Effect of enhanced recovery after surgery nursing on gastrointestinal recovery function and life quality in patients laparoscopic cholecystectomy

doi:10.4240/wjgs.v17.i11.108188

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Gastrointest Surg. Nov 27, 2025; 17(11): 108188
Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.108188

Effect of enhanced recovery after surgery nursing on gastrointestinal recovery function and life quality in patients laparoscopic cholecystectomy

Zi-Ying Sun, Li Ye, Yan-Yan Mao, Long Liang

Zi-Ying Sun, Yan-Yan Mao, Department of Gastrointestinal Surgery, Wuhan Fourth Hospital, Wuhan 430034, Hubei Province, China

Li Ye, Department of Hepatobiliary Surgery, Wuhan Fourth Hospital, Wuhan 430034, Hubei Province, China

Long Liang, Department of Pharmacy, Wuhan Fourth Hospital, Wuhan 420000, Hubei Province, China

Co-first authors: Zi-Ying Sun and Li Ye.

Author contributions: Sun ZY and Ye L collected data and made equal contributions as co-first authors; Mao YY analyzed data; Liang L supervised the study and revised the manuscript; all authors designed the study and approved the final version to publish.

Institutional review board statement: This research has been approved by the Ethics Committee of Wuhan Fourth Hospital, No. KY2025-070-01.

Informed consent statement: The subjects have read this informed consent form, have had a detailed discussion with the researchers of this experiment and have understood the purpose, subjects, process and risks of this study. After carefully reading the above instructions, they have considered for a sufficient period of time and voluntarily become participants in this research.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: Contact the corresponding author via email to request the data.

Corresponding author: Long Liang, Associate Chief Pharmacist, Department of Pharmacy, Wuhan Fourth Hospital, No. 76 Jiefang Avenue, Qiaokou District, Wuhan 420000, Hubei Province, China. liangl0601@163.com

Received: June 10, 2025
Revised: July 24, 2025
Accepted: September 9, 2025
Published online: November 27, 2025
Processing time: 168 Days and 3.5 Hours

Abstract

BACKGROUND

Laparoscopic cholecystectomy is the primary method for treating cholecystitis. Traditional postoperative care has poor outcomes for patient recovery. The enhanced recovery after surgery (ERAS) model is increasingly applied in clinical settings. However, the impact of this nursing model on patients undergoing laparoscopic cholecystectomy remains unclear.

AIM

To evaluate the effects of ERAS on postoperative gastrointestinal recovery and quality of life in patients undergoing laparoscopic cholecystectomy.

METHODS

This is a retrospective study design in which we collected clinical data from 120 patients who underwent laparoscopic cholecystectomy at our hospital. Patients were divided into a control group (n = 60) and a study group (n = 60) based on the type of nursing intervention. The control group received conventional care, while the study group received ERAS. We assessed gastrointestinal recovery, quality of life, and nursing satisfaction before and after the nursing interventions in both groups.

RESULTS

After nursing care, the gastrointestinal recovery times (time to bowel sounds return, time to flatus, time to first bowel movement, and time to first meal) in the study group were significantly shorter than those in the control group, with statistically significant differences between the two groups (P < 0.05). Additionally, the quality of life in the study group was significantly higher than that in the control group (P < 0.05). The nursing satisfaction in the study group was also significantly higher than that in the control group, with statistically significant differences between the two groups (P < 0.05).

CONCLUSION

In summary, compared to conventional nursing, ERAS can more rapidly promote gastrointestinal recovery and improve the quality of life in patients after laparoscopic cholecystectomy. Further clinical application of this approach is warranted.

Keywords: Enhanced recovery after surgery; Gastrointestinal recovery; Laparoscopic cholecystectomy; Nursing satisfaction; Quality of life

Core Tip: Laparoscopic cholecystectomy is the primary method for treating cholecystitis. Traditional postoperative care has poor outcomes for patient recovery. The aim of this study is to evaluate the effects of enhanced recovery after surgery (ERAS) on postoperative gastrointestinal recovery and quality of life in patients undergoing laparoscopic cholecystectomy. Compared to conventional nursing, ERAS can more rapidly promote gastrointestinal recovery and improve the quality of life in patients after laparoscopic cholecystectomy. By improving gastrointestinal recovery, quality of life, and nursing satisfaction, while reducing pain, ERAS provides valuable insights for modern surgical care.