Abstract

Background: Preoperative exercise prehabilitation can improve the physical fitness of high-risk patients before major intra-abdominal surgery. To maximize compliance, literature suggest patients’ preferred method for prehabilitation, is home-based and (semi) supervised. We hypothesize that a home-based exercise program is feasible and may improve the preoperative anaerobic threshold in patients scheduled for liver or pancreatic resection. We assume to reach an average increase in anaerobic threshold (AT) of 1.5 ml/kg/min in patients with low cardiorespiratory reserve (AT<11 ml/kg/min) during waiting time for surgery.

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