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Background <p>Hepatobiliary (HBI) surgery remains a&#xa0;complex procedure with associated morbidity, despite advancements in surgical techniques and postoperative care. Optimal patient outcomes depend not only on the surgery itself but also on comprehensive preoperative, intraoperative, and postoperative strategies to support patient recovery and mitigate risks. Preoperative optimization, including prehabilitation and lifestyle interventions, has gained attention for its potential to improve surgical outcomes and reduce complications.</p> Methods <p>This review synthesizes the current evidence on different preoperative optimization strategies. Specifically, interventions such as smoking cessation, cardiovascular exercise and weight management as well as dietary and exercise prehabilitation were examined. We also highlight the role of hygienic precautions and infection management in enhancing outcomes. Through a&#xa0;thorough analysis of recent findings, this review aims to establish a&#xa0;comprehensive understanding of accessible and effective preoperative interventions.</p> Results <p>To different degrees, all preoperative interventions showed improved outcomes, including fewer complications, reduced hospital stays and enhanced postoperative quality of life.</p> Conclusion <p>Preoperative patient optimization might improve outcomes after liver resection. Further research is essential to develop standardized protocols for prehabilitation and other optimization measures tailored to the unique needs of HBI patients.</p>

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Preoperative management in patients undergoing hepatobiliary surgery—a narrative review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月30日

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  • Wendelin Aitenbichler,
  • Stephanie Kampf,
  • Johannes Laengle,
  • Stefan Stremitzer,
  • Klaus Kaczirek,
  • Christoph Schwarz

摘要

Background

Hepatobiliary (HBI) surgery remains a complex procedure with associated morbidity, despite advancements in surgical techniques and postoperative care. Optimal patient outcomes depend not only on the surgery itself but also on comprehensive preoperative, intraoperative, and postoperative strategies to support patient recovery and mitigate risks. Preoperative optimization, including prehabilitation and lifestyle interventions, has gained attention for its potential to improve surgical outcomes and reduce complications.

Methods

This review synthesizes the current evidence on different preoperative optimization strategies. Specifically, interventions such as smoking cessation, cardiovascular exercise and weight management as well as dietary and exercise prehabilitation were examined. We also highlight the role of hygienic precautions and infection management in enhancing outcomes. Through a thorough analysis of recent findings, this review aims to establish a comprehensive understanding of accessible and effective preoperative interventions.

Results

To different degrees, all preoperative interventions showed improved outcomes, including fewer complications, reduced hospital stays and enhanced postoperative quality of life.

Conclusion

Preoperative patient optimization might improve outcomes after liver resection. Further research is essential to develop standardized protocols for prehabilitation and other optimization measures tailored to the unique needs of HBI patients.