Impact of multi-dimensional monitoring combined with wearable devices on early physical recovery in postoperative liver cancer patients

doi:10.4240/wjgs.117962

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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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Retrospective Cohort Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. Jun 27, 2026; 18(6): 117962
Published online Jun 27, 2026. doi: 10.4240/wjgs.117962

Impact of multi-dimensional monitoring combined with wearable devices on early physical recovery in postoperative liver cancer patients

Fa-Xin Qiu, Han Li

Fa-Xin Qiu, Zibo Medical Security Center, Zibo 255300, Shandong Province, China

Han Li, School of Economics and Management, Huzhou University, Huzhou 313000, Zhejiang Province, China

Author contributions: Qiu FX collected and curated the clinical data, wearable device monitoring data, and drafted the initial manuscript; Li H performed the statistical analyses, interpreted the results, revised the manuscript critically for important intellectual content; Qiu FX and Li H conceived and designed the study; and all authors read and approved the final version of the manuscript.

AI contribution statement: During the preparation of this manuscript, DeepL was used for English translation and language polishing, while no other AI tools including ChatGPT and Grammarly were utilized; none of the main text of the manuscript (Abstract, Introduction, Materials and Methods, Results, Discussion, and Conclusion) was AI-generated, and no AI tools were applied for data analysis, writing assistance, study design or result interpretation, nor were any images in the manuscript generated by AI.

Supported by Huzhou City Science and Technology Program Project, No. 2025YZ30.

Institutional review board statement: This study was approved by the Medical Ethics Committee of the School of Economics and Management, Huzhou University, approval No. 202510-01.

Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.

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: No other data available.

Corresponding author: Han Li, PhD, School of Economics and Management, Huzhou University, No. 759 Erhuan East Road, Huzhou 313000, Zhejiang Province, China. wwtgzy@126.com

Received: January 16, 2026
Revised: February 3, 2026
Accepted: March 9, 2026
Published online: June 27, 2026
Processing time: 150 Days and 0.9 Hours

Abstract

BACKGROUND

Postoperative physical recovery is challenging for patients undergoing hepatectomy for hepatocellular carcinoma. Traditional assessment methods have limitations in guiding personalized rehabilitation.

AIM

To evaluate the impact of a multidimensional monitoring system combined with wearable device-guided intervention on early physical recovery.

METHODS

A single-center retrospective cohort study enrolled 305 consecutive patients undergoing radical hepatectomy between June 2020 and June 2024. Participants were allocated to observation group (multidimensional monitoring plus wearable devices, n = 121) or control group (traditional management, n = 184). Primary outcomes included six-minute walk test distance, Borg score, liver function indicators, Quality of Life (QOL) Scale for Liver Cancer score, and complication rates. Statistical analyses comprised independent samples t-tests, χ² tests, and repeated measures analysis of variance.

RESULTS

At one month postoperatively, the observation group demonstrated significantly greater six-minute walk test distances (492.71 ± 53.14 m vs 441.63 ± 61.02 m, P < 0.001) and lower Borg scores (0.76 ± 0.52 vs 1.13 ± 0.63, P < 0.001) compared to controls. Repeated-measures analysis of variance revealed significant group, time, and interaction effects for liver enzymes (all P < 0.001). The observation group exhibited superior QOL scores (124.49 ± 11.90 vs 116.40 ± 12.63, P < 0.001), reduced hospital stay (P < 0.001), and lower complication rates (9.92% vs 19.02%, P = 0.031). Daily steps and moderate-to-vigorous physical activity duration positively correlated with QOL (r = 0.51 and r = 0.40, respectively, both P < 0.001).

CONCLUSION

Multi-dimensional monitoring with wearable devices significantly enhances early physical recovery, liver function, QOL, and reduces postoperative complications.

Keywords: Liver cancer; Postoperative; Wearable devices; Physical recovery; Retrospective cohort study

Core Tip: This study demonstrates that a multi-dimensional monitoring system integrating wearable device data with guided rehabilitation significantly enhances recovery after liver cancer surgery. Patients receiving this intervention showed markedly better physical capacity, faster liver function recovery, improved quality of life, and fewer complications compared to conventional care. Objectively measured physical activity levels correlated strongly with patient-reported outcomes. These findings support the clinical value of technology-enabled, data-driven rehabilitation programs to optimize postoperative recovery in surgical oncology.