Abstract
SummaryCardiopulmonary exercise testing is commonly used in the pre‐operative assessment of patients due to have major elective surgery. The measurement of anaerobic threshold has been shown to be an accurate predictor of mortality in major abdominal surgery. Pre‐operative lifestyle changes and aerobic exercise training may improve results and reduce hospital length of stay, morbidity and mortality.We discuss a patient with poor cardiopulmonary exercise testing results who was scheduled for elective anterior resection surgery for a sigmoid colon carcinoma. Surgery was considered extremely high risk. The patient made significant lifestyle changes and commenced a modest amount of aerobic exercise at home. Repeat testing showed much improved results, allowing surgery to proceed.
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