Compliance with early postoperative ambulation and Its associated barriers in hepatobiliary surgery patients within an enhanced recovery after surgery framework - Takeaways - MDSpire

Compliance with early postoperative ambulation and Its associated barriers in hepatobiliary surgery patients within an enhanced recovery after surgery framework

  • By

  • Yan Zhang

  • Jingyan Gu

  • Jie Song

  • Yun Pan

  • June 24, 2026

  • 0 min

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  • 1

    Early postoperative ambulation is essential in the Enhanced Recovery After Surgery (ERAS) protocol for hepatobiliary surgery.

  • 2

    63.4% of patients in the study were compliant with the early ambulation protocol, with compliance varying by surgical procedure.

  • 3

    Common barriers to compliance included postoperative pain, fatigue, knowledge deficits, and multiple drainage tubes.

  • 4

    Factors associated with non-compliance included surgical magnitude, drainage burden, frailty, age, and absence of a family companion.

  • 5

    Non-compliance was linked to longer hospital stays and higher rates of pulmonary complications and 30-day readmissions.

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