单孔腹腔镜技术(laparoendoscopic single-site surgery, LESS)近年来在妇科微创手术中应用日趋广泛，其主要特点是腹壁创伤小、切口隐蔽、术后疼痛较轻、患者恢复较快。加速康复外科(enhanced recovery after surgery, ERAS)以循证医学为基础，通过多学科协作对围手术期各环节进行优化，目的是减少手术应激、加快术后恢复。本文主要围绕LESS与ERAS联合用于优化妇科手术患者的围手术期管理，缩短住院时间、降低住院费用及减少术后并发症发生率等方面进行阐述，并结合笔者单位在运用LESS联合ERAS的临床经验进行介绍。

Laparoendoscopic single-site surgery (LESS) has become an increasingly adopted method in minimally invasive gynecologic surgery, its advantages include reduced abdominal wall trauma, improved cosmetic satisfaction, less postoperative pain, and shorter recovery. Enhanced Recovery After Surgery (ERAS) is built on evidence-based perioperative medicine, its core components involve preoperative patient education, intraoperative fluid and temperature management, multimodal analgesia, and early postoperative feeding and mobilization. In gynecologic surgeries, combining ERAS with LESS has shown obvious clinical benefits including reductions in length of stay, lower analgesic requirements, and complication rates below 10% in selected patient cohorts. This review mainly introduces the combining application of LESS and ERAS to optimize the results of patients with gynecologic surgeries in authors′ center.