Effects of nursing under the enhanced recovery after surgery concept on time to first ambulation after laparoscopic...

Traditional postoperative nursing methods implemented after laparoscopic hepatectomy often leads to slow patient recovery. As a new nursing mode, enhanced recovery after surgery (ERAS) has been widely used in the peri- and postoperative care of patients. However, its effects after laparoscopic hepatectomy remains unclear.

To explore the influence of nursing under the ERAS concept on time to first ambulation and complications after laparoscopic hepatectomy.

Data from 119 patients, who underwent laparoscopic hepatectomy for various indications between January 2020 and March 2025, were divided into 2 groups according to nursing mode: Observation [nursing based on the ERAS concept (n = 59)], and control [basic nursing (n = 60)]. Time to first ambulation, complications, length of hospital stay, and numerical rating scale (NRS) scores were compared between the groups. Statistical analysis was performed using SPSS version 26.0 (IBM Corp., Armonk, NY, United States). Differences with P < 0.05 were considered statistically significant.

Findings indicated that after post-nursing intervention, the observation group experienced significantly sooner initial discharge times and shorter hospital stays than the control group (P < 0.05). The NRS score of the observation group was lower than that of the control group (P < 0.05). The observation group experienced a significantly lower incidence of postoperative complications than the control group (P < 0.05).

Operating room nursing based on the ERAS concept significantly shortens the time to first ambulation, reduces the incidence of postoperative complications, and improves patient quality of life after laparoscopic hepatectomy.