Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	118327
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Editorial
Article Title	Paradigm shift in postoperative monitoring: Integrating dynamic ultrasound and biomarkers for precision management following laparoscopic gastrectomy
Manuscript Source	Invited Manuscript
All Author List	Chen Zeng, Xin-Yun Lin, Shen-Yi Ye and Cheng-Fei Zhao
Funding Agency and Grant Number	Funding Agency Grant Number Scientific Research Project of Putian University 2022059 Special Project for Outstanding Young Talents of Putian University 2024072 Natural Science Foundation of Fujian Province 2023J01160
Corresponding Author	Cheng-Fei Zhao, Associate Professor, MD, PhD, School of Pharmacy and Medical Technology, Putian University, No. 1133 Xueyuan Road, Chengxiang District, Putian 351100, Fujian Province, China. zhaochengfei209@163.com
Key Words	Laparoscopic gastrectomy; Postoperative complications; Intraperitoneal effusion; Ultrasound monitoring; Procalcitonin; Biomarkers; Predictive model; Precision surgery
Core Tip	Postoperative intraperitoneal effusion remains a significant clinical challenge following laparoscopic gastrectomy. This editorial highlights a paradigm shift toward proactive and precision-driven postoperative monitoring, as supported by emerging evidence. The integration of dynamic transabdominal ultrasonography-particularly the assessment of effusion characteristics (simple vs mixed echogenicity) at the critical 72-hour postoperative milestone-with serial procalcitonin measurements constitutes a superior dual-modality strategy for early risk stratification. This combined approach enables the timely identification of high-risk patients who are likely to develop infectious complications before clinical deterioration occurs. Incorporating this structured surveillance protocol into enhanced recovery after surgery pathways exemplifies a transition from reactive management to preemptive intervention, thereby improving patient outcomes, optimizing resource utilization, and advancing the delivery of personalized postoperative care in surgical oncology.
Citation	Zeng C, Lin XY, Ye SY, Zhao CF. Paradigm shift in postoperative monitoring: Integrating dynamic ultrasound and biomarkers for precision management following laparoscopic gastrectomy. World J Gastrointest Surg 2026; In press

Received	2025-12-30 05:53
Peer-Review Started	2025-12-30 05:53
First Decision by Editorial Office Director	2026-01-12 08:30
Return for Revision	2026-01-12 08:30
Revised	2026-01-20 00:22
Publication Fee Transferred
Second Decision by Editor	2026-02-03 02:43
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-03 08:13
Articles in Press	2026-02-03 08:13
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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