Tang YH, Zhang J. Clinical effect of enhanced recovery after surgery based on multidisciplinary collaboration model in postoperative gastric cancer surgery. World J Gastrointest Surg 2025; 17(7): 105387 [DOI: 10.4240/wjgs.v17.i7.105387]
Corresponding Author of This Article
Jie Zhang, Department of Gastroenterology, Wuhan Wuchang Hospital, No. 116 Yangyuan Street, Wuchang District, Wuhan 430080, Hubei Province, China.15271850482@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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/
World J Gastrointest Surg. Jul 27, 2025; 17(7): 105387 Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.105387
Clinical effect of enhanced recovery after surgery based on multidisciplinary collaboration model in postoperative gastric cancer surgery
Yan-Hua Tang, Jie Zhang
Yan-Hua Tang, Jie Zhang, Department of Gastroenterology, Wuhan Wuchang Hospital, Wuhan 430080, Hubei Province, China
Author contributions: Tang YH drafted the manuscript and gave final approval of the version to be published; Zhang J and Tang YH designed this study, collected and analyzed the data; and all authors thoroughly reviewed and endorsed the final manuscript.
Institutional review board statement: This study was approved by the institutional review board of Wuhan Wuchang Hospital, approval No. 2023120118.
Informed consent statement: The informed consent was exempted by the institutional review board of Wuhan Wuchang Hospital.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data was not applicable.
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: Jie Zhang, Department of Gastroenterology, Wuhan Wuchang Hospital, No. 116 Yangyuan Street, Wuchang District, Wuhan 430080, Hubei Province, China.15271850482@163.com
Received: March 7, 2025 Revised: April 2, 2025 Accepted: May 27, 2025 Published online: July 27, 2025 Processing time: 138 Days and 3.5 Hours
Abstract
BACKGROUND
Surgical resection is the primary treatment for gastric cancer, but it often leads to slow recovery, high complications, and poor psychological health. The effectiveness of enhanced recovery after surgery (ERAS) as a new nursing model post-surgery remains uncertain.
AIM
To investigate the clinical effect of accelerated recovery nursing program based on multidisciplinary collaboration model in gastric cancer surgery.
METHODS
A total of 120 patients who underwent radical gastrectomy at our hospital from January 2023 to December 2024 were included in the study. They were divided into two groups of 60 each: The control group, which received routine care, and the study group, which received ERAS based on multidisciplinary collaboration. Both groups received care until discharge. We compared gastrointestinal recovery, psychological status, Short Form 36 Health Survey scores, Pittsburgh Sleep Quality Index, complications, and nursing satisfaction between the two groups.
RESULTS
The study group had significantly shorter defecation time, bowel sound recovery time, and flatus time compared to the control group (P < 0.05). The Hamilton Anxiety Scale and Hamilton Depression Rating Scale scores were also significantly lower in the study group (P < 0.05). Additionally, the study group reported better sleep quality (P < 0.05) and had fewer postoperative complications. Their Short Form 36 Health Survey scores and nursing satisfaction were higher than those of the control group, with all differences being statistically significant (P < 0.05).
CONCLUSION
The ERAS based on multidisciplinary collaboration in patients undergoing radical gastrectomy can accelerate postoperative recovery, reduce the occurrence of complications, and improve psychological state, quality of life, sleep quality and nursing satisfaction.
Core Tip: This study evaluates the clinical effects of an enhanced recovery after surgery program based on a multidisciplinary collaboration model in gastric cancer patients undergoing radical gastrectomy. A total of 120 patients were divided into a control group receiving routine care and a study group receiving enhanced recovery after surgery. Results showed that the study group had significantly shorter recovery times for defecation, bowel sounds, and flatus, along with lower anxiety and depression scores, improved sleep quality, fewer complications, and higher Short Form 36 Health Survey scores and nursing satisfaction, indicating enhanced postoperative recovery and overall well-being.
