To investigate the impact of enhanced recovery after surgery(ERAS)concept on the recovery of gastrointestinal function and quality of life of patients with advanced gastric cancer after D2 radical surgery.

Clinical data of 96 patients with advanced gastric cancer were analyzed retrospectively, of whom were randomly divided into ERAS group (n=48) and control group (n=48). Patients in both groups underwent laparoscopic D2 radical surgery. SPSS21.0 softwarewas used for data analysis. Measurement data such as gastrointestinal function recovery and quality of life scores were examined by using independent t test. Complication rate and recurrence rate were compared with χ² test. P<0.05 was considered as significant difference.

The first exhaust time, the time of ambulation, the time of gastric tube extraction, the time of first defecation, and hospitalization time in the ERAS group were significantlyshorter than those in control group respectively (P<0.05). The complication rate of the ERAS group of 8.3% (4/48)was significantly lower than 22.9% (11/48) in control group (P<0.05). The 1-year recurrence rate of 6.3% (3/48) in the ERAS group was significantly lower than20.8% (10/48) in the control group (P<0.05). There was no significant difference in QOL score between two groups before operation (P>0.05). The QOL scores of the two groups 3 months and 6 months after operation were higher than those before operation (P<0.05). The QOL scores of the ERAS group were higher than those of the regular group at 3 months and 6 months after operation (P<0.05).

The ERAS concept is effective in the treatment of patients with advanced gastric cancer after laparoscopic D2 radical surgery, which could not only shorten the recovery time of gastrointestinal function, but also reduce postoperative complications, recurrence rate and improve the quality of life of patients with high safety. It is worthy of popularization and application.