Objective To observe the application value of enhanced recovery after surgery (ERAS) in perioperative nursing for patients undergoing percutaneous endoscopic interlaminar discectomy based on three-dimensional visualized virtual surgical system.

Methods Eighty-six patients with lumbar spinal stenosis were randomly divided into experimental group (receiving perioperative nursing based on ERAS) and control group (receiving conventional perioperative nursing) using a random number table method, with 43 patients in each group. The postoperative recovery, pain intensity Visual Analogue Scale (VAS) score, lumbar function Japanese Orthopaedic Association (JOA) scoring system for lumbar disorders, rehabilitation motivation Pittsburgh Rehabilitation Participation Scale (PRPS) score, complianceAdherence Rating Scale (ARS) score, quality of life World Health Organization Quality of Life BREF (WHOQOL-BREF) score, complications, and satisfaction were compared between the two groups.

Results The first ambulation time, first meal time, and hospital stay after surgery in the experimental group were shorter than those in the control group (P<0.05). The total incidence of complications in the experimental group was 9.30%, which was lower than 27.91% in the control group (P<0.05). Three days after surgery, the VAS score of the experimental group was (1.77±0.58), which was lower than (2.54±0.72) in the control group (P<0.05).After intervention, the JOA scoring system for lumbar disorders, PRPS score, WHOQOL-BREF score, and satisfaction score in the experimental group were higher than those in the control group, while the ARS score was lower(P<0.05).

Conclusion The application of ERAS in perioperative nursing for patients undergoing percutaneous endoscopic interlaminar discectomy based on three-dimensional visualized virtual surgical system can not only shorten the first ambulation time, first meal time, and hospital stay after surgery for patients with lumbar spinal stenosis, improve rehabilitation motivation and compliance, significantly relieve pain, but also promote the recovery of lumbar function, reduce occurrence of complications, and effectively enhance quality of life and patients′ satisfaction.