Perioperative nutritional management improves outcomes in daytime laparoscopic cholecystectomy
YU Jiaxin
JING Xiaofan
RAO Zhiyong
HUANG Mingjun
SONG Yinghan
HU Wen
Abstract：Objective To evaluate the impact of perioperative nutritional management on patients undergoing daytime laparoscopic cholecystectomy(LC)and establish an evidence-based protocol for perioperative nutritional support.Methods Eighty LC patients were prospectively enrolled and randomly assigned to either a control group(n=40,standard care)or an observation group(n=40,perioperative nutritional management).Postoperative outcomes were compared.Results Compared with the control group,the observation group demonstrated significantly earlier initiation of oral intake(water∕food),ambulation,and return to normal activities∕work(P<0.05).The pain scores at postoperative days 1 and 7 were lower in the observation group(P<0.05).The energy intake recovery ratios on day 1(t=11.63,P<0.05),protein intake recovery ratios on day 1(t=12.90,P<0.05)and activities of daily living(ADL)scores were greater in the observation group(P<0.05).The incidences of postoperative hunger(20.0％vs.42.5％)and wound complications(e.g.,exudate/hemorrhage;12.5％vs.32.5％)were significantly reduced(χ2=4.71、4.59,P<0.05).No between-group differences were observed in time to first flatus,abdominal pain,bloating,or thirst(P>0.05).Conclusion Early oral hydration and oral nutritional supplementation(ONS)post-LC do not increase gastrointestinal adverse effects.This approach mitigates postoperative hunger,accelerates functional recovery,reduces pain,enhances wound healing,and improves ADLs.
Keywords：day-case surgerynutritional managementenhanced recovery after surgerylaparoscopic cholecystectomy
Publication Date：2026-02-28
Online Publishing Date：2026-03-19(First online date of this platform, not the publication date of the document)
Pages：4( 146-149 )