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International Journal of Frontiers in Medicine, 2023, 5(7); doi: 10.25236/IJFM.2023.050707.

Application of Rapid Rehabilitation Surgical Concept in Liver Transplantation Care


Xiuqiao Yan

Corresponding Author:
Xiuqiao Yan

General Surgery Department, Zhongshan City People's Hospital, Zhongshan, Guangdong, 528400, China


The purpose of this paper is to analyze the effect of the application of the concept of rapid rehabilitation surgical care in liver transplantation nursing. In this paper, 86 patients who underwent liver transplantation treatment in our hospital between August 2019 and August 2021 were selected for investigation and study. The random number table method divided these 86 patients into control and observation groups, with 43 patients in each group. The patients in the control group were provided with clinical care based on the concept of conventional care; the patients in the observation group were provided with clinical care based on the concept of rapid surgical care. The surgical treatment indexes of the two groups were recorded, including the time of recovery of bowel function (venting or defecation), the time of getting out of bed for independent activities after surgery, and the length of hospitalization; the Hamilton Anxiety Inventory HAMA, the Depression Inventory HAMD, and the Quality of Life Assessment Scale SF-36 were applied to assess the anxiety and depression state of mind and quality of life of the patients in the two groups after surgery; Observe the compliance performance of patients in the two groups during the perioperative treatment; Count the incidence of adverse events such as postoperative wound bleeding, poor healing, infection, catheter dislodgement or abnormal drainage, biliary tract disease and rejection reaction in the two groups. The results showed that the patients in the observation group had significantly shorter recovery time of intestinal function, time to get out of bed for voluntary activities and hospital stay after surgery than the control group; the scores of HAMA, HAMD and SF-36 were significantly lower in the observation group than in the control group; the excellent compliance rate of 83.72% in the observation group was significantly higher than that of 65.12% in the control group; the incidence of postoperative adverse events was significantly lower in the observation group than in the control group. The incidence of postoperative adverse events in the observation group was significantly lower than that in the control group, and the differences between the groups were statistically significant (P<0.05). In short, implanting the clinical care of rapid rehabilitation surgical concept in liver transplantation can promote the optimization of surgical treatment indicators, improve patients' poor mentality, improve patients' quality of life, effectively reduce the occurrence of postoperative adverse events, and promote postoperative recovery.


Rapid recovery surgical concept, Liver transplantation, Surgical indicators, Psychological status, Quality of life, Rejection reactions, Adverse events

Cite This Paper

Xiuqiao Yan. Application of Rapid Rehabilitation Surgical Concept in Liver Transplantation Care. International Journal of Frontiers in Medicine (2023), Vol. 5, Issue 7: 45-51. https://doi.org/10.25236/IJFM.2023.050707.


[1] Hanhoff Marek, Jensen Gunnar, Dey Hazra Rony Orijit, Lill Helmut. [Correction: Innovative surgical concept for septic sternoclavicular arthritis: case presentation of a simultaneous joint resection and stabilization with gracilis tendon graft including literature review]. [J]. Zeitschrift fur Orthopadie und Unfallchirurgie, 2022:11-15. 

[2] Sancho Victoria Aguilera, Moreno Sarai Romero, Conde Isabel, Di Maira Tommaso, Carvalho-Gomes Ângela, Rubín Ángel, Martínez-Arenas Laura, Lopez-Labrador F. Xavie, Berenguer Marina. SAT303 - CMV reactivation is associated with lower hepatocellular carcinoma (HCC) recurrence after liver transplantation (LT)[J]. Journal of Hepatology, 2022(S1):77. 

[3] Shinohara Hisashi, Kurahashi Yasunori, Ishida Yoshinori. Gastric equivalent of the 'Holy Plane' to standardize the surgical concept of stomach cancer to mesogastric excision: updating Jamieson and Dobson's historic schema. [J]. Gastric cancer: official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2021:24-26. 

[4] Hu Qiang, Sun Yuanshui. A Commentary on “Enhanced recovery after surgery protocols in patients undergoing liver transplantation: A retrospective comparative cohort studyˮ [Int. J. Surg. 78 2020 108–22][J]. International Journal of Surgery, 2020:79-81. 

