Prehabilitation in Thoracic Surgery

  • Marc LickerEmail author
  • Ricard Navarro


Postoperative recovery can be impeded by the development of organ dysfunction and major complications that develop increasingly among patients with cardiovascular and pulmonary diseases but also among smokers and alcohol drinkers and those with nutritional defects, anemia and frail physical status. Enhancing the functional capacity of an individual before an operation to enable him or her to withstand the stress of surgery, has been coined “prehabilitation”. Preoperative exercise training is a key component of prehabilitation and has been shown to improve cardiorespiratory reserve and reduce postoperative pulmonary complications. Additional benefits may be achieved by correcting anaemia and nutritional status, improving oral hygiene and adopting a healthier life style (e.g., smoking and alcohol withdrawal, regular physical activity). Implementation of such multicomponent interventions requires a close collaboration amongst a multidisciplinary team and enables some high-risk patients previously deemed unsuitable for surgery to be optimized and undergo curative surgery.


Exercise training Nutrition Alcohol Tobacco Frailty 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.University Hospital of Geneva and Faculty of Medicine, University of GenevaGenevaSwitzerland
  2. 2.Hospital ClínicBarcelonaSpain

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