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World J Gastrointest Surg. Mar 27, 2026; 18(3): 114683
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.114683
Published online Mar 27, 2026. doi: 10.4240/wjgs.v18.i3.114683
Development of an early mobilization protocol for patients following hepatectomy and its effect on rehabilitation outcomes
Yi-Ming Xing, Li-Qun Zhang, Min-Xia Wei, Ling-Ling Luan, Department of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Yi-Qing Shen, The Translation Center for Comprehensive Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Co-first authors: Yi-Ming Xing and Li-Qun Zhang.
Author contributions: Xing YM and Zhang LQ jointly participated in research design, data collection, and analysis and wrote the first draft of the paper, they contributed equally to this article, they are the co-first authors of this manuscript; Wei MX and Shen YQ assisted in data collation and the literature review and participated in manuscript revision; Luan LL participated in the overall research, review, and finalization of the draft and will be responsible for academic communication; and all authors thoroughly reviewed and endorsed the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the First Affiliated Hospital of Suzhou University, approval No. 2025-1184.
Clinical trial registration statement: This study is a randomized controlled trial. Based on the characteristics of the research design and the scope of clinical activities involved, the study was not registered with the Clinical Trial Registry prior to its initiation.
Informed consent statement: All study participants, or their legal guardian, provided written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: There is no additional data available.
Corresponding author: Ling-Ling Luan, Associate Chief Nurse, Department of General Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou 215006, Jiangsu Province, China. 13063817375@163.com
Received: October 28, 2025
Revised: November 29, 2025
Accepted: January 12, 2026
Published online: March 27, 2026
Processing time: 150 Days and 3.7 Hours
Revised: November 29, 2025
Accepted: January 12, 2026
Published online: March 27, 2026
Processing time: 150 Days and 3.7 Hours
Core Tip
Core Tip: An early postoperative activity program for hepatectomy patients significantly enhances recovery by accelerating ambulation, gastrointestinal function, and hospital discharge. It reduces pain, inflammatory and stress responses, and postoperative complications, while improving functional capacity, quality of life, and nursing satisfaction. This evidence-based program provides a practical and effective strategy for the perioperative care of hepatectomy patients.