Why the study?
Real-world compliance with early postoperative ambulation in hepatobiliary surgery ERAS pathways is variable, and patient-level barriers remain incompletely characterised.
Population
320 adult patients undergoing elective hepatobiliary surgery under an ERAS pathway
Comparison
Compliant vs non-compliant with early ambulation protocol
Design
Retrospective cohort study
Follow-up
30 days
Key result
Open or major hepatobiliary surgery significantly increased the odds of non-compliance with early postoperative ambulation (aOR 3.53), alongside multiple drains, frailty, older age, and lack of family companionship.
Authors
Loading...
Patients after major hepatobiliary surgery may require targeted adherence support; leaves open whether compliance improves outcomes in prospective trials.
Cohort (n=320)
No
Odds Ratio: 3.53 (95% CI 1.92–6.48)
p-value: p=<0.001
In hepatobiliary surgery patients, compliance with early ambulation is approximately 63% and is hindered by surgical magnitude, drainage burden, frailty, age, and lack of family companionship.
Zhang et al. (2026) conducted a cohort in Hepatobiliary surgery (n=320). Open or major hepatobiliary surgery vs. Minimally invasive or minor hepatobiliary surgery was evaluated on Non-compliance with early ambulation protocol (out-of-bed activity by POD 1 and ambulation distance ≥ 30 m by POD 2) (aOR 3.53, 95% CI 1.92-6.48, p=<0.001). Open or major hepatobiliary surgery significantly increased the odds of non-compliance with early postoperative ambulation (aOR 3.53), alongside multiple drains, frailty, older age, and lack of family companionship.