Preconditioning prior to visceral oncological surgery. A paradigm shift in visceral surgery?

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • D Pfirrmann
  • P Simon
  • M Mehdorn
  • M Haensig
  • S Stehr
  • L Selig
  • A Weimann
  • M Knoedler
  • F Lordick
  • A Mehnert
  • I Gockel
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000451769800008&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1007/s00104-018-0709-z
eISSN
1433-0385
Externe Identifier
  • Clarivate Analytics Document Solution ID: HC4JO
  • PubMed Identifier: 30280204
ISSN
0009-4722
Ausgabe der Veröffentlichung
11
Zeitschrift
CHIRURG
Schlüsselwörter
  • Preconditioning
  • Perioperative complications
  • Physical activity
  • Exercise
  • Nutritional status
Paginierung
896 - 902
Datum der Veröffentlichung
2018
Status
Published
Titel
Preconditioning prior to visceral oncological surgery. A paradigm shift in visceral surgery?
Sub types
  • Article
Ausgabe der Zeitschrift
89

Datenquelle: Web of Science (Lite)

Andere Metadatenquellen:
Autoren
  • D Pfirrmann
  • P Simon
  • M Mehdorn
  • M Hänsig
  • S Stehr
  • L Selig
  • A Weimann
  • M Knödler
  • F Lordick
  • A Mehnert
  • I Gockel
DOI
10.1007/s00104-018-0709-z
eISSN
1433-0385
ISSN
0009-4722
Ausgabe der Veröffentlichung
11
Zeitschrift
Der Chirurg
Sprache
de
Online publication date
2018
Paginierung
896 - 902
Datum der Veröffentlichung
2018
Status
Published
Herausgeber
Springer Science and Business Media LLC
Herausgeber URL
http://dx.doi.org/10.1007/s00104-018-0709-z
Datum der Datenerfassung
2020
Titel
Präkonditionierung vor viszeralonkologischen Operationen
Ausgabe der Zeitschrift
89

Datenquelle: Crossref

Abstract
<h4>Background</h4>Postoperative complications after complex visceral oncological surgery can lead to substantial impairment of patients. In addition, preoperative physical performance and the severity of postoperative complications determine the long-term recovery process of physical function. Therefore, preconditioning in the preoperative period should be an important part of the preoperative/neoadjuvant treatment.<h4>Objective</h4>The aim of this article is a critical appraisal of current concepts of prehabilitation as well as their development potential and applicability in visceral surgery.<h4>Material and methods</h4>Based on a selective literature review, current studies and implemented concepts are presented and therapy algorithms are provided.<h4>Results</h4>This study differs in primary outcome, design and temporal framework of the intervention. The study results showed positive effects of an active increase in physical fitness in the preoperative period with respect to the quality of life, convalescence and postoperative pulmonary complication rate.<h4>Discussion</h4>In addition to the assessment of the individual risk of complications by means of spiroergometry, a targeted nutrition and exercise program can increase the individual performance level prior to visceral surgery and, thus, influence the postoperative risk of complications. The performance should be understood as a modifiable risk factor, which can also be positively influenced in the preoperative phase, even in a short time period. Individual preoperative care optimizes the physical and psychological situation of patients. To ensure the required individual care, approaches must be created and pursued, which can be implemented in a decentralized way.
Addresses
  • Abteilung Sportmedizin, Prävention und Rehabilitation am Institut für Sportwissenschaft, Johannes Gutenberg-Universität Mainz, Mainz, Deutschland.
Autoren
  • D Pfirrmann
  • P Simon
  • M Mehdorn
  • M Hänsig
  • S Stehr
  • L Selig
  • A Weimann
  • M Knödler
  • F Lordick
  • A Mehnert
  • I Gockel
DOI
10.1007/s00104-018-0709-z
eISSN
1433-0385
Externe Identifier
  • PubMed Identifier: 30280204
Open access
false
ISSN
0009-4722
Ausgabe der Veröffentlichung
11
Zeitschrift
Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen
Schlüsselwörter
  • Humans
  • Abdominal Neoplasms
  • Postoperative Complications
  • Exercise
  • Preoperative Care
  • Nutritional Status
  • Quality of Life
Sprache
ger
Medium
Print
Paginierung
896 - 902
Datum der Veröffentlichung
2018
Status
Published
Datum der Datenerfassung
2018
Titel
[Preconditioning prior to visceral oncological surgery : A paradigm shift in visceral surgery?]
Sub types
  • Review
  • Journal Article
Ausgabe der Zeitschrift
89

Datenquelle: Europe PubMed Central

Abstract
BACKGROUND: Postoperative complications after complex visceral oncological surgery can lead to substantial impairment of patients. In addition, preoperative physical performance and the severity of postoperative complications determine the long-term recovery process of physical function. Therefore, preconditioning in the preoperative period should be an important part of the preoperative/neoadjuvant treatment. OBJECTIVE: The aim of this article is a critical appraisal of current concepts of prehabilitation as well as their development potential and applicability in visceral surgery. MATERIAL AND METHODS: Based on a selective literature review, current studies and implemented concepts are presented and therapy algorithms are provided. RESULTS: This study differs in primary outcome, design and temporal framework of the intervention. The study results showed positive effects of an active increase in physical fitness in the preoperative period with respect to the quality of life, convalescence and postoperative pulmonary complication rate. DISCUSSION: In addition to the assessment of the individual risk of complications by means of spiroergometry, a targeted nutrition and exercise program can increase the individual performance level prior to visceral surgery and, thus, influence the postoperative risk of complications. The performance should be understood as a modifiable risk factor, which can also be positively influenced in the preoperative phase, even in a short time period. Individual preoperative care optimizes the physical and psychological situation of patients. To ensure the required individual care, approaches must be created and pursued, which can be implemented in a decentralized way.
Autoren
  • D Pfirrmann
  • P Simon
  • M Mehdorn
  • M Hänsig
  • S Stehr
  • L Selig
  • A Weimann
  • M Knödler
  • F Lordick
  • A Mehnert
  • I Gockel
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/30280204
DOI
10.1007/s00104-018-0709-z
eISSN
1433-0385
Ausgabe der Veröffentlichung
11
Zeitschrift
Chirurg
Schlüsselwörter
  • Exercise
  • Nutritional status
  • Perioperative complications
  • Physical activity
  • Preconditioning
  • Abdominal Neoplasms
  • Exercise
  • Humans
  • Nutritional Status
  • Postoperative Complications
  • Preoperative Care
  • Quality of Life
Sprache
ger
Country
Germany
Paginierung
896 - 902
PII
10.1007/s00104-018-0709-z
Datum der Veröffentlichung
2018
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2019
Titel
[Preconditioning prior to visceral oncological surgery : A paradigm shift in visceral surgery?].
Sub types
  • Journal Article
  • Review
Ausgabe der Zeitschrift
89

Datenquelle: PubMed

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