APLICABILIDADE DO PROTOCOLO ERAS “ENHANCED RECOVERY AFTER SURGERY” NA GASTRODUODENOPANCREATECTOMIA NO SERVIÇO DE CIRURGIA DO HOSPITAL UNIVERSITÁRIO LAURO WANDERLEY

Abstract

Gastroduodenopancreatectomy (GDP) is a surgical procedure involving the removal of parts of the stomach, duodenum, and pancreas, which poses various postoperative challenges, including gastrointestinal dysfunction, pain, and overall morbidity. The Enhanced Recovery After Surgery (ERAS) Protocol comprises a set of multidisciplinary clinical guidelines designed to optimize patient recovery following surgeries, by minimizing postoperative complications and reducing hospitalization duration. This protocol is grounded in strategies such as preoperative fasting reduction, minimizing intravenous fluid administration, strict pain management, and early mobilization. Its implementation in this specific context holds significant potential for improving outcomes among patients undergoing this surgery. This study aimed to investigate the applicability of the ERAS Protocol in GDP within the Surgical Department of the Hospital Universitário Lauro Wanderley (HULW). The research encompassed a literature review, an analysis of ERAS protocols already implemented in other institutions, and the Safe Surgery Protocol in the HULW service, conducting a systematic review of articles published in the PubMed digital library between 2003 and 2023. The research was structured hierarchically, prioritizing meta-analyses, prospective multicenter randomized studies, prospective single-center randomized studies, retrospective studies, and case series. Emphasis was placed on articles exhibiting the strongest evidence, considering methodology and result relevance. Preference was given to articles published in high-impact journals to ensure a comprehensive and well-informed approach to the subject. In conclusion, the applicability of the ERAS Protocol in GDP at the Surgical Department of the Hospital Universitário Lauro Wanderley represents a promising strategy warranting consideration for enhancing patient care in this complex surgical procedure. Successful implementation, however, necessitates the collaboration of a multidisciplinary team, specific adaptations to departmental characteristics, and vigilant long-term result assessment.