[5] Zadey Siddhesh, Iyer Himanshu, Nayan Anveshi, Shetty Ritika, Sonal Swati, Smith Emily R. , Staton Catherine A. , Fitzgerald Tamara N. , Nickenig Vissoci Joao Ricardo. Evaluating the status of the Lancet Commission on Global Surgery indicators for India[J]. The Lancet Regional Health - Southeast Asia, 2023: 13. 

[6] Nicolas Golse,Florian Joly,Quentin Nicolas,Eric Vibert,Pal Dag Line,Irene Vignon-Clementel. Corrigendum to “Partial orthotopic liver transplantation in combination with two-stage hepatectomy: A proof-of-concept explained by mathematical modeling”[J]. Clinical Biomechanics,2020(1):77. 

[7] Al-Ameri Abdulahad Abdulrab Mohammed, Wei Xuyong, Wen Xue, Wei Qiang, Guo Haijun, Zheng Shusen, Xu Xiao. Systematic review: risk prediction models for recurrence of hepatocellular carcinoma after liver transplantation. [J]. Transplant international: official journal of the European Society for Organ Transplantation, 2020(7):33. 

[8] Hanhoff Marek, Jensen Gunnar, Hazra RonyOrijit Dey, Lill Helmut. Innovative Surgical Concept for Septic Sternoclavicular Arthritis: Case Presentation of a Simultaneous Joint Resection and Stabilization with Gracilis Tendon Graft Including Literature Review. [J]. Zeitschrift fur Orthopadie und Unfallchirurgie, 2020(1):160. 

[9] Zhang Zhe, Yang Yuzhuo, Zhang Haitao, Xi Yu, Wang Cuntong, Liu Defeng, Mao Jiaming, Lin Haocheng, Tang Wenhao, Zhao Lianming, Zhang Xiansheng, Dai Yutian, Jiang Hui. Psychological status of infertile men during the Coronavirus Disease 2019 Pandemic in China: a cross-sectional investigation. [J]. Basic and clinical andrology, 2023(1):33. 

[10] Omoleke Semeeh Akinwale, Getachew Biniam, Isyaku Abubakar, Aliyu Abdulrasheed Bello, Mustapha Ashiru Mohammed, Dansanda Shafiu Muhammad, Kanmodi Kehinde Kazeem, Abubakar Hafsat, Lawal Zahraddeen Ibrahim, Kangiwa Haruna Abdullahi. Correction: Understanding and experience of adverse event following immunization (AEFI) and its consequences among healthcare providers in Kebbi State, Nigeria: a qualitative study. [J]. BMC health services research, 2022(1): 22-24. 

[11] Lapp T, Maier P, Birnbaum F, Schlunck G, Reinhard T. [Immunosuppressives to prevent rejection reactions after allogeneic corneal transplantation]. [J]. Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2014(3):111. 

[12] Limebeer C L, Parker L A. The antiemetic drug ondansetron interferes with lithium-induced conditioned rejection reactions, but not lithium-induced taste avoidance in rats. [J]. Journal of experimental psychology. Animal behavior processes, 2000(4):26. 

[13] El Aoufy Khadija, Pezzutto Arianna, Pollina Alessandra, Rasero Laura, Bambi Stefano, BellandoRandone Silvia, Guiducci Serena, MaddaliBongi Susanna, Matucci Cerinic Marco. Systemic Sclerosis Patients Experiencing Mindfulness-Based Stress Reduction Program: The Beneficial Effect on Their Psychological Status and Quality of Life [J]. International Journal of Environmental Research and Public Health, 2023(3):20. 

[14] Maietti Elisa, Reno Chiara, Sanmarchi Francesco, Montalti Marco, Fantini Maria Pia, Gori Davide. Are psychological status and trust in information related to vaccine hesitancy during COVID-19 pandemic? A latent class and mediation analyses in Italy. [J]. Human vaccines & immunotherapeutics, 2022 (7):18. 

[15] Hashizume Akihito, Yamashita Ryo, Shinsaka Hideo, Nakamura Masafumi, Matsuzaki Masato, Niwakawa Masashi. [Analysis of the Association between Immune-Related Adverse Events and The Efficacy of Pembrolizumab in Patients with Metastatic Urothelial Carcinoma]. [J]. Nihon Hinyokika Gakkai zasshi. The Japanese journal of urology, 2021(4): 112.