Contemporary Opportunity for Prehabilitation as Part of an Enhanced Recovery after Surgery Pathway in Colorectal Surgery

Zhi Ven Fong; David C. Chang; Keith D. Lillemoe; Ryan D. Nipp; Kenneth K. Tanabe; Motaz Qadan

doi:10.1055/s-0038-1676473

Clinics in Colon and Rectal Surgery, Table of Contents

Clin Colon Rectal Surg 2019; 32(02): 095-101
DOI: 10.1055/s-0038-1676473

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Contemporary Opportunity for Prehabilitation as Part of an Enhanced Recovery after Surgery Pathway in Colorectal Surgery

Zhi Ven Fong

¹Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

,

David C. Chang

¹Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

,

Keith D. Lillemoe

²Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

,

Ryan D. Nipp

³Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

,

Kenneth K. Tanabe

²Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

,

Motaz Qadan

²Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts

› Author Affiliations

Abstract

The implementation of upfront, preoperative habilitation (“prehabilitation”), as opposed to postoperative habilitation (rehabilitation), provides a unique opportunity to optimize surgical outcomes, while ensuring that patients receive necessary conditioning that may otherwise be significantly delayed by postoperative complications. In this review, opportunities to design, implement, monitor, and evaluate a surgical prehabilitation program in colorectal surgery are discussed, and broken down to include emotional, physical, and nutritional aspects of care in the preoperative setting.

Keywords

prehabilitation - optimization - colorectal surgery - surgical oncology - cancer - nutrition - exercise

Full Text

References

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