04/17/2026
Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy (CRS/HIPEC) delivered directly into the abdomen is one of the most invasive procedures in surgical oncology.
Long recoveries. High complication rates. Extended hospital stays.
This study from Olecki et al. (2023) looked at whether preoperative respiratory muscle training could change that.
It did. Patients who completed a prehabilitation program with RMT had a 2.8-day reduction in hospital length of stay, with no increase in complications.
Olecki, E. J., Rog, C. J., Erali, R. A., Martin, O. A., Jones, J., McIntyre, S. M., ... & Ray, A. D. (2023). Preoperative Respiratory Muscle Training Is Associated With Reduced Hospital Length of Stay After CRS/HIPEC: A Matched Retrospective Cohort Study. Cardiopulmonary Physical Therapy Journal, 10-1097.