To summarize the effect of enhanced recovery after surgery (ERAS) and targeted nursing on the symptomatic deep venous thrombosis after laparoscopic pelvic surgery.

From January 2017 to December 2020, 128 cases of laparoscopic pelvic surgery were enrolled as the study group, including 52 cases of laparoscopic radical prostatectomy, 42 cases of laparoscopic radical bladder cancer, and 34 cases of laparoscopic ureterobladder replantation. All patients were underwent perioperative nursing care with the concept of ERAS. At the same time, targeted nursing care was carried out for patients at high risk and very high risk of deep venous thrombosis. All 56 patients who were underwent laparoscopic pelvic surgery from January 2015 to December 2016 were retrospectively collected as the control group. The incidence of deep vein thrombosis and other clinic indicators were observed between the two groups.

The operation was successful in all patients. There was no significant difference in the blood loss and operation time between two groups. The postoperative continuous bed time, anal exhaust time, indwelling drainage tube time and hospital stay in the study group were all shorter than the control group, and there were significant differences. There were two cases of venous thrombosis of lower limbs in the study group and 6 cases in the control group. The incidence of deep venous thrombosis was statistically different between the two groups (P=0.032), and no pulmonary embolism occurred in the two groups.

The concept of ERAS and targeted nursing can reduce the occurrence of symptomatic venous thrombosis after laparoscopic pelvic surgery.