He was admitted to the Department of Gastrointestinal Surgery for “gastric cancer” and underwent “radical gastric cancer surgery”. He was discharged from the hospital one week after surgery with a smooth recovery, and his diet was close to the normal level. Zhang’s recovery speed surprised him and his family, which is the good effect of the “Fast track surgery” concept applied to gastrointestinal surgery. Fast track surgery is a concept that has been promoted in recent years in Europe and America, especially in some European countries. Its purpose is to reduce the incidence of postoperative complications and mortality, shorten postoperative hospitalization time, reduce hospitalization costs and save medical resources. Under this concept, the clinical treatment mode of our department has changed greatly. In order to let people experience the benefits of shortening postoperative hospitalization time and reducing hospitalization cost through rapid rehabilitation, we have put forward the three-dimensional rapid rehabilitation concept of “minimally invasive surgery, early postoperative bed release and early postoperative nutrition” in gastrointestinal surgery since June 2010, and set up a postoperative rapid rehabilitation room (ten wards), where all postoperative patients enter the rapid rehabilitation room directly. All post-operative patients are directly admitted to the Rapid Recovery Room, where they will be attended by full-time nursing staff 24 hours a day for post-operative rapid recovery guidance and transferred to general wards after a few hours to 3 days. Minimally invasive surgery is widely performed. Compared with traditional surgery, laparoscopic surgery has the advantages of small incision, little pain and fast recovery, which is popular among patients and is the general trend and goal to pursue in the development of surgery. In the past three years, under the leadership of Director Wang Ailiang, the proportion of laparoscopic surgery for appendicitis in our department has reached over 95%, and we have carried out laparoscopic radical surgery for sigmoid colon cancer, radical surgery for ascending colon cancer, radical surgery for rectal cancer, repair of perforated gastric and duodenal ulcers, release of adhesive intestinal obstruction, and resection of small intestinal smooth muscle tumors. For example, in gastric cancer surgery, only a silk thread is used to ligate the left artery of the stomach once, saving nearly 100 thread knots, which not only shortens the operation time but also reduces the retention of foreign bodies in the abdominal cavity, making the patient’s postoperative recovery significantly faster and greatly shortening the hospitalization time. One of them was discharged from hospital 23 hours after laparoscopic appendectomy, which is the true embodiment of the concept of rapid recovery. Early postoperative bedtime activities. Abdominal surgery has a great impact on the function of important organs of patients, such as the pain of surgical incision causes patients to have restricted breathing and often pulmonary complications such as pulmonary infection; passive bed rest makes the venous blood flow in the lower limbs slow or even stagnant, which is prone to venous thrombosis; those with atrial fibrillation are prone to embolism of lower limb arteries due to dislodged emboli; delayed recovery of intestinal function is prone to early inflammatory bowel obstruction and intestinal adhesions, and systemic reactions include fever, etc. . In the past, after inguinal hernia repair, patients needed absolute bed rest for 5-7 days, resulting in long hospital stay, high costs and even serious complications such as lower limb venous thrombosis and pulmonary embolism, but now patients are encouraged to get out of bed 24 hours after inguinal hernia surgery in our department and can be discharged 3 days after surgery. Also under the guidance of this concept, patients with colorectal cancer, gastric cancer and other major postoperative general surgery can get out of bed within 12 hours under the professional guidance of medical and nursing staff, which can reduce muscle consumption, enhance cardiopulmonary function, promote the recovery of gastrointestinal function and prevent the formation of deep vein thrombosis in the lower limbs. This can reduce muscle consumption, enhance cardiopulmonary function, promote recovery of gastrointestinal function and prevent lower limb deep vein thrombosis. Early postoperative feeding. The traditional view is that one should fast after surgery and eat only after the recovery of gastrointestinal function and anal venting. Gastrointestinal surgery requires eating 1 week after surgery, but this may lead to disadvantages such as intestinal mucosa cell atrophy, nutritional deficiency, wasting, weight loss and increased complications. In contrast, rapid recovery emphasizes early postoperative feeding, therefore, in our department, for gastric surgery patients, nasojejunal tubes are left in place and a detailed enteral nutrition plan is formulated according to weight, age and nutritional status. 12 hours after surgery, water is fed via nasojejunal tube, 24 hours, a small amount of fluid is fed, and all energy required after 72 hours is supported by enteral nutrition. This is not just trans-intestinal supplementation, but more importantly to promote intestinal peristalsis, maintain intestinal mucosal function, and prevent ectopic bacteria and endotoxin in the intestine. In addition, early enteral nutrition can also promote portal circulation and accelerate organ function recovery.