
