Ann Surg: Preoperative exercise rehabilitation exercise can reduce the risk of complications after rectal excision in high-risk elderly patients

Previous studies have shown that patients undergoing colorectomy have a lower preoperative aerobic adaptability and an increased risk of postoperative complications.
, it has yet to be confirmed whether rehabilitation of these patients will reduce postoperative complications.
study aims to assess the effect of a three-week community exercise program on the incidence of complications 30 days after surgery in high-risk patients with a malignant tumor or precancerog lesions.
this is a forward-looking, single-blind randomized clinical trial conducted at two large teaching hospitals in the Netherlands.
recruited ≥ 60-year-old patients who were scheduled to have an optional colorectomy, and the veterans' special activity questionnaire ≤7 points, were randomly divided into rehabilitation groups and routine care groups.
the rehabilitation group participated in a personalized exercise program for 3 weeks (3 times a week, 9 times a week) before colorectomy;
assessment indicator is the number of patients with one or more complications within 30 days of surgery.
the breathing function before and after the patient's rehabilitation exercise from February 2014 to December 2018, a total of 57 patients (30 males; average 73.6 years (standard deviation 6.1 years, range 61-88 years)), randomly assigned to the rehabilitation group (n-28) or the general care group (n-29).
the incidence of postoperative complications in the rehabilitation group (n=12,42.9%) was lower than in the conventional care group (n=21,72.4%, relative risk 0.59,95% CI 0.37 to 0.96, P=0.024).
, preoperative exercise rehabilitation can reduce the risk of postoperative complications in high-risk patients receiving a selected colonectomy.
for high-risk patients who intend to perform selective colorectal surgery, preoperative exercise rehabilitation treatment should be considered for inclusion in routine care.