AB117. SOH23ABS_040. Effects of prehabilitation on patients undergoing major abdominal surgeries for gastrointestinal cancer treatment: a systematic review
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AB117. SOH23ABS_040. Effects of prehabilitation on patients undergoing major abdominal surgeries for gastrointestinal cancer treatment: a systematic review

Samher Jassim1, Kathryn McKnight2, Micheál Newell1

1Department of Surgery, University of Galway, Lambe Translational Building NUI Galway, Galway, Ireland; 2Faculty of Education & Health Services, University of Limerick, School of Medicine, Limerick, Ireland

Background: Gastrointestinal (GI) cancers are one of the leading causes of cancer-related deaths worldwide, with surgical interventions at the forefront of management. We aim to present up-to-date evidence surrounding the effects of prehabilitation on patients undergoing abdominal surgery for GI cancer. The objective is to identify the effects of prehabilitation on postoperative outcomes, length of hospital stay, mortality, Intensive care unit (ICU) admission and readmissions. We also hope to discuss prehabilitation-related compliance. The rationale is optimising preoperative health is a well-established aspect of surgical care, but little evidence exists illustrating the specific effects that structured prehabilitation may have on GI cancer patients undergoing abdominal surgery.

Methods: A systematic search of multiple electronic databases was performed using a search strategy comprising of relevant keywords and controlled vocabulary. Eight studies were selected for inclusion consisting of a total of 6,006 participants.

Results: A lower incidence of postoperative complications along with shorter hospital stays was noted in prehabilitation participants, but higher rates of readmission. Compliance with prehabilitation was affected by factors such as the modality of prehabilitation and supervision.

Conclusions: Major abdominal surgery for cancer patients has a significant physical and mental toll. Future studies require congruence regarding participant selection criteria and intervention protocols to allow precise interpretation of the effects of prehabilitation among this patient cohort.

Keywords: Abdominal surgery; cancer surgery; gastrointestinal cancer; prehabilitation; preoperative exercise

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-23-ab117
Cite this abstract as: Jassim S, McKnight K, Newell M. AB117. SOH23ABS_040. Effects of prehabilitation on patients undergoing major abdominal surgeries for gastrointestinal cancer treatment: a systematic review. Mesentery Peritoneum 2023;7:AB117.

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