Prehabililtation in Retroperitoneal Sarcomas
- Author(s)
- Mor, E; Snow, H; Loeliger, J; Riedel, B; Ftanou, M; Denehy, L; Traer, E; Dehm, T; Ismail, H; Gyorki, DE; Centre for Prehabilitation Peri‐operative Care (CPPOC);
- Journal Title
- Journal of Surgical Oncology
- Publication Type
- Online publication before print
- Abstract
- BACKGROUND: Retroperitoneal sarcoma (RPS) requires complex surgery with high post-operative morbidity. Prehabilitation aims to optimize the physical, psychological, and nutritional status of high-risk patients before surgery. This study outlines our experience with a multimodal prehabilitation program for RPS patients. METHODS: We retrospectively analyzed 41 patients who underwent RPS resection and participated in prehabilitation (2020-2023) at a tertiary center, describing assessment findings and peri-operative outcomes. RESULTS: A total of 41 patients were included in the analysis out of 132 patients who had surgery for RPS during the specified time period. All participated in a multimodal prehabilitation program, including physical, nutritional, and psychological support. The average program duration was 57 days (range, 42-132). Among 36 (88%) who completed cardiopulmonary exercise testing, the mean respiratory exchange ratio was 1.15 (±0.2), and peak vO2 was 14.9 (±4.1) mls/kg/min. Mean Australia-modified Karnofsky Performance Status (AKPS) was 85 (±10). Seventeen (41%) had an MST score ≥2, indicating malnutrition risk. Mean operative time was 5.7 (±2.4) hours; hospital and ICU stays averaged 12.5 (±8.1) and 1.3 (±1.6) days. Major post-operative complications (Clavien-Dindo ≥ 3) occurred in 9 patients (21%), with 2 (4%) requiring re-operation. CONCLUSIONS: A Multimodal prehabililtation program in retroperitoneal sarcoma is feasible and may be worthwhile for patients at high-risk of perioperative complications.
- Keywords
- Surgical Oncology; prehabililtation; retroperitoneal sarcoma
- Department(s)
- Surgical Oncology; Nutrition and Speech Pathology; Anaesthetics
- Publisher's Version
- https://doi.org/10.1002/jso.70335
- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2026-08-04 05:57:43
Last Modified: 2026-08-04 05:57:48