Special situations of preconditioning and prehabilitation in oncological visceral surgery

Publication type:
Journal article
Metadata:
Autoren
  • T Piegeler
  • SN Stehr
  • D Pfirrmann
  • M Knoedler
  • F Lordick
  • A Mehnert
  • L Selig
  • A Weimann
  • M Mehdorn
  • I Gockel
  • P Simon
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000451769800009&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1007/s00104-018-0708-0
eISSN
1433-0385
Externe Identifier
  • Clarivate Analytics Document Solution ID: HC4JO
  • PubMed Identifier: 30377726
ISSN
0009-4722
Ausgabe der Veröffentlichung
11
Zeitschrift
CHIRURG
Schlüsselwörter
  • Visceral surgery
  • Preconditioning
  • High-risk
  • Geriatric patients
  • Neoadjuvant therapy
  • Fatigue
Paginierung
903 - 908
Datum der Veröffentlichung
2018
Status
Published
Titel
Special situations of preconditioning and prehabilitation in oncological visceral surgery
Sub types
  • Article
Ausgabe der Zeitschrift
89

Data source: Web of Science (Lite)

Other metadata sources:
Autoren
  • T Piegeler
  • SN Stehr
  • D Pfirrmann
  • M Knödler
  • F Lordick
  • A Mehnert
  • L Selig
  • A Weimann
  • M Mehdorn
  • I Gockel
  • P Simon
DOI
10.1007/s00104-018-0708-0
eISSN
1433-0385
ISSN
0009-4722
Ausgabe der Veröffentlichung
11
Zeitschrift
Der Chirurg
Sprache
de
Online publication date
2018
Paginierung
903 - 908
Datum der Veröffentlichung
2018
Status
Published
Herausgeber
Springer Science and Business Media LLC
Herausgeber URL
http://dx.doi.org/10.1007/s00104-018-0708-0
Datum der Datenerfassung
2019
Titel
Spezialsituationen der Präkonditionierung und Prähabilitation in der onkologischen Viszeralchirurgie
Ausgabe der Zeitschrift
89

Data source: Crossref

Abstract
<h4>Background</h4>Prehabilitation prior to complex visceral oncological surgery is playing an increasingly important role.<h4>Objective</h4>The aim of this review article is to present special situations of preconditioning in visceral oncological patient cohorts. The following conditions were defined as special situations with subsequently increased risk profile: cardiopulmonary comorbidities, geriatric patients, neoadjuvant therapy and simultaneous fatigue.<h4>Material and methods</h4>A selective literature review based on a search in the electronic databases MEDLINE, PubMed, Cochrane Library and the International Standard Randomization Controlled Trial Number (ISRCTN) was performed.<h4>Results</h4>The identification of high-risk patients is an essential part of the preoperative evaluation conducted by the anesthesiologist prior to surgery. The cardiovascular and the pulmonary risk profile are determined by means of prediction indices evaluating patient-specific and surgery-related risk factors. The increased use of new oral anticoagulants and dual platelet aggregation inhibition requires individualized treatment strategies. Numerous studies have shown clinically relevant effects of exercise therapy interventions throughout all phases of oncological treatment. In addition to positive effects on therapy-associated side effects, sport can also counteract the effects of sedentary behavior in cancer patients and improve the health-related quality of life. The effectiveness of sport and exercise therapies as well as psychological interventions in oncological patients with fatigue (CRF) is broad, with important components being motivation and compliance.<h4>Discussion</h4>In high-risk patients an interdisciplinary approach to planning and conduction of prehabilitation is essential for the early detection and optimization of perioperative risk factors and potential complications. The aim is faster recovery, reduced morbidity and mortality and the possibility to improve long-term survival and quality of life.
Addresses
  • Klinik und Poliklinik für Anästhesiologie und Intensivmedizin (KAI), Universitätsklinikum Leipzig, AöR, Leipzig, Deutschland.
Autoren
  • T Piegeler
  • SN Stehr
  • D Pfirrmann
  • M Knödler
  • F Lordick
  • A Mehnert
  • L Selig
  • A Weimann
  • M Mehdorn
  • I Gockel
  • P Simon
DOI
10.1007/s00104-018-0708-0
eISSN
1433-0385
Externe Identifier
  • PubMed Identifier: 30377726
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
  • Fatigue
  • Neoadjuvant Therapy
  • Preoperative Care
  • Quality of Life
  • Aged
Sprache
ger
Medium
Print
Paginierung
903 - 908
Datum der Veröffentlichung
2018
Status
Published
Datum der Datenerfassung
2018
Titel
[Special situations of preconditioning and prehabilitation in oncological visceral surgery].
Sub types
  • Review
  • Journal Article
Ausgabe der Zeitschrift
89

Data source: Europe PubMed Central

Abstract
BACKGROUND: Prehabilitation prior to complex visceral oncological surgery is playing an increasingly important role. OBJECTIVE: The aim of this review article is to present special situations of preconditioning in visceral oncological patient cohorts. The following conditions were defined as special situations with subsequently increased risk profile: cardiopulmonary comorbidities, geriatric patients, neoadjuvant therapy and simultaneous fatigue. MATERIAL AND METHODS: A selective literature review based on a search in the electronic databases MEDLINE, PubMed, Cochrane Library and the International Standard Randomization Controlled Trial Number (ISRCTN) was performed. RESULTS: The identification of high-risk patients is an essential part of the preoperative evaluation conducted by the anesthesiologist prior to surgery. The cardiovascular and the pulmonary risk profile are determined by means of prediction indices evaluating patient-specific and surgery-related risk factors. The increased use of new oral anticoagulants and dual platelet aggregation inhibition requires individualized treatment strategies. Numerous studies have shown clinically relevant effects of exercise therapy interventions throughout all phases of oncological treatment. In addition to positive effects on therapy-associated side effects, sport can also counteract the effects of sedentary behavior in cancer patients and improve the health-related quality of life. The effectiveness of sport and exercise therapies as well as psychological interventions in oncological patients with fatigue (CRF) is broad, with important components being motivation and compliance. DISCUSSION: In high-risk patients an interdisciplinary approach to planning and conduction of prehabilitation is essential for the early detection and optimization of perioperative risk factors and potential complications. The aim is faster recovery, reduced morbidity and mortality and the possibility to improve long-term survival and quality of life.
Autoren
  • T Piegeler
  • SN Stehr
  • D Pfirrmann
  • M Knödler
  • F Lordick
  • A Mehnert
  • L Selig
  • A Weimann
  • M Mehdorn
  • I Gockel
  • P Simon
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/30377726
DOI
10.1007/s00104-018-0708-0
eISSN
1433-0385
Ausgabe der Veröffentlichung
11
Zeitschrift
Chirurg
Schlüsselwörter
  • Fatigue
  • Geriatric patients
  • High-risk
  • Neoadjuvant therapy
  • Preconditioning
  • Visceral surgery
  • Abdominal Neoplasms
  • Aged
  • Fatigue
  • Humans
  • Neoadjuvant Therapy
  • Postoperative Complications
  • Preoperative Care
  • Quality of Life
Sprache
ger
Country
Germany
Paginierung
903 - 908
PII
10.1007/s00104-018-0708-0
Datum der Veröffentlichung
2018
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2019
Titel
[Special situations of preconditioning and prehabilitation in oncological visceral surgery].
Sub types
  • Journal Article
  • Review
Ausgabe der Zeitschrift
89

Data source: PubMed

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