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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2025; 17(10): 108930
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.108930
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.108930
Enhanced recovery after surgery in gastric cancer surgery: Systematic review and meta-analysis of perioperative indwelling drainage tube use
Hai-Yue Li, Department of General Surgery, Yanbian University Hospital, Yanji 133002, Jilin Province, China
Yi Liu, Wen-Xiang Cui, Qian Zhao, School of Nursing, Yanbian University, Yanji 133002, Jilin Province, China
Co-first authors: Hai-Yue Li and Yi Liu.
Author contributions: Li HY and Liu Y conceived and designed the study, they contributed equally to this article, they are the co-first authors of this manuscript; Cui WX and Zhao Q conducted literature screening and data extraction; Li HY, Liu Y, and Zhao Q performed statistical analysis and drafted the manuscript; Cui WX critically revised the manuscript and supervised the overall project; and all authors read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
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: Wen-Xiang Cui, School of Nursing, Yanbian University, No. 997 Park Road, Yanji 133002, Jilin Province, China. wxcui@ybu.edu.cn
Received: April 30, 2025
Revised: June 30, 2025
Accepted: August 12, 2025
Published online: October 27, 2025
Processing time: 178 Days and 2.1 Hours
Revised: June 30, 2025
Accepted: August 12, 2025
Published online: October 27, 2025
Processing time: 178 Days and 2.1 Hours
Core Tip
Core Tip: Enhanced recovery after surgery in radical gastrectomy supports early drain removal, faster gastrointestinal recovery, shorter hospitalization, and fewer complications. This review of 21 randomized controlled trials highlights safety and benefits, but also the need for better protocol standardization and region-specific adaptation, as current data stem solely from Asian populations. Strengthening protocol standardization, interdisciplinary coordination, and localized implementa