Zeng C, Lin XY, Ye SY, Zhao CF. Paradigm shift in postoperative monitoring: Integrating dynamic ultrasound and biomarkers for precision management following laparoscopic gastrectomy. World J Gastrointest Surg 2026; 18(8): 118327 [DOI: 10.4240/wjgs.118327]
Corresponding Author of This Article
Cheng-Fei Zhao, MD, PhD, Associate Professor, School of Pharmacy and Medical Technology, Putian University, No. 1133 Xueyuan Road, Chengxiang District, Putian 351100, Fujian Province, China. zhaochengfei209@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
editorial
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Zeng C, Lin XY, Ye SY, Zhao CF. Paradigm shift in postoperative monitoring: Integrating dynamic ultrasound and biomarkers for precision management following laparoscopic gastrectomy. World J Gastrointest Surg 2026; 18(8): 118327 [DOI: 10.4240/wjgs.118327]
World J Gastrointest Surg. Aug 27, 2026; 18(8): 118327 Published online Aug 27, 2026. doi: 10.4240/wjgs.118327
Paradigm shift in postoperative monitoring: Integrating dynamic ultrasound and biomarkers for precision management following laparoscopic gastrectomy
Chen Zeng, Xin-Yun Lin, Shen-Yi Ye, Cheng-Fei Zhao
Chen Zeng, Department of Ultrasound, Affiliated Hospital of Putian University, Putian University, Putian 351100, Fujian Province, China
Xin-Yun Lin, Shen-Yi Ye, Cheng-Fei Zhao, School of Pharmacy and Medical Technology, Putian University, Putian 351100, Fujian Province, China
Cheng-Fei Zhao, Key Laboratory of Pharmaceutical Analysis and Laboratory Medicine, Putian University, Putian 351100, Fujian Province, China
Co-first authors: Chen Zeng and Xin-Yun Lin.
Author contributions: Zeng C and Lin XY mainly wrote this paper; Zhao CF and Zeng C mainly designed this paper; Zeng C, Lin XY, Ye SY, and Zhao CF checked and proofread this paper; Zeng C, Lin XY, Ye SY, and Zhao CF searched related literatures and information for this paper. All authors have read and approve the final manuscript. Zeng C and Lin XY contributed equally to this work as co-first authors.
Supported by Scientific Research Project of Putian University, No. 2022059; Special Project for Outstanding Young Talents of Putian University, No. 2024072; and Natural Science Foundation of Fujian Province, No. 2023J01160.
Conflict-of-interest statement: The authors declare that there is no conflict of interest in this paper.
Corresponding author: Cheng-Fei Zhao, MD, PhD, Associate Professor, School of Pharmacy and Medical Technology, Putian University, No. 1133 Xueyuan Road, Chengxiang District, Putian 351100, Fujian Province, China. zhaochengfei209@163.com
Received: December 30, 2025 Revised: January 20, 2026 Accepted: February 3, 2026 Published online: August 27, 2026 Processing time: 228 Days and 12.6 Hours
Core Tip
Core Tip: Postoperative intraperitoneal effusion remains a significant clinical challenge following laparoscopic gastrectomy. This editorial highlights a paradigm shift toward proactive and precision-driven postoperative monitoring, as supported by emerging evidence. The integration of dynamic transabdominal ultrasonography-particularly the assessment of effusion characteristics (simple vs mixed echogenicity) at the critical 72-hour postoperative milestone-with serial procalcitonin measurements constitutes a superior dual-modality strategy for early risk stratification. This combined approach enables the timely identification of high-risk patients who are likely to develop infectious complications before clinical deterioration occurs. Incorporating this structured surveillance protocol into enhanced recovery after surgery pathways exemplifies a transition from reactive management to preemptive intervention, thereby improving patient outcomes, optimizing resource utilization, and advancing the delivery of personalized postoperative care in surgical oncology.
