Chun-Yan Ni1, Zhi-Hong Wang2, Zhi-Ping Huang2, Hui Zhou2, Li-Juan Fu2, Hui Cai2, Xuan-Xuan Huang2, Yuan Yang3, Hui-Fen Li4, Wei-Ping Zhou5. 1. The 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. 2. Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China. 3. Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China. Electronic address: yy@smmu.edu.cn. 4. The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215153, Jiangsu Province, China; Suzhou Science & Technology Town Hospital, Suzhou 215153, Jiangsu Province, China. Electronic address: 1927280851@qq.com. 5. Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai, China. Electronic address: ehphwp@126.com.
Abstract
OBJECTIVE: This randomized controlled study investigated the feasibility of early ambulation after liver resection and the effect of the amount of activity on postoperative recovery. METHODS: A total of 120 patients who underwent liver resection were randomly divided into two groups for the comparative analysis of the following factors: amount of activity, pain control, sleeping state, perioperative gastrointestinal function recovery, incidence of complications and postoperative hospital stay. RESULTS: Compared with the control group, patients undergoing liver resection performing early postoperative ambulation had faster gastrointestinal function recovery (First exhaust time 2.2 ± 1.4 vs. 3.3 ± 2.3 p < 0.01; First flatus time 2.3 ± 1.7 vs. 3.1 ± 2.5 p = 0.04) and shorter postoperative hospital stays (6.6 ± 2.3 vs. 7.7 ± 2.1 p = 0.01), with statistically significant differences. There was no significant difference in the incidence of postoperative complications between the two groups (p > 0.05). CONCLUSION: Early ambulation after liver resection is safe and feasible. It can reduce the patient's pain and economic burden, increase the patient's comfort, reduce the nursing workload, achieve rapid recovery, and improve patient satisfaction.
RCT Entities:
OBJECTIVE: This randomized controlled study investigated the feasibility of early ambulation after liver resection and the effect of the amount of activity on postoperative recovery. METHODS: A total of 120 patients who underwent liver resection were randomly divided into two groups for the comparative analysis of the following factors: amount of activity, pain control, sleeping state, perioperative gastrointestinal function recovery, incidence of complications and postoperative hospital stay. RESULTS: Compared with the control group, patients undergoing liver resection performing early postoperative ambulation had faster gastrointestinal function recovery (First exhaust time 2.2 ± 1.4 vs. 3.3 ± 2.3 p < 0.01; First flatus time 2.3 ± 1.7 vs. 3.1 ± 2.5 p = 0.04) and shorter postoperative hospital stays (6.6 ± 2.3 vs. 7.7 ± 2.1 p = 0.01), with statistically significant differences. There was no significant difference in the incidence of postoperative complications between the two groups (p > 0.05). CONCLUSION: Early ambulation after liver resection is safe and feasible. It can reduce the patient's pain and economic burden, increase the patient's comfort, reduce the nursing workload, achieve rapid recovery, and improve patient satisfaction.
Authors: Marius Schwab; Niall Brindl; Alexander Studier-Fischer; Thomas Tu; Julia Gsenger; Max Pilgrim; Mirco Friedrich; Pia-Elena Frey; Christina Achilles; Alexander Leuck; Thore Bürgel; Manuel Feisst; Christina Klose; Solveig Tenckhoff; Colette Dörr-Harim; André L Mihaljevic Journal: Trials Date: 2020-03-23 Impact factor: 2.279