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World J Gastrointest Oncol. Sep 15, 2026; 18(9): 119825
Published online Sep 15, 2026. doi: 10.4251/wjgo.119825
Published online Sep 15, 2026. doi: 10.4251/wjgo.119825
Association among preoperative comorbidities, targeted nursing interventions, and postoperative recovery in patients undergoing total gastrectomy for gastric cancer
Na-Li Zhou, An-Nuo Liu, School of Nursing, Anhui Medical University, Hefei 230032, Anhui Province, China
Na-Li Zhou, Shi-Hui Yu, Department of Gastrointestinal, Hernia and Pediatric Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
An-Nuo Liu, Department of Nursing, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
Wei-Song Li, Department of Pediatric Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
Author contributions: Zhou NL and Liu AN designed the research study and they has been involved in drafting the manuscript; Zhou NL, Yu SH and Li WS performed the research; Yu SH and Li WS collected and analyzed the data; all authors have been involved in revising it critically for important intellectual content and give final approval of the version to be published; and all authors have participated sufficiently in the work to take public responsibility for appropriate portions of the content and agreed to be accountable for all aspects of the work in ensuring that questions related to its accuracy or integrity.
AI contribution statement: The entirety or any portion of the main text of the manuscript (Abstract, Introduction, Materials and Methods, Results, Discussion, and Conclusion) and Answer reviewer not AI-generated.
Supported by Major Project of Humanities and Social Sciences of the Education Department of Anhui Province, No. 2025AHGXSK20040.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of the First Affiliated Hospital of Anhui Medical University (Approval No. PJ2025-12-34).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at
Corresponding author: An-Nuo Liu, School of Nursing, Anhui Medical University, No. 2227 Hangbuhe Avenue, Hefei 230032, Anhui Province, China. liuannuo@ahmu.edu.cn
Received: March 13, 2026
Revised: April 9, 2026
Accepted: May 21, 2026
Published online: September 15, 2026
Processing time: 165 Days and 5.5 Hours
Revised: April 9, 2026
Accepted: May 21, 2026
Published online: September 15, 2026
Processing time: 165 Days and 5.5 Hours
Core Tip
Core Tip: This retrospective cohort study investigates the relationship between preoperative comorbidity severity, perioperative nursing processes, and early recovery outcomes in 174 gastric cancer patients undergoing total gastrectomy. While higher comorbidity severity correlated with delayed key nursing events (e.g., time to first oral intake and ambulation), it was not an independent predictor of delayed postoperative recovery after multivariate adjustment. The analysis identified time to first oral intake as a significant independent predictor of delayed recovery.