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Retrospective Cohort Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2025; 17(9): 106543
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.106543
Effects of rapid recovery nursing after surgery in patients with acute calculous cholecystitis after laparoscopic cholecystectomy
Zhong-Yi Chen, Xiao-Dan Han, Mei Liu, Ming-Yang Fu, Ying-Jie Nie, Feng-En Wang
Zhong-Yi Chen, Department of Emergency, Botou City Hospital, Botou 062150, Hebei Province, China
Xiao-Dan Han, Department of Nursing, Botou City Hospital, Botou 062150, Hebei Province, China
Mei Liu, Department of Hepatobiliary Surgery, Botou City Hospital, Botou 062150, Hebei Province, China
Ming-Yang Fu, Department of General Surgery, Botou City Hospital, Botou 062150, Hebei Province, China
Ying-Jie Nie, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075061, Hebei Province, China
Feng-En Wang, The First Department of General Surgery, Gucheng County Hospital of Hebei Province, Gucheng 253800, Hebei Province, China
Author contributions: All authors contributed to this paper and read and approved the final version of the manuscript to be published.
Institutional review board statement: The study was reviewed and approved by the Medical Ethics Committee of Botou City Hospital.
Informed consent statement: The requirement for obtaining informed consent was waived owing to the retrospective nature of the study.
Conflict-of-interest statement: All authors report no relevant conflicts of interest for this article.
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: No additional data are available.
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: Zhong-Yi Chen, PhD, Department of Emergency, Botou City Hospital, Yuhua Road, Botou 062150, Hebei Province, China. 18131796825@163.com
Received: April 18, 2025
Revised: May 13, 2025
Accepted: July 28, 2025
Published online: September 27, 2025
Processing time: 159 Days and 0.2 Hours
Abstract
BACKGROUND

Laparoscopic cholecystectomy (LC) is the primary treatment for acute calculous cholecystitis. Although rapid recovery nursing is commonly implemented in postoperative care, its effect on acute calculous cholecystitis after LC remains unclear.

AIM

To analyze the impact of rapid recovery nursing in patients with acute calculous cholecystitis undergoing LC.

METHODS

A retrospective study was conducted with a total of 120 patients with acute calculous cholecystitis who underwent LC at our hospital between October 2023 and October 2024. The patients were divided into two groups with 60 patients in each group according to the different nursing methods: Conventional nursing and rapid recovery nursing groups. Data was recorded from the electronic medical records. Gastrointestinal recovery, pain, quality of life, and nursing satisfaction were compared between the two groups before and after nursing.

RESULTS

Following nursing intervention, the visual analog scale scores on Days 3 and 7 post-surgery in the rapid recovery nursing group were notably lower than those of the conventional nursing group (P < 0.05). The rapid recovery nursing group experienced significantly reduced times for bowel sound recovery, getting out of bed, hospital stay, passing flatus, and first defecation compared with the conventional nursing group (P < 0.05), thereby experiencing significantly better quality of life and nursing satisfaction (P < 0.05).

CONCLUSION

Rapid recovery nursing effectively promoted the recovery of gastrointestinal function, reducing pain and improving the quality of life of patients who underwent LC for acute calculous cholecystitis.

Keywords: Enhanced recovery after surgery; Acute calculous cholecystitis; Laparoscopic cholecystectomy; Gastrointestinal function; Pain; Quality of life

Core Tip: Laparoscopic cholecystectomy is the primary treatment for acute calculous cholecystitis. Although rapid recovery nursing is frequently used in postoperative care, its impact on patients undergoing this procedure remains unclear. Analyzing its effects revealed its benefits such as enhanced gastrointestinal function, reduced postoperative pain, and improved overall quality of life.