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Can Frailty and Sarcopenia Be Mitigated in Lung Resection Candidates?

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Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

Frailty or sarcopenia are present in a large percentage of the elderly and are associated with a number of adverse outcomes after lung resection. These include an increased risk of postoperative complications, prolonged hospital length of stay, an increased frequency of discharge to other than home, increased costs of care, and decreased long-term survival. There is growing evidence that the negative effects of frailty on surgical outcomes can be mitigated by preoperative exercise, including respiratory muscle training, resistance training, and improving stamina. Most randomized trials demonstrate an improvement in exercise capacity associated with an exercise intervention, even in as little as 1 week. Preoperative exercise is associated with improved postoperative outcomes, most commonly a reduction in pulmonary complications and shortened length of hospital stay. A preoperative exercise program is recommended for patients who are at increased risk for complications after lung resection.

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Authors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Mark K. Ferguson

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  1. Mark K. Ferguson
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  1. Department of Surgery, University of Chicago, Chicago, IL, USA

    Mark K. Ferguson

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Ferguson, M.K. (2020). Can Frailty and Sarcopenia Be Mitigated in Lung Resection Candidates?. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-47404-1_10

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  • DOI: https://doi.org/10.1007/978-3-030-47404-1_10

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  • Print ISBN: 978-3-030-47403-4

  • Online ISBN: 978-3-030-47404-1

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