Zhu XL, Zhang DY, Fu SN, Ji HT, Wang XB. Effects of nursing under the enhanced recovery after surgery concept on time to first ambulation after laparoscopic hepatectomy. World J Gastrointest Surg 2025; 17(11): 111572 [DOI: 10.4240/wjgs.v17.i11.111572]
Corresponding Author of This Article
Xiao-Bo Wang, MD, Chief Physician, Department of Hepatopancreatobiliary Surgery, Shaoxing University Affiliated Hospital, No. 999 Zhongxing South Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. snailisgood@163.com
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Medicine, Research & Experimental
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Retrospective Cohort Study
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Nov 27, 2025 (publication date) through Nov 25, 2025
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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
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Zhu XL, Zhang DY, Fu SN, Ji HT, Wang XB. Effects of nursing under the enhanced recovery after surgery concept on time to first ambulation after laparoscopic hepatectomy. World J Gastrointest Surg 2025; 17(11): 111572 [DOI: 10.4240/wjgs.v17.i11.111572]
World J Gastrointest Surg. Nov 27, 2025; 17(11): 111572 Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.111572
Effects of nursing under the enhanced recovery after surgery concept on time to first ambulation after laparoscopic hepatectomy
Xing-Lan Zhu, Dan-Yan Zhang, Sun-Na Fu, Hai-Tao Ji, Xiao-Bo Wang
Xing-Lan Zhu, Dan-Yan Zhang, Sun-Na Fu, Hai-Tao Ji, Department of Anesthesiology and Surgery, Shaoxing University Affiliated Hospital, Shaoxing 312000, Zhejiang Province, China
Xiao-Bo Wang, Department of Hepatopancreatobiliary Surgery, Shaoxing University Affiliated Hospital, Shaoxing 312000, Zhejiang Province, China
Author contributions: Zhu XL and Wang XB designed the research study, drafted the manuscript, analyzed and interpreted the results; Zhang DY, Fu SN and Ji HT collected the data, prepared all the tables and figures, reviewed and edited the manuscript; all authors give final approval of the version to be published, 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.
Institutional review board statement: This study was reviewed and approved for publication by the Ethics Committee of Shaoxing University Affiliated Hospital (No. 2025-114-01).
Informed consent statement: By leveraging the research conducted on medical records and biological specimens obtained during previous clinical treatments, the application for exemption from informed consent is submitted.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
STROBE statement: The authors have read the STROBE Statement—a checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-a checklist of items.
Data sharing statement: The original anonymous dataset is available upon request from the corresponding author at snailisgood@163.com. Participants gave informed consent for data sharing.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Bo Wang, MD, Chief Physician, Department of Hepatopancreatobiliary Surgery, Shaoxing University Affiliated Hospital, No. 999 Zhongxing South Road, Yuecheng District, Shaoxing 312000, Zhejiang Province, China. snailisgood@163.com
Received: July 22, 2025 Revised: August 23, 2025 Accepted: October 13, 2025 Published online: November 27, 2025 Processing time: 126 Days and 2.9 Hours
Abstract
BACKGROUND
Traditional postoperative nursing methods implemented after laparoscopic hepatectomy often leads to slow patient recovery. As a new nursing mode, enhanced recovery after surgery (ERAS) has been widely used in the peri- and postoperative care of patients. However, its effects after laparoscopic hepatectomy remains unclear.
AIM
To explore the influence of nursing under the ERAS concept on time to first ambulation and complications after laparoscopic hepatectomy.
METHODS
Data from 119 patients, who underwent laparoscopic hepatectomy for various indications between January 2020 and March 2025, were divided into 2 groups according to nursing mode: Observation [nursing based on the ERAS concept (n = 59)], and control [basic nursing (n = 60)]. Time to first ambulation, complications, length of hospital stay, and numerical rating scale (NRS) scores were compared between the groups. Statistical analysis was performed using SPSS version 26.0 (IBM Corp., Armonk, NY, United States). Differences with P < 0.05 were considered statistically significant.
RESULTS
Findings indicated that after post-nursing intervention, the observation group experienced significantly sooner initial discharge times and shorter hospital stays than the control group (P < 0.05). The NRS score of the observation group was lower than that of the control group (P < 0.05). The observation group experienced a significantly lower incidence of postoperative complications than the control group (P < 0.05).
CONCLUSION
Operating room nursing based on the ERAS concept significantly shortens the time to first ambulation, reduces the incidence of postoperative complications, and improves patient quality of life after laparoscopic hepatectomy.
Core Tip: Nursing interventions based on the enhanced recovery after surgery (ERAS) concept demonstrated significant advantages in laparoscopic hepatectomy, providing a scientific, systematic, and optimized nursing program for clinical practice. Its effectiveness in shortening hospital stay, reducing complications, and improving pain has broad promotional value. Operating room nursing based on the ERAS concept significantly shortens the time to first ambulation, reduces the incidence of postoperative complications, and improves patient quality of life after laparoscopic hepatectomy.
