Abstract: ObjectiveTo explore the effectiveness and safety of the application of the concept of enhenced recovery after surgery （ERAS） in laparoscopic radical cystectomy. 
MethodsFiftyeight patients with bladder cancer admitted in Weifang Peoples Hospital from June 2015 to June 2017 were divided into the traditional group （n=28） and the ERAS group （n=30）. The time of operation， the amount of bleeding， the time of postoperative exhaust， the number of postoperative severe pain， the time of anaesthesia， the time of pelvic drainage， the number of days after the operation and the incidence of postoperative complications were compared in the two groups. 
ResultsThe operation time of the ERAS group and the traditional group were （1722±379） min and （1873±218） min， respectively； and the intraoperative bleeding volume was （1597±465） ml and （1771±469） ml respectively； the difference was not statistically significant （P＞005）. The anesthesia recovery time of group ERAS and the traditional group were （254±54） min and （417±98） min； the postoperative exhaust time was （16±07） d and （22±07） d； the pelvic drainage time was （25±11） d and （5±16） d； the postoperative hospitalization day score ratio was （76±14） d and （110±18）d， and postoperative pain VAS score The incidence of ＞7 was 10％ （3／30） and 429％ （12／28）； the difference between the two groups was statistically significant （P＜005）. In group ERAS， there were 1 case of knife liquefaction， 1 case of kidney stones； in the traditional group， there were 2 cases of intestinal obstruction， 1 case of hyper accumulating pneumonia， and 1 case of kidney stones. There were no patients with fistula in both two groups. 
ConclusionThe application of concept of enhenced recovery after surgery in laparoscopic radical cystectomy is safe and effective， and it can accelerate the postoperative rehabilitation of the patients. It is worthy of clinical application.

Key words: Bladder cancer, Enhenced recovery after surgery（ERAS）, Laparoscopy