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Updated: Dec 23, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Preoperative Exercise Habits are Associated with Post-gastrectomy Complications
Tetsuro Toriumi1, Hiroharu Yamashita2, Koichiro Kawasaki2
1Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. toriumi-tky@umin.ac.jp.
Preoperative exercise habits significantly impact gastrectomy recovery. Low exercise levels independently increase the risk of postoperative complications, including anastomotic leakage and pneumonia, suggesting exercise interventions may improve patient outcomes.
Area of Science:
- Surgical Oncology
- Geriatrics
- Physical Therapy
Background:
- Sarcopenia is linked to gastrectomy complications.
- Exercise may mitigate these risks by preserving muscle.
- The impact of exercise habits on postoperative outcomes is unclear.
Purpose of the Study:
- To investigate the association between preoperative exercise habits and postoperative complications in gastrectomy patients.
- To identify specific complications influenced by exercise levels.
Main Methods:
- 178 patients undergoing gastrectomy were analyzed.
- Exercise quantity assessed using the International Physical Activity Questionnaire Short Form.
- Postoperative complications (Clavien-Dindo grade ≥2) were recorded.
Main Results:
- Low exercise habits were independently associated with increased postoperative complications (OR=2.42, p=0.014).
- Total gastrectomy was also an independent risk factor (OR=3.67, p=0.028).
- Anastomotic leakage and systemic complications, particularly pneumonia, were more frequent in patients with low exercise habits.
Conclusions:
- Preoperative exercise habits are an independent predictor of short-term postoperative outcomes after gastrectomy.
- Exercise interventions may reduce morbidity in patients undergoing gastrectomy.
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