Abstract
AimColorectal cancer is one of the most common cancers worldwide. Surgery is seen as the only curative treatment. There are two approaches to liver resection: open or laparoscopic surgery. Knowledge from the patient perspective can illuminate how it is experienced going through laparoscopic surgery. We aimed to study patient perspectives of the experience of undergoing laparoscopic liver resection surgery in patients with colorectal liver metastases.DesignThis study has a qualitative research design. Nine patients participated in semi‐structured interviews 6 months after surgery. Data were analysed according to Kvale's five‐step analysis method.ResultsThough the patients were satisfied with the laparoscopic approach, they expressed unmet informational needs about the new technique, time after discharge and surgery outcomes related to having metastatic cancer. Healthcare professionals should provide information and support that recognizes the needs of patients with cancer undergoing laparoscopic liver resection surgery.
Highlights
Colorectal cancer is one of the most common cancers worldwide (Arnold et al, 2016)
Laparoscopic resection for colorectal liver metastases has been an option in Norway since 1998, and an increasing number of patients with liver metastases after colorectal cancer is treated using the laparoscopic technique (Kazaryan, Rosok, & Edwin, 2010)
The participants were recruited from one hospital in Norway, and the inclusion criteria were as follows: (a) patients with detected liver metastases after colorectal cancer; (b) patients who had under‐ gone laparoscopic liver resection at one hospital in Norway during 2011 being 6 months from surgery; (c) patients aged 18 or older; and (d) patients are able to understand and speak Norwegian
Summary
Colorectal cancer is one of the most common cancers worldwide (Arnold et al, 2016). in Norway where colorectal cancer is the fourth most common cancer type (Cancer Registry of Norway, 2013) and as much as 30% of patients already have liver metastases by the time, they are diagnosed (Sorbye, Braendengen, & Balteskard, 2008). Research has found that hos‐ pitalization is shorter after laparoscopic liver resection, compared with open surgery (Vanounou et al, 2011). When it comes to costs, the conventional open approach seems to be the best alternative. Job status, diagnosis and treatment Physical function: pre‐ and post-operatively, during rehabilitation Post-operative pain, physical symptoms Physical impact of surgery on activities of daily living, and job situation Coping with cancer diagnosis, treatment and prognosis Thoughts and emotions related to going through laparoscopic versus open surgery The impact of laparoscopic surgery on social life during rehabilitation period Informational needs before and after surgery, at hospital discharge, and during rehabilitation.
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