Safety, compliance, and efficacy of prehabilitation in obese patients with gastric cancer undergoing minimally invasive gastrectomy: A pilot prospective study.

ABSTRACT:

Background

Excessive visceral fat area is a risk factor for postoperative complications in gastric cancer patients undergoing minimally invasive gastrectomy. This prospective pilot study aimed to evaluate the safety, compliance, and efficacy of prehabilitation in obese patients with gastric cancer who were scheduled to undergo curative gastrectomy.

Methods

Patients with preoperative visceral fat area ≥ 100 cm2 who were scheduled to undergo curative minimally invasive gastrectomy for stages I-III gastric cancer were included. The patients were instructed to walk 10,000 steps per day and consume a low-carbohydrate, high-protein diet without energy restrictions for 1 month before surgery. The primary outcome was the visceral fat area reduction rate, and clinical significance wa

SUBMITTER: Okada K 

PROVIDER: S-EPMC12334139 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature