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Minerva Pneumologica 2010 March;49(1):65-72

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

The role of pre- and postrehabilitation in lung resection surgery

Venturelli E. 1, Crisafulli E. 1, De Biase A. 1, Lorenzi C. 1, Clini E. M. 1, 2

1 Division of Pulmonary Rehabilitation, “Villa Pineta” Hospital, Pavullo, Modena 2 Department of Oncology, Hemathology and Pneumonology, University of Modena-Reggio Emilia, Modena, Italy


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Pulmonary rehabilitation (PR) is a non-pharmacologic hospital-based multidisciplinary and comprehensive intervention aimed at reducing disability of candidates. The surgical patient may per se represent a “serious” patient to be evaluated in order to be included in the rehabilitation program. Indeed, it is clear from the clinical experience that a considerable portion of patients undergoing thoracic surgery may have an increased risk for severe postoperative pulmonary complications and/or death. Notwithstanding, relevance of PR in special conditions such as pre- and postabdominal and or thoracic surgery is not widely valuable. In this review the authors emphasize both the rationale and the activities of a pre- or postrehabilitation program dedicated to candidates who have to undergo lung resection. Selection of candidates, role of rehabilitation and the most popular applied techniques in this clinical area are here discussed. At present, PR, which is known to hasten respiratory patients’ physical performance, may be of benefit in patients who have to undergo lung resection surgery and also may improve respiratory functions in their postoperative period. However, further research is urgent in order to consider priorities of PR application in this field.

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