Objective To systematically evaluate the application effect of enhanced recovery after surgery (ERAS) concept in the perioperative period of lumbar endoscopic transforaminal discectomy. Methods Randomized controlled trials regarding perioperative intervention with the ERAS concept in lumbar endoscopic transforaminal discectomy were collected by searching databases such as China National Knowledge Infrastructure, Chinese Biomedical Literature Service System, Wanfang Data Knowledge Service Platform, VIP, PubMed, and The Cochrane Library. After screening the quality of the included literature, data extraction, and quality assessment, Meta⁃analysis was performed using RevMan 5.3 software. Results A total of 21 articles were finally included, involving 1821 patients, with 916 in the ERAS group and 905 in the conventional group. The Meta⁃analysis results showed that the ERAS group exhibited lower postoperative pain scores, incidence rate of postoperative complications, and shorter length of hospital stay, whereas higher satisfaction degree and effective rate, as well as earlier time to first postoperative anal exhaust compared with the conventional group (P<0.05). Descriptive analysis results revealed that the ERAS group yielded lower Oswestry disability index score and self⁃rating anxiety scale score, as well as earlier time to out⁃of⁃bed as compared with the conventional group (P<0.05). Conclusion The ERAS concept demonstrates significant advantages in perioperative intervention for lumbar endoscopic transforaminal discectomy. It can improve efficacy and patients' satisfaction, alleviate pain and perioperative anxiety, reduce the incidence rate of postoperative complications, and promote rapid recovery in patients, making it worthy of clinical application and promotion.

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