Going through laparoscopic liver resection in patients with colorectal liver metastases-A qualitative study.
Camilla Bøe, Hilde Bondevik, Astrid Klopstad Wahl and 1 others
PMID 30918677WHAT IT FOUND
Patients who had laparoscopic liver resection described quick recovery and little pain, but some worried the cancer operation was not thorough enough.
They reported too little information about coping after discharge, future results, and what to expect.
Key findings
01Patients reported a rapid recovery with little postoperative pain; most left hospital within 2 days and were back to daily life within 2 weeks.
02For some patients, satisfaction with recovery was overshadowed by worry that the laparoscopic cancer operation might not be thorough enough.
03Participants said preoperative information was sufficient, but they received little information about coping after discharge and had to chase results or future expectations.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included only nine patients from one hospital, and the authors state the findings should not be generalised. Participants were interviewed about six months after surgery, so early postoperative details depended on recall. One researcher had partly been in charge of care for a participant, which could affect the interview dynamic. The interviews took place when laparoscopic liver resection was newly introduced, so concerns about the technique may not reflect current practice. Some invited patients did not participate, and their experiences were not represented.
The easy way to misread this
Do not read the patients' reports of rapid recovery as proof that the laparoscopic cancer operation was better or thorough enough. The study describes patients' experiences, not cancer treatment results; some participants said they worried the keyhole operation was not thorough enough.