关键词: 加速康复外科, 复杂性阑尾炎, 腹腔镜阑尾切除术

Abstract: ［Abstract］ Objective To explore the effect of accelerated rehabilitation surgery in the perioperative period of complex acute appendicitis （CAA）. Methods Ninety?two patients with CAA admitted in our department from October 2016 to October 2018 were divided into two groups（ERAS，control）， in which 46 patientswere assigned to the control group and underwent traditional surgery， while 46 patients received the management based on a standard protocolbased on enhanced recovery after surgery （ERAS） during perioperative period. All patients were treated with laparoscopic appendectomy （LA）. The clinical components such as anesthesia，treatment effects， complications were recorded and compared between two groups. Results The accelerated rehabilitation surgery protocolwas well implemented in CAA perioperative period. The ERAS group had lower pain score， faster recovery of intestinal function， less postoperative complications， shorter hospitalization time and lower hospitalization costs. Conclusion It is safe and effective to selectively adopt ERAS in CAA perioperative period according to individual conditions.

Key words: enhanced recovery after surgery, complex acute appendicitis, laparoscopic appendectomy