Abstract:

Objective To explore the safety，feasibility and economic efficacy of enhanced recovery after surgery（ERAS）strategy in benign anorectal diseases. Method This is a retrospective study. Patients with benign anaorectal diseases were enrolled and were divided into ERAS group and conventional group according to outpatient service（general outpatient service or ERAS outpatient service）. The ERAS group adopts an optimized strategy， while the conventional group adopts a traditional strategy. Clinical indicators including postoperative complications， pain scores，length of hospital stay and expenses were observed in the two groups. Results 162 cases were included， 82 in the ERAS group and 80 in the conventional group respectively. There were no statistically significant differ⁃ ences in age，nutrition risk score and anesthesia risk score between the two groups .VAS scores of the two groups showed a downward trend，VAS score of patients in the ERAS group was lower than that in the conventional group. Length of stay in the ERAS group was 3.0 days，shorter than that of conventional group，8.0 days. Median Hospital costs is 10 522.1 yuan in the ERAS group，lower than 13 905. 8 yuan in conventional group. It showed no signifi⁃ cant difference between two groups in complications. Conclusion This study has proved that ERAS strategy for benign anorectal diseases has obvious value and significance in controlling postoperative pain，shortening hospital stay and reducing hospital expenses，and no additional complications . It is worth popularizing and applying.

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