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PERSPECTIVE article

Front. Anesthesiol.
Sec. Perioperative Medicine
Volume 3 - 2024 | doi: 10.3389/fanes.2024.1358847

Preoperative risk assessment and Prehabilitation strategies in patients undergoing an esophagectomy for cancer resections: a single center retrospective analysis and a review of the literature

Provisionally accepted
González-Santos Silvia González-Santos Silvia 1*González Jorrin Nuria González Jorrin Nuria 1González Osinalde Mireya González Osinalde Mireya 2Martí Gelonch Laura Martí Gelonch Laura 3Rosell Romero Nuria Rosell Romero Nuria 2
  • 1 Donostia University Hospital, San Sebastian, Spain
  • 2 Department of Physical Medicine and Rehabilitation, Donostia- San Sebastián, Spain
  • 3 Department of General Surgery, Donostia Universitary Hospital, Donostia- San Sebastian, Spain

The final, formatted version of the article will be published soon.

    Esophagectomy remains being a surgical procedure with a high morbidity and mortality rate. Therefore, prehabilitation, defined as the group of interventions performed on the patient in the preoperative period to improve their functional capacity and clinical condition, becomes highly important to ensure that the patient faces the stress that surgery entails under the best possible clinical situation. Hereby, we describe our prehabilitation protocol that has been implementedsince 2017 and we present the clinical results achieved so far. Preoperative risk assessment and various modalities of prehabilitation protocols are discussed to enhance the patient´s preoperative physiological condition and to reduce the impact of the neuroendocrine and inflammatory response induced by an esophagectomy.Finally, we describe the protocol we intend to implement to improve our clinical practice and reduce complications.Eliminado: better conditions

    Keywords: Esophageal surgery. ERAS. Prehabilitation program. Preoperative risk assessment. Exercise Although it is Eliminado: resective surgery Eliminado: location Eliminado:, Eliminado:, Eliminado: group Eliminado:, Eliminado: application Eliminado: surgery Eliminado: ie Eliminado: surgery Eliminado: specifically, Con formato: Fuente: (Predeterminada) Times New Roman, 12 pto In order to reduce these complications, ... [11] Con formato ... [12] Con formato: Sin Resaltar Eliminado: significance Eliminado: momentum Con formato ... [13] Con formato ... [14] Con formato ... [15] Con formato ... [16]

    Received: 20 Dec 2023; Accepted: 12 Aug 2024.

    Copyright: © 2024 Silvia, Nuria, Mireya, Laura and Nuria. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: González-Santos Silvia, Donostia University Hospital, San Sebastian, Spain

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.