机器人手术（RS）在结直肠外科实践中越来越普遍，扩大了为患者提供的手术技术范围。我们调查了结直肠癌患者对RS、开放手术（OS）和传统腹腔镜手术（CLS）的看法和假设，以确定在共同决策中可能影响手术技术选择的观点或假设。我们还调查了影响患者围手术期体验的显著因素，包括RS患者的因素，以指导改善护理和围手术期患者准备工作。该研究于2020年11月至2021年7月在英国一所大型教学医院进行，研究对象为左侧结直肠癌切除手术的患者。采用目的性抽样确保接受RS、CLS和OS手术的患者比例大致相等。研究对象在手术后6周参与了半结构化访谈。访谈内容包括对手术和术后恢复的体验以及对手术技术的看法。访谈记录通过诱导式主题分析手动编码，采用分析师三角验证法以细化编码方案并确保出现的主题可靠性。共有27名患者参与该研究；RS n = 9（年龄中位数69岁[范围60-80岁]）；CLS n = 10（年龄中位数72岁[范围32-82岁]）；OS n = 8（年龄中位数71岁[范围60-75岁]）。患者理解RS的技术优势，但担心技术故障可能会给患者带来伤害风险。与RS或CLS相比，OS被认为与更多的疼痛和更长的恢复相关。患者认为CLS比OS更具挑战性。RS和CLS患者的少量疼痛和较小切口比预期更为显著。并发症和情绪影响对所有组别的体验都有重要影响，许多患者感觉对其围手术期经历的重要因素毫无准备。患者普遍对RS和外科技术创新持积极态度。关注点主要集中在技术失误上。许多患者对围手术期的重要因素感到准备不足。外科医生和医疗保健提供者应准备好在术前解决患者对结直肠手术的看法和期望。 © 2023. Springer Nature Switzerland AG.

Robotic surgery (RS) is increasingly employed in colorectal surgical practice, widening the range of surgical techniques offered to patients. We investigated the perceptions of patients with colorectal cancer in relation to RS, open surgery (OS) and conventional laparoscopic surgery (CLS), to identify ideas or assumptions which, in the context of shared surgeon-patient decision-making, may affect the resultant choice of surgical technique. We also investigated salient factors affecting patients' perioperative experience, including those of RS patients, to guide improvements in care and preoperative patient preparation.This study was conducted on patients who underwent resection of left-sided colorectal cancer at a large UK teaching hospital from November 2020 to July 2021. Purposive sampling was used to ensure a roughly equal proportion of patients who underwent RS, CLS and OS. The patients included in the study participated in semi-structured interviews six weeks postoperatively. The interview schedule allowed discussion around patients' experience of their surgery and postoperative recovery, and their perceptions of surgical techniques. Interview transcripts were coded manually using inductive thematic analysis, and analyst triangulation was employed to refine coding schemes and ensure reliability of emerging themes.Twenty-seven patients were recruited to the study; RS n = 9 (median age 69 [range 60-80] years); CLS n = 10 (median age 72 [range 32-82] years; OS n = 8 (median age 71 [range 60-75] years). Patients understood the technological benefits of RS but were concerned by a risk of technological failure causing patient harm. OS was understood to be associated with more pain and longer recovery than RS or CLS. Patients perceived CLS to be more technically challenging compared with OS. Less pain and smaller wounds than expected were significant positive factors in the experience of RS and CLS patients specifically. Complications and emotional impact were significant factors in the experience of all groups, for which many patients felt underprepared.Patients generally have a positive view of RS and technical innovation in surgery. Concerns mostly centred around failure of technology. Many patients felt unprepared for significant factors in their perioperative experience. Surgeons and healthcare providers should be prepared to address patients' perceptions and expectations of colorectal surgery preoperatively.© 2023. Springer Nature Switzerland AG.