Clinical Report: Adherence to Early Postoperative Mobility in Hepatobiliary Surgery

Overview

This study assessed compliance with early postoperative ambulation in hepatobiliary surgery patients under an Enhanced Recovery After Surgery (ERAS) protocol, finding that 63.4% adhered to the ambulation guidelines. Key barriers to compliance included postoperative pain and fatigue.

Background

Early postoperative ambulation is crucial in the ERAS pathway for hepatobiliary surgery, aiming to reduce complications and improve recovery times. However, real-world compliance has been inconsistent, and understanding patient-level barriers is essential.

Data Highlights

Key Findings

• 63.4% of patients were compliant with the early ambulation protocol.
• Compliance varied by procedure: 80.0% after laparoscopic hepatectomy vs. 33.3% after biliary reconstruction.
• Common barriers to compliance included postoperative pain (46.3%) and fatigue/weakness (37.0%).
• Factors associated with non-compliance included age ≥65 years and having ≥3 drainage tubes.
• Non-compliance was linked to longer hospital stays and higher rates of complications.

Clinical Implications

Understanding the barriers to early ambulation can help healthcare providers identify factors associated with non-compliance.

Conclusion

This study reports that 63.4% of patients adhered to early ambulation guidelines, with non-compliance linked to increased complications and longer hospital stays.

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