Welcome to Scholar Publishing Group

International Journal of Public Health and Preventive Medicine, 2021, 2(2); doi: 10.38007/IJPHPM.2021.020204.

Rapid Rehabilitation Surgical Nursing Model in Perioperative Period of Laparoscopic Liver Cancer Resection


Abby Wambach

Corresponding Author:
Abby Wambach

National University of Singapore, Singapore


For patients with liver disease undergoing laparoscopic hepatectomy due to long-term pain and surgical trauma, most patients have great psychological pressure and stress response during treatment, which seriously affects the operation effect and postoperative recovery. Based on the above background, the purpose of this study is to explore the application of fast track surgical nursing mode in perioperative period of laparoscopic liver cancer resection. In this study, 80 patients with hepatocellular carcinoma were randomly divided into two groups, the experimental group and the control group. There were 40 cases in the experimental group and 40 cases in the control group. The control group adopted the traditional weekly nursing management mode for nursing, and the experimental group adopted the intervention measures of rapid rehabilitation surgery nursing concept. The operation time, neck drainage volume, CPR concentration, pain score, restlessness score, patient satisfaction, hospitalization expenses and length of stay were compared between the two groups. The data were processed by SPPs 19.0 software. Independent sample t-test was used for measurement data, P<0.05, with statistical significance. The experimental results show that although the effect of rapid rehabilitation surgery nursing concept intervention cannot affect the operation time and postoperative drainage volume, it can reduce the postoperative pain of patients, reduce the anxiety of patients, improve the satisfaction of patients, shorten the length of hospital stay, reduce the cost of hospitalization.


Fast Track Surgery, Laparoscopic Resection, Liver Cancer, Perioperative Nursing

Cite This Paper

Abby Wambach. Rapid Rehabilitation Surgical Nursing Model in Perioperative Period of Laparoscopic Liver Cancer Resection. International Journal of Public Health and Preventive Medicine (2021), Vol. 2, Issue 2: 35-46. https://doi.org/10.38007/IJPHPM.2021.020204.


[1] Li B, Liu H Y, Guo S H, et al. Impact of Early Enteral and Parenteral Nutrition on Prealbumin and High-Sensitivity C-Reactive Protein after Gastric Surgery. Genetics & Molecular Research, 2015, 14(2):7130-7135. DOI: 10.4238/2015.June.29.6

[2] Alyssa M C, Warkentin L M, Mcneely M L, et al. Development of a Reconditioning Program for Elderly Abdominal Surgery Patients: The Elder-friendly Approaches to the Surgical Environment–BEdside reconditioning for Functional ImprovemenTs (EASE-BE FIT) pilot study. World Journal of Emergency Surgery Wjes, 2018, 13(1):21. DOI: 10.1186/s13017-018-0180-7

[3] Herbsman J, Corcoran J, Parkin K, et al. Early Rehabilitation in the Medical and Surgical Intensive Care Units: A Performance Improvement Project. Archives of Physical Medicine and Rehabilitation, 2015, 96(10):e88-e89. DOI: 10.1016/j.apmr.2015.08.296

[4] Gokeler A, Bisschop M, Myer G D, et al. Immersive Virtual Reality Improves Movement Patterns in Patients after ACL Reconstruction: Implications for Enhanced Criteria-Based Return-to-Sport Rehabilitation. Knee Surgery Sports Traumatology Arthroscopy, 2016, 24(7):2280-2286. DOI: 10.1007/s00167-014-3374-x

[5] Chartrand S, Fischer A. Assessment and Management of Connective Tissue Disease-Associated Interstitial Lung Disease. Sarcoidosis, vasculitis, and diffuse lung diseases: official journal of WASOG / World Association of Sarcoidosis and Other Granulomatous Disorders, 2015, 32(1):2-21.

[6] D Z H Levett, S Jack, M Swart. Perioperative Cardiopulmonary Exercise Testing (CPET): Consensus Clinical Guidelines on Indications, Organization, Conduct, and Physiological Interpretation. British Journal of Anaesthesia, 2018, 120(3):484-500. DOI: 10.1016/j.bja. 2017.10.020

[7] Breda A, Schwartzmann I, Emiliani E, et al. V1729 Laparoscopic Living Donor Nephrectomy with the Use of 3 Mm Instruments and Laparoscope. World Journal of Urology, 2015, 33(5):707-712. DOI: 10.1016/j.juro.2013.02.2930

[8] Liu X, Plishker W, Zaki G, et al. On-Demand Calibration and Evaluation for Electromagnetically Tracked Laparoscope in Augmented Reality Visualization. International Journal of Computer Assisted Radiology & Surgery, 2016, 11(6):1163-1171. DOI: 10.1007/s11548-016-1406-3

[9] Park SY, Park JS, Choi GS. Comparison of Analgesic Efficacy of Laparoscope-Assisted and Ultrasound-Guided Transversus Abdominis Plane Block after Laparoscopic Colorectal Operation: A Randomized, Single-Blind, Non-Inferiority Trial. Journal of the American College of Surgeons, 2017, 225(3):403. DOI: 10.1016/j.jamcollsurg.2017.05.017

[10] Dan S, Qing-Qu G, Yu-Lian W U. Comparison of Efficacy of Different Sequential Order of Laparoscope Combined Duodenoscope in Treatment of Cholecystolithiasis and Choledocholithiasis. China Journal of Endoscopy, 2015, 41(wp312):865–908. DOI: 10.2139/ssrn.898184

[11] Veneziano D, Minervini A, Beatty J, et al. Construct, Content and Face Validity of the Camera Handling Trainer (CHT): A new E-BLUS Training task for 30° Laparoscope Navigation Skills. World Journal of Urology, 2016, 34(4):479-484.

[12] Miyamoto R, Nagai K, Kemmochi A, et al. Three-Dimensional Reconstruction of the Vascular Arrangement Including the Inferior Mesenteric Artery and Left Colic Artery in Laparoscope-Assisted Colorectal Surgery. Surgical Endoscopy, 2016, 30(10):1-5. DOI: 10.1007/s00464-016-4758-4