Objective To explore the clinical effect of enhanced recovery after surgery (ERAS) in treatment of partial resection of urinary tract unilateral renal carcinoma. Methods From March 2015 to September 2017 in our hospital 80 patients with unilateral renal carcinoma were treated by partial resection of urinary. According to the wishes of patients and their families, 47 cases were treated with ERAS regimen (treatment group), 33 patients with conventional treatment (control group) in perioperative period. The changes of the corresponding indexes and recovery were observed in two groups. Results After surgery the time of feeding, ventilation , postoperative hospital stay and ambulation time in treatment group were significantly shorter than in control group (P<0.05), while the incidence of postoperative complications in the treatment group was significantly lower than that in the control group (P<0.05). Compared with 24 h after treatment, level of TP, HB, Alb, CRP, blood glucose, insulin and insulin resistance in the two groups was significantly increased (P<0.05), and the treatment group was significantly higher than the control group (P<0.05). The average total cost of the treatment group was 25 700 yuan and the control group was 30 400 yuan, from the perioperative period to the hospital discharge. Conclusions ERAS can reduce the postoperative stress response of patients with renal carcinoma, the incidence of postoperative complications, and the cost of treatment, improve the nutritional status of patients after surgery, and accelerate the postoperative recovery of patient. Key words: Kidney Neoplasms; Rehabilitation