Clinical Experiences of Pulmonary Rehabilitation before and after Abdominal Surgery

Abstract

Pulmonary rehabilitation before and after abdominal surgery is performed with the purpose of reducing postoperative complications. However, abdominal surgery methods can vary depending on the organs involved or the preferences of the surgeon, leading to diverse incision techniques. Consequently, standardizing pulmonary rehabilitation becomes challenging due to these variations. Additionally, patients exhibit varying levels of physical function, necessitating the provision of individualized services. Thus, preoperative assessment of physical function plays a crucial role, and preoperative pulmonary rehabilitation may be particularly significant for high-risk groups. While more extensive multicenter randomized studies are needed to precisely categorize subjects, based on clinical experience, pulmonary rehabilitation is not detrimental to patients and appears to contribute to improving pulmonary function and ambulatory abilities. This review is not merely a compilation of research papers, but rather an attempt to structure the information in a way that can be utilized in practical clinical settings.