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Early enforced mobilization after liver resection: A prospective randomized controlled trial
Chun-Yan Ni1, Zhi-Hong Wang2, Zhi-Ping Huang2
1The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215153, Jiangsu Province, China; Suzhou Science & Technology Town Hospital, Suzhou 215153, Jiangsu Province, China; Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China.
International Journal of Surgery (London, England)
|May 13, 2018
Summary
Early ambulation after liver resection is safe and feasible, leading to faster gastrointestinal recovery and shorter hospital stays. This approach enhances patient comfort and satisfaction while reducing overall burden.
Area of Science:
- Hepatobiliary Surgery
- Postoperative Recovery Protocols
- Clinical Feasibility Studies
Background:
- Liver resection is a major surgical procedure with significant postoperative recovery implications.
- Optimizing early recovery pathways is crucial for patient outcomes and healthcare efficiency.
Purpose of the Study:
- To evaluate the feasibility of early ambulation following liver resection.
- To determine the impact of varying activity levels on key postoperative recovery metrics.
Main Methods:
- A randomized controlled trial involving 120 patients undergoing liver resection.
- Patients were allocated to early ambulation or a control group.
- Comparative analysis of gastrointestinal function, pain, sleep, complications, and hospital stay.
Main Results:
- Early ambulation significantly accelerated gastrointestinal function recovery (e.g., first exhaust and flatus times).
- Patients in the early ambulation group experienced shorter postoperative hospital stays.
- No significant difference in the incidence of postoperative complications was observed between groups.
Conclusions:
- Early ambulation post-liver resection is a safe and feasible intervention.
- Implementing early ambulation can enhance patient comfort, satisfaction, and recovery speed.
- This strategy may also reduce nursing workload and economic burden.
Keywords:
Activity amountEarly ambulationEnhanced Recovery After Surgery (ERAS)Liver resectionNursingMore Related Videos
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