关键词: 加速康复外科, 肝外胆管结石手术, 安全性, 有效性

Abstract: Objective To verify the safety and effectiveness of enhanced recovery after surgery （ERAS） in extra-hepatic bile duct stone surgery. Methods 300 patients with extra-hepatic bile duct stones undergoing laparoscopic common bile duct exploration in our hospital from 2017 to 2019 were selected and divided into ERAS group and control group according to the sequence of operation time. The duration of operation， nausea and vomiting after operation， pain score， first exhaust time of anus， urinary retention after operation， complications （bile fistula， bile duct stricture， abdominal infection， incision infection） and other indicators were observed. Results Compared with the control group， ERAS group had shorter operation time， lower incidence of nausea and vomiting， less pain， earlier anal exhaust time， lower incision infection rate， fewer hospital days after operation all（P<0.05）， and no difference in other surgical complications and urinary retention after operation. Conclusion ERAS in LEBDE is safe and effective， while improve patients′ medical experience.

Key words: effectiveness, safety, enhanced recovery after surgery, laparoscopic common bile duct exploration