School of Nursing and Midwifery, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia 5001, Australia; Royal Adelaide Hospital, Adelaide, South Australia, Australia. Electronic address: kevin.o'
Eur J Oncol Nurs. 2013 Dec;17(6):775-80. doi: 10.1016/j.ejon.2013.03.010. Epub 2013 May 3.
To compare patient reported outcomes between robotic assisted surgery and non-robotic assisted surgery.
This was an international web-based survey based on a qualitative research and literature review, an internet-based questionnaire was developed with approximately 70 items. The questionnaire included both closed and open-ended questions.
Responses were received from 193 men of whom 86 had received either open (OP) or robotic (RALP) surgery. A statistically significant (p=0.027), ranked analysis of covariance was found demonstrating higher recent distress in the robotic (RALP) surgery group. Although not statistically significant, there was a pattern of men having robotic (RALP) surgery reporting fewer urinary and bowel problems, but having a greater rate of sexual dysfunction.
Men who opt for robotic surgery may have higher expectations for robotic (RALP) surgery, when these expectations are not fully met they may be less likely to accept the consequences of this major cancer surgery. Information regarding surgical choice needs to be tailored to ensure that men diagnosed with prostate cancer are fully informed of not only short term surgical and physical outcomes such as erectile dysfunction and incontinence, but also of potential issues with regards to masculinity, lifestyle and sexual health.
比较机器人辅助手术和非机器人辅助手术的患者报告结果。
这是一项基于定性研究和文献回顾的国际网络调查，开发了一个包含大约 70 个项目的基于互联网的问卷。该问卷包括封闭式和开放式问题。
共收到 193 名男性的回复，其中 86 名接受了开放（OP）或机器人（RALP）手术。通过统计分析发现，机器人（RALP）手术组的近期困扰明显更高（p=0.027）。虽然没有统计学意义，但有一个模式是，选择机器人（RALP）手术的男性报告的尿和肠道问题较少，但性功能障碍的发生率更高。
选择机器人手术的男性可能对机器人（RALP）手术有更高的期望，如果这些期望没有完全得到满足，他们可能不太愿意接受这种主要癌症手术的后果。有关手术选择的信息需要量身定制，以确保被诊断患有前列腺癌的男性不仅充分了解短期手术和身体结果，如勃起功能障碍和尿失禁，还充分了解与男性气质、生活方式和性健康有关的潜在问题。
