SummaryIntroductionPrehabilitation aims to improve physiological reserve and psychological resilience, enabling patients to better tolerate the physiological stress of major surgery, thereby reducing the risk of complications and improving surgical outcomes. In this review, we provide an update of the development of prehabilitation in patients having cancer surgery.MethodsWe searched databases of peer‐reviewed research to identify appropriate papers. Keywords comprised ‘prehabilitation’, ‘cancer surgery’ and associated synonyms (prehab; pre‐operative rehabilitation; cancer). The results were combined with articles identified by reviewing the references of key papers and the use of the grey literature to develop our discussion.ResultsWe detail the different elements of prehabilitation (exercise, nutrition, psychological support) relevant to patients with cancer undergoing surgery, focusing on the recent evidence base and ongoing challenges. Within this, we consider the role of behaviour change in enabling patients to undertake prehabilitation interventions and reflect on the different models of prehabilitation that have been utilised. Facilitators and barriers to implementation of prehabilitation are explored. Key findings include positioning prehabilitation as an integral part of the oncological surgical pathway which includes, but is discrete from, medical optimisation.DiscussionPrehabilitation has the potential to improve surgical outcomes for patients undergoing cancer surgery. Further evidence is needed to understand how and what we provide to patients as optimal exercise, nutrition and psychological interventions as part of their surgical care, and how we improve long‐term lifestyle using behaviour change methodology. Digital technology offers the opportunity for scaling and greater personalisation of prehabilitation but needs to be deliberately fashioned to ensure equitable access.

中文翻译：

---

通过康复前优化接受肿瘤手术的患者：叙述性回顾


摘要预康复旨在提高生理储备和心理弹性，使患者能够更好地耐受大手术的生理压力，从而降低并发症风险，改善手术结局。在本综述中，我们提供了癌症手术患者预康复发展的最新进展。方法我们检索了同行评议研究的数据库，以确定合适的论文。关键词包括 “prehabilitation”、“cancer surgery” 和相关同义词 （prehab;pre‐operative rehabilitation;cancer）。结果与通过审查关键论文的参考文献和使用灰色文献确定的文章相结合，以展开我们的讨论。结果我们详细介绍了与接受手术的癌症患者相关的预康复的不同要素 （运动、营养、心理支持），重点关注最近的证据基础和持续的挑战。其中，我们考虑了行为改变在使患者能够进行预康复干预方面的作用，并反思了已使用的不同预康复模式。探讨了实施预康复的促进因素和障碍。主要发现包括将预康复定位为肿瘤手术途径的一个组成部分，其中包括但与医学优化无关。讨论预康复有可能改善接受癌症手术的患者的手术结果。需要进一步的证据来了解我们如何以及为患者提供什么作为最佳运动、营养和心理干预作为手术护理的一部分，以及我们如何使用行为改变方法改善长期生活方式。 数字技术为预康复的规模化和更大个性化提供了机会，但需要精心塑造以确保公平获得。