To investigate the clinical effect of enhanced recovery after surgery (ERAS) in the treatment of early gastric cancer by segmental gastrectomy.

A retrospective cohort study was conducted in 87 patients with early gastric cancer who underwent segmental gastrectomy from August 2017 to November 2020, the clinical data were analyzed. The patients were divided into ERAS group (47 cases) and traditional group (40 cases) according to the perioperative managements. Statistical analysis were performed by using SPSS 23.0 software. Measurement data such as postoperative recovery index, nutritional status, pain degree and scores of QLQ-C30 were expressed as (±s), and analyzed by using independent t-test, and the complications were analyzed by using chi square test. A P value of <0.05 was statistically significant difference.

The recovery time of bowel movement, anal exhaust time, first defecation time, incision healing time and postoperative hospital stay in ERAS group were shorter than those in traditional group respectively (P<0.05). The total score of visual analogue scale (VAS) and self-evaluation subjective comprehensive assessment scale (PG-SGA) were lower than those in traditional group respectively (P<0.05). After 12 weeks, the scores of QLQ-C30 in ERAS group were higher than those in traditional group (P<0.05). The total incidence of postoperative complications in ERAS group was 12.8%, which was lower than 30.0% in traditional group (P<0.05).

The concept of ERAS in the treatment of early gastric cancer by segmental gastrectomy could accelerate the process of postoperative recovery, relieve pain, improve postoperative nutritional status and quality of life.