Abstract: Objective To observe the safety and effectiveness of enhanced recovery after surgery(ERAS)to shorten the time of stay in the intensive care unit(ICU)for patients with gastric cancer. Methods In the retrospective study, 80 cases of gastric cancer undergoing D2 radical resection in our hospital during Jan. and Jun. 2017, were divided into the ERAS group and traditional group, 40 cases in each group. The duration of stay in the ICU, hospitalization days(ICU plus general ward hospitalization days), time of bowel function recovery and early mobilization, VAS score of the first day after surgery, and the incidence of postoperative complications were compared between the two groups. Results Compared with the traditional group, the ERAS group needed shorter duration of stay in the ICU［(0.65±0.53)d vs(1.93±1.59)d, Z=4.938, P<0.001］, shorter length of postoperative hospital stay［(6.23±4.67)d vs(8.55±4.51)d, Z=4.529, P<0.001］; shorter time of bowel function recovery and early mobilization［(38.73±6.81)h vs(59.90±12.71)h, t=8.848, P<0.001］,［(14.63±3.981)h vs(23.68±4.51)h, t= 9.519, P<0.001 ］, and had lower VAS score on the 1st day after operation［(2.33±0.73)vs(4.33±0.76), t=11.970, P<0.001 ］. However, 山 东 大 学 学 报 (医 学 版)57卷9期 -房鹏,等.加速康复外科减少胃癌患者术后重症监护病房住院时间的临床观察 \=-there was no difference in the incidence of postoperative complications(12.5% vs 22.5%, χ2 =1.385, P=0.378). Conclusion Enhanced recovery after surgery shortens the time of stay in the intensive care unit, reduces surgical stress in patients, and saves medical resources. Meanwhile, it does not increase postoperative complication rate.

Key words: Enhanced recovery after surgey, Intensive care unit, Gastric cancer, Hospitlization days