关键词: 胆道外科手术, 鼻胆管引流术, 加速康复外科策略

Abstract: ［Abstract］ Objective〖HTSS〗〓To investigate the perioperative practicality of enhanced recovery after surgery(ERAS) tactics in laparoscopy combined endoscopic naso biliary drainage.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Eightyfour patients with cholecystolithiasis combined with choledocholithiasis were divided into the enhanced recovery after surgery group(n=42) and the traditional group(n=42), All patients in two group were treated by laparoscopic combined intraoperative endoscopic surgery,and 42 patients with ERAS method,42 patients with traditional method. The first ambulation time after operation, recovery time of intestinal function, postoperative removal time of nasal bile duct, removal time of abdominal drainage tube, postoperative infusion stop time, hospitalization time, postoperative pain, postoperative complications, postoperative white blood cells, serum amylase, alanine aminotransferase and total bilirubin of two groups were compared.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The first ambulation time, the recovery time of intestinal function, the removal time of nasal biliary duct and laparoscopic drainage tube, the time of stopping infusion and the time of hospitalization in ERAS were shortened. The pain rate was lower than that in the traditional group. Recovery of the liver function and total bilirubin in the patients was lower than that in the conventional group（P＜005）. 
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓ERAS tactics has highly practicability for patients in laparoscopic surgery combined with endoscopy and can be further explored.

Key words: biliary tract surgical procedures； naso biliary drainage, enhanced recovery after surgery tactics