In conclusion , preoperative exercise-based training improves pulmonary function before surgery and reduces in-hospital length of stay and postoperative complications after lung resection surgery for lung cancer
Lung cancer is the leading cause of cancer-related death worldwide .
For early stages of the disease , lung resection surgery remains the best treatment with curative intent , but significant morbidity is associated , especially among patients with poor pulmonary function and cardiorespiratory fitness .
In those cases , the implementation of a preoperative exercise-based intervention could optimize patient 's functional status before surgery and improve postoperative outcomes and enhance recovery .
The aim of this systematic review is to provide the current body of knowledge regarding the effectiveness of a preoperative exercise-based intervention on postoperative and functional outcomes in patients with lung cancer su bmi tted to lung resection surgery .
Multidisciplinary Team-Based Approach for Comprehensive Preoperative Pulmonary Rehabilitation Including Intensive Nutritional Support for Lung Cancer Patients
Background To decrease the risk of postoperative complication , improving general and pulmonary conditioning preoperatively should be considered essential for patients scheduled to undergo lung surgery . Objective The aim of this study is to develop a short-term beneficial program of preoperative pulmonary rehabilitation for lung cancer patients . Methods From June 2009 , comprehensive preoperative pulmonary rehabilitation ( CHPR ) including intensive nutritional support was performed prospect ively using a multidisciplinary team-based approach . Postoperative complication rate and the transitions of pulmonary function in CHPR were compared with historical data of conventional preoperative pulmonary rehabilitation ( CVPR ) conducted since June 2006 . The study population was limited to patients who underwent st and ard lobectomy .  Results Postoperative complication rate in the CVPR ( n = 29 ) and CHPR ( n = 21 ) were 48.3 % and 28.6 % ( p = 0.2428 ) , respectively . Those in patients with Charlson Comorbidity Index scores ≥2 were 68.8 % ( n = 16 ) and 27.3 % ( n = 11 ) , respectively ( p = 0.0341 ) and those in patients with preoperative risk score in Estimation of Physiologic Ability and Surgical Stress scores > 0.3 were 57.9 % ( n = 19 ) and 21.4 % ( n = 14 ) , respectively ( p = 0.0362 ) . Vital capacities of pre- and post intervention before surgery in the CHPR group were 2.63±0.65 L and 2.75±0.63 L ( p = 0.0043 ) , respectively ; however , their transition in the CVPR group was not statistically significant ( p = 0.6815 ) . Forced expiratory volumes in one second of pre- and post intervention before surgery in the CHPR group were 1.73±0.46 L and 1.87±0.46 L ( p = 0.0012 ) , respectively ; however , their transition in the CVPR group was not statistically significant ( p = 0.6424 ) . Conclusions CHPR appeared to be a beneficial and effective short-term preoperative rehabilitation protocol , especially in patients with poor preoperative conditions
In conclusion , preoperative exercise-based training improves pulmonary function before surgery and reduces in-hospital length of stay and postoperative complications after lung resection surgery for lung cancer
Lung cancer is the leading cause of cancer-related death worldwide .
For early stages of the disease , lung resection surgery remains the best treatment with curative intent , but significant morbidity is associated , especially among patients with poor pulmonary function and cardiorespiratory fitness .
In those cases , the implementation of a preoperative exercise-based intervention could optimize patient 's functional status before surgery and improve postoperative outcomes and enhance recovery .
The aim of this systematic review is to provide the current body of knowledge regarding the effectiveness of a preoperative exercise-based intervention on postoperative and functional outcomes in patients with lung cancer su bmi tted to lung resection surgery .