Abstract: Objective To explore the effect of enhanced recovery after surgery(ERAS) multi-step management system in patients undergoing thoracoscopic pneumonectomy.Methods A total of 302 patients undergoing thoracoscopic pneumonectomy admitted to our hospital from January 2019 to December 2021 were selected as the research objects.They were divided into the ERAS group(164 cases) and the control group(138 cases).The ERAS group applied ERAS multi-step management system,the control group applied traditional perioperative management.The general data and clinical indicators of the two groups were compared.Results There was no significant difference between the ERAS group and the control group in operation time[(163.7±55.42 )min vs (157.9±53.25) min],intraoperative blood loss[(68.48±52.35) ml vs (74.19±51.28) ml],surgical method,lesion location,postoperative pathology,chest tube indwelling time[(2.44±0.65) d vs( 2.38±0.57) d] and hospitalization cost[(4.67±0.57) wan yuan vs (4.55±0.62) wan yuan)(P>0.05).The total incidence of postoperative complications in the ERAS group was lower than that in the control group(12.00% vs 26.09%),but the difference was not statistically significant(P<0.05).The NRS pain scores at different time points after operation in ERAS group were lower than those in control group(P<0.05).The hospitalization time of the ERAS group was shorter than that of the control group[(7.55±2.31) d vs (8.31±2.43) d],and the medical satisfaction score was higher[(8.24±1.68) points vs (7.72±1.83）points](P<0.05).Conclusion For patients undergoing thoracoscopic pneumonectomy,the application of ERAS multi-step management system can accelerate the rehabilitation of patients,reduce their pain.

Key words: enhanced recovery after surgery, thoracoscopic pneumonectomy, perioperative, management