经自然腔道取标本手术（NOSES）和加速康复外科（ERAS）都是目前腹部微创外科领域的热点话题，他们的核心理念都是为了能够减少手术创伤和应激，让患者能够达到快速康复的目的，内容包含术前准备，麻醉与镇痛，外科干预及术后康复的全程团队管理。近期，广东省中医院在二者的优化结合方面做了一些探索，通过极致微创手术、精准麻醉、全程疼痛管理，再加上严格的术前准备、完整的术后随访，使得手术患者的身心应激和创伤最小化。

Natural orifice specimen extraction surgery (NOSES) and enhanced recovery after surgery (ERAS) are the current hot topic in the field of abdominal minimally invasive surgery. The multidisciplinary and multimodal approach consists of the whole course management of preoperative preparation, anesthesia and analgesia, minimally invasive surgery and postoperative rehabilitation with the core principle of reducing surgical trauma and stress, accelerating recovery. Recently, our team has made efforts to explore the effect of optimal combination of minimal invasive surgery, precise anesthesia, whole-course pain management, as well as strict preoperative preparation and postoperative follow-up to minimize the physical and mental stress and trauma of surgical patients.