World journal of surgical oncology · 2026
Postoperative outcomes in patients with gastric cancer undergoing prehabilitation in a high-complexity referral centre.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Suescun Fajardo Oscar Julian, Torres Gaviria Sameer, Chona Mauricio Chona, López Basto Lina, Medina Parra Jorge, Merchán Chaverra Ricardo
Аннотация
BACKGROUND: Gastric cancer remains one of the most frequent oncological diseases, often associated with a high rate of postoperative complications. Prehabilitation has shown benefits in other surgical settings, although its role in gastric cancer patients remains under investigation.
OBJECTIVE: To describe the postoperative outcomes of patients with gastric cancer who underwent a prehabilitation programme in a high-complexity referral centre in Bogotá, Colombia.
METHODS: A descriptive observational retrospective cohort study was conducted at Clínica Universitaria Colombia between January 2021 and December 2023. Patients aged 18-80 years with a confirmed diagnosis of gastric cancer who underwent surgical treatment were included.
RESULTS: A total of 140 patients with gastric cancer received prehabilitation. The mean age was 60.9 years, and 60% were male. Postoperative complications occurred in 23.6% of patients, with surgical site infection being the most frequent (17.1%). Admission to the intensive care unit was required in 7.1%, and overall mortality was 4.3%. In bivariate analysis, malnourished patients presented higher rates of total complications, surgical site infection, and ICU admission.
CONCLUSIONS: Malnutrition is consistently associated with worse postoperative outcomes. Therefore, prehabilitation plays a crucial role in improving nutritional and functional parameters that directly influence the recovery and prognosis of patients with gastric cancer.
OBJECTIVE: To describe the postoperative outcomes of patients with gastric cancer who underwent a prehabilitation programme in a high-complexity referral centre in Bogotá, Colombia.
METHODS: A descriptive observational retrospective cohort study was conducted at Clínica Universitaria Colombia between January 2021 and December 2023. Patients aged 18-80 years with a confirmed diagnosis of gastric cancer who underwent surgical treatment were included.
RESULTS: A total of 140 patients with gastric cancer received prehabilitation. The mean age was 60.9 years, and 60% were male. Postoperative complications occurred in 23.6% of patients, with surgical site infection being the most frequent (17.1%). Admission to the intensive care unit was required in 7.1%, and overall mortality was 4.3%. In bivariate analysis, malnourished patients presented higher rates of total complications, surgical site infection, and ICU admission.
CONCLUSIONS: Malnutrition is consistently associated with worse postoperative outcomes. Therefore, prehabilitation plays a crucial role in improving nutritional and functional parameters that directly influence the recovery and prognosis of patients with gastric cancer.