The Power of Preparation: Prehabilitation and Interdisciplinary Collaboration in Liver Resection
Year: 2026
Type: article
Abstract: A BSTRACT Introduction: As the number of liver abnormalities requiring high-risk procedures like liver resection increases, a comprehensive approach including prehabilitation and perioperative teamwork has been developed to reduce complications, enhance recovery, and prevent mortality and morbidity. Methods: This single-centered study from October 2016 to June 2025 examined liver resection patients who received tailored prehabilitation by an interdisciplinary team. The key outcomes included postoperative complication severity (Clavien–Dindo classification), postoperative morbidity, hospital and intensive care unit (ICU) stay duration, 3 0-day mortality, and readmission rates. Emergency surgeries without preparation were excluded. Results: From all patients receiving treatment, 23 eligible patients were selected, with age ranges from 41 to 75 years old with several comorbidities. All eligible patients were diagnosed with primary liver malignancies and underwent prehabilitation before liver resection. Surgical difficulty, intraoperative, and postoperative risk differ for each patient depending on multiple factors such as the location and number of mass affecting the liver. Patients were observed in ICU and the total length of hospitalization was 6–16 days. A short-term follow-up shows no case of posthepatectomy liver failure and mortality within 30 days was recorded after discharge. Conclusion: Rehabilitation within a perioperative interdisciplinary team is beneficial and should always be considered when initiating a liver resection program.
Institution: Fatmawati Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7162425754