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Evaluation of a Post-Operative Rehabilitation Program in Patients Undergoing Laparoscopic Colorectal Cancer Surgery: A Pilot Study

Author

Listed:
  • Sveva Maria Nusca

    (PhD Course in “Translational Medicine and Oncology”, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Attilio Parisi

    (Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy)

  • Paolo Mercantini

    (Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Marcello Gasparrini

    (Department of General Surgery, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Francesco Antonio Pitasi

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Alessandra Lacopo

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Vincenzo Colonna

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Giulia Stella

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Claudia Cerulli

    (Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy)

  • Elisa Grazioli

    (Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy)

  • Eliana Tranchita

    (Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy)

  • Flavia Santoboni

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Eleonora Latini

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Donatella Trischitta

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Mario Vetrano

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Vincenzo Visco

    (Department of Clinical and Molecular Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Antonio Pavan

    (Department of Clinical and Molecular Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

  • Maria Chiara Vulpiani

    (Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences and Translational Medicine, Sant’Andrea University Hospital, “Sapienza” University of Rome, 00189 Rome, Italy)

Abstract

This pilot study explores the effects of a post-operative physical exercise program on the quality of life (QoL) and functional and nutritional parameters of patients that underwent laparoscopic colorectal cancer surgery, compared to usual care alone. The intervention group (IG) attended a 2-month-long supervised and combined exercise–training program during the post-operative period. Both IG and control group (CG) participated in the QoL, functional, and nutritional assessments before exercise training (T0), 2 months after the beginning of the exercise (end of treatment) (T1), and 2 (T2) and 4 (T3) months from the end of treatment. Eleven patients with colorectal cancer that underwent laparoscopic surgery were enrolled (six intervention; five control). The IG showed significant improvements compared to the CG in “Physical functioning” (PF2) ( p = 0.030), “Cognitive functioning” (CF) ( p = 0.018), and “Fatigue” (FA) ( p = 0.017) of the European Organization for Research and Treatment of Cancer Quality of Life-C30 Questionnaire (EORTC QLQ-C30) at T1; in SMWT ( p = 0.022) at T1; in PF2 ( p = 0.018) and FA ( p = 0.045) of EORTC QLQ-C30 at T2, in phase angle (PhA) of bioelectrical impedance analysis ( p = 0.022) at T3. This pilot study shows that a post-operative, combined, and supervised physical exercise program may have positive effects in improving the QoL, functional capacity, and nutritional status in patients that undergo laparoscopic colorectal cancer surgery.

Suggested Citation

  • Sveva Maria Nusca & Attilio Parisi & Paolo Mercantini & Marcello Gasparrini & Francesco Antonio Pitasi & Alessandra Lacopo & Vincenzo Colonna & Giulia Stella & Claudia Cerulli & Elisa Grazioli & Elian, 2021. "Evaluation of a Post-Operative Rehabilitation Program in Patients Undergoing Laparoscopic Colorectal Cancer Surgery: A Pilot Study," IJERPH, MDPI, vol. 18(11), pages 1-19, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5632-:d:561591
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