Yang QQ, Wu ZK. Failure mode and effects analysis nursing model improves recovery and quality of life post-laparoscopic extended radical colectomy for colorectal cancer. World J Gastrointest Surg 2026; 18(2): 113730 [DOI: 10.4240/wjgs.v18.i2.113730]
Corresponding Author of This Article
Qian-Qian Yang, Medical School, Henan Vocational University of Science and Technology, No. 6 East Section of Wenchang Avenue, Chuanhui District, Zhoukou 466000, Henan Province, China. 13103870369@126.com
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Oncology
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Retrospective Cohort Study
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Feb 27, 2026 (publication date) through Feb 26, 2026
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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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Yang QQ, Wu ZK. Failure mode and effects analysis nursing model improves recovery and quality of life post-laparoscopic extended radical colectomy for colorectal cancer. World J Gastrointest Surg 2026; 18(2): 113730 [DOI: 10.4240/wjgs.v18.i2.113730]
World J Gastrointest Surg. Feb 27, 2026; 18(2): 113730 Published online Feb 27, 2026. doi: 10.4240/wjgs.v18.i2.113730
Failure mode and effects analysis nursing model improves recovery and quality of life post-laparoscopic extended radical colectomy for colorectal cancer
Qian-Qian Yang, Zhen-Kun Wu
Qian-Qian Yang, Medical School, Henan Vocational University of Science and Technology, Zhoukou 466000, Henan Province, China
Zhen-Kun Wu, Department of Endoscopy, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Author contributions: Yang QQ initiated research, conducted statistical analysis, and wrote the original manuscript and revised the paper; Yang QQ and Wu ZK conducted clinical data collection; Wu ZK designed the experiments, performed postoperative follow-up, and recorded the data. All authors read and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.
Informed consent statement: The ethics committee agrees to waive informed consent.
Conflict-of-interest statement: All the 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: All data generated or analyzed during this study are included in this published article.
Corresponding author: Qian-Qian Yang, Medical School, Henan Vocational University of Science and Technology, No. 6 East Section of Wenchang Avenue, Chuanhui District, Zhoukou 466000, Henan Province, China. 13103870369@126.com
Received: October 24, 2025 Revised: November 17, 2025 Accepted: January 4, 2026 Published online: February 27, 2026 Processing time: 124 Days and 23.7 Hours
Abstract
BACKGROUND
Postoperative gastrointestinal recovery is a critical factor influencing patient rehabilitation.
AIM
To investigate the effects of conventional care compared with the failure mode and effects analysis (FMEA) protocol on postoperative recovery in patients undergoing surgery.
METHODS
A retrospective cohort study analyzed 225 patients with colorectal cancer (conventional care group: n = 122; FMEA group: n = 103) treated between June 2021 and June 2024. Outcomes included gastrointestinal recovery (time to flatus/bowel movement and diet tolerance), functional capacity (6-minute walk distance test and sit-to-stand test), complications, quality of life (General Comfort Questionnaire, Barthel index, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30), and satisfaction.
RESULTS
The FMEA group demonstrated significantly accelerated recovery: Shorter hospital stays (4.49 ± 0.38 days vs 4.66 ± 0.42 days, P = 0.002), earlier flatus (18.58 ± 1.86 hours vs 19.09 ± 1.93 hours, P = 0.045), and improved 6-minute walk distance at 8 weeks (526.16 ± 88.71 m vs 495.29 ± 94.82 m, P = 0.013). Complication rates decreased (nausea/vomiting: 12.62% vs 22.95%, P = 0.046; bowel obstruction: 2.91% vs 10.66%, P = 0.024). Quality of life metrics significantly favored FMEA: Total comfort score (91.66 ± 4.71 vs 89.27 ± 4.87, P < 0.001), Barthel index (67.93 ± 3.19 vs 66.71 ± 3.35, P = 0.006), and higher “very satisfied” rates (61.17% vs 47.54%, P = 0.041).
CONCLUSION
FMEA-based nursing significantly enhances postoperative functional recovery, reduces complications, and improves quality of life in patients undergoing extended colectomy.
Core Tip: This study introduces the failure mode and effects analysis nursing model into the postoperative care of patients undergoing laparoscopic extended colectomy for colorectal cancer. By systematically identifying and proactively mitigating potential risks throughout the perioperative pathway, this innovative approach was found to significantly accelerate gastrointestinal and functional recovery, reduce specific complications, and enhance overall quality of life, demonstrating superior efficacy compared to conventional care protocols.
