Abstract: Objective To explore the application value of enhanced recovery after surgery(ERAS) combined with the improvement of surgical approach in laparoscopic radical prostatectomy. Methods A total of 30 cases receiving radical prostatectomy were divided into the control group (n=15) and the observation group (n=15). The control group received conventional perioperative treatment, and the surgical method was transperitoneal laparoscopic radical prostatectomy. The observation group received rapid rehabilitation surgical intervention mode, and the surgical method was extraperitoneal laparoscopic radical prostatectomy. The clinical parameters during surgery and after surgery and the complications were compared between the two groups. Results There were no significant differences in operative time and bleeding volume between the two groups (P>0.05). The time of getting out of bed, VAS score, time of anal exhaust, time of indwelling pelvic drainage tube, time of indwelling urinary catheter, hospital stay and medical cost in the observation group were lower than those in the control group (P<0.05). The incidence rates of respiratory symptoms, digestive symptoms, intestinal obstruction, urinary infection and incision infection in the observation group were lower than those in the control group(P<0.05), and the total clinical effective rate of the observation group was higher than that of the control group(P<0.05). Conclusions ERAS combined with the improvement of surgical approach in laparoscopic radical prostatectomy can reduce postoperative complications, speed up the process of rehabilitation and save medical costs, and it is worthy of clinical application and promotion.

Key words: enhanced recovery after surgery, improvement of surgical approach, laparoscopic radical prostatectomy