To explore the concept of enhanced recovery after surgery (ERAS) in single hole assisted thoracoscopic lung cancer radical surgery clinical perioperative period.

From Feb. 2015 to May 2017 the Affiliated Hospital of Shaanxi University of Chinese Medicine department of thoracic surgery treated 48 cases of patients with lung cancer, surgery for hole thoracoscopic lung resection on the basis of perioperative treatment, were divided into control group of 27 cases and 21 cases in ERAS group. The two groups were analyzed and compared the postoperative pain score, operative time, intraoperative fluid volume, chest tube removal time, hospitalization time, inflammation index, D-two poly detection, postoperative complications.

After the operation of group ERAS 24 h, 36 h , 72 h, VAS pain score (3.22 ±0.97), (3.08 ±0.71), (3.93±0.67) was significantly lower than the control group (4.96±0.75), (5.15±0.46), (5.41±0.25), the difference was statistically significant (P<0.01) ERAS; group limited fluid resuscitation during operation, the liquid input is significantly less than the control group, postoperative extubation time, hospitalization time is shorter than the control group, the differences were statistically significant (P<0.05); there is no difference between the two groups in operation time. Day 1, 4 ERAS group of white blood cell count and CRP levels after operation were lower than the control group, ERAS group after two D- dimer was lower than that of control group (P<0.05) in.ERAS group. The total incidence rate was 14.29%, significantly lower than the control group the overall complication rate of 48.15%, there are differences (P<0.05).

The perioperative application the concept of rapid rehabilitation surgery as a guide hole thoracoscopic lung cancer radical change, and optimize the processing mode, reduce the complications and accelerate the rehabilitation after operation.