Prehabilitation Strategies for Patients Undergoing Laparoscopic Sleeve Gastrectomy

Effectiveness of Prehabilitation Strategies in Enhancing Recovery and Postoperative Outcomes in Laparoscopic Sleeve Gastrectomy Patients

This study aims to evaluate the effectiveness of prehabilitation strategies in patients undergoing laparoscopic sleeve gastrectomy (LSG). The study compares a group receiving prehabilitation (including exercise, nutritional, and psychological support) with a control group receiving routine care. The primary goal is to determine if prehabilitation improves postoperative recovery, enhances weight loss, improves quality of life, and reduces complications.

Obesity is a significant global health issue, and laparoscopic sleeve gastrectomy (LSG) is a common surgical treatment. However, the procedure is invasive and can cause physical and psychological stress, impacting postoperative recovery. Prehabilitation, a process of enhancing a patient's functional capacity before surgery, has shown promise in various surgical fields. This study investigates a "triad prehabilitation management mode," incorporating psychological intervention, nutritional support, and exercise training for patients undergoing LSG. This prospective, randomized controlled trial enrolled 120 patients assigned to either a prehabilitation group or a control group. The prehabilitation group received a structured program of exercise, nutritional guidance, and psychological support for 5-7 days before surgery, in addition to routine care. The control group received routine care only. The study hypothesizes that the prehabilitation strategy will lead to faster gastrointestinal function recovery, better weight loss outcomes, improved quality of life, and a lower rate of postoperative complications compared to routine care.

Inclusion Criteria:

• Obesity, defined by a body mass index (BMI) ≥35 kg/m².
• Age between 18 and 50 years.
• Failure of non-surgical weight loss methods.
• Surgical eligibility for LSG based on clinical assessment.
• Willingness to participate in the study and sign an informed consent form.

Exclusion Criteria:

• Incomplete clinical data.
• Inability to strictly adhere to dietary instructions.
• Inability to complete follow-up visits.
• Secondary obesity.
• Presence of mental disorders, cognitive impairment, or consciousness disturbance.
• Planned pregnancy within 1 year post-surgery.