关键词: 胆囊切除, 改良快速康复外科, 腹腔镜

Abstract: Objective To explore the feasibility of the improved on traditional rapid enhanced recovery after surgery（ERAS），for providing more perfect model of clinical treatment in laparoscopic cholecystectomy（LC）. Mothed The patients required cholecystectomy from Feb 2017 to jun 2016 were divided into either improved?ERAS group and traditional?ERAS group，with 71 cases in each group. The preoperative tensity，operation time，intraoperative bleeding，micturition and flatus time，time to get out off bed，time to intake general diet，level of incision pain，days of in?hospital，and hospitalization coast were compared. Results Compared with traditional?ERAS group ，postoperative complication rate of improved?ERAS group was low. The improved ERAS group had shorter micturition time（7.18 ± 1.30 vs. 6.63 ± 1.62h）， shorter flatus time（17.48±0.61 vs. 15.45±0.75 h），shorter time to get out off bed（12.75±1.05 vs. 12.27±1.71 h），shorter time to general diet（30.41±5.84 vs. 26.80±4.91 h），lower coast（12794.1±2737.3 vs 11092.8±2368.9 yuan），shorter days of in?hospital（7.3±3.2 vs. 5.9±2.5days），and patients′ subjective feeling were superior to traditional?ERAS group（P<0.001）. Conclusion Laparoscopic cholecystectomy is applied to traditional ERAS after improvement and optimization could shorten the length of in?hospital and reduce the pain of patients during perioperation.It will provide new methods and ideas for ERAS.

Key words: laparoscopic, improved rapid enhanced recovery after surgery, cholecystectomy