Fast-Track Rehabilitation (FTR)

The aim of this clinical trial is to identify the determining factors which impact a preoperative home respiratory rehabilitation training program success. This success is determined by complete achievement of the program (100%) by the patient.

This rehabilitation program is composed by 4 items:

• Adapted physical activity : 3 averaging cyclo ergometer or physical activity seances per week (25%)
• Physiotherapy sessions : 8 seances with a physical therapist (25%)
• Smokers : Set up of a program to help give up smoking if active smoker (25%)
• Dietetics : If unintentionally weight loss (>5% total weight in 1 month or >10% in 6 months) or BMI<21 , nutritional assessment is conducted and dietetic program is initiated(25%)

Secondary objectives are :

• Assessment of postoperative event onset (30 days) (atelectasis, fibro-aspiration, time spent in resuscitation unit, intubation, revision surgery).
• Link assessment of 100% program success and at least one complication onset.
• Cost assessment of preoperative rehabilitation program
• Evaluation of mean hospitalisation duration post surgery (30 days)
• Average cost assessment of hospitalisation stay per patient.

This study will include 50 patients over 18 years old, addressed to the home heath care provider AGIR à Dom, for rehabilitation before pulmonary parenchyma exeresis.

Patients must perform at least 2 items of rehabilitation program previously described.

This program is an initiative of a pulmonologist or a thoracic surgeon, who include the patient when the date of surgery is scheduled.