Researchers recently questioned whether patients receive accurate information about their recovery timelines following robotic lung surgery.
The study by a team at the University of Colorado Department of Surgery was published in the Journal of Robotic Surgery.
Dr Robert Meguid, a professor of cardiothoracic surgery and surgery resident Dr Adam Dyas, recognised a gap in understanding regarding the recovery process after robotic lung dissection surgeries.
Traditionally, patients were informed they would return to normal within six weeks post-surgery.
However, with the rise of robotic procedures in thoracic surgery, the accuracy of these expectations became questionable.
Dr Meguid found that anecdotal observations suggested patients might be experiencing less pain and a quicker return to function with robotic surgery, adding ‘But anecdotal evidence isn’t enough. We needed data’.
Together with Dr Dyas, they conducted a comprehensive analysis of patient-reported outcomes.
Patients who underwent robotic anatomic lung resections were surveyed before surgery, at postoperative clinic visits, and 30 and 90 days after the operation.
The surveys covered various aspects of recovery, including cognition, physical function, depression and pain interference.
Surprisingly, the results revealed that patients were not fully recovered even after 90 days, contrary to common assumptions.
While physical aspects approached baseline levels, cognitive domains lagged behind, indicating a slower recovery than expected.
Dr Dyas emphasised the importance of these findings in shaping patient expectations and improving postoperative care.
‘By understanding that recovery may take longer than initially anticipated, we can better support patients both mentally and physically,’ he said.
The implications extend beyond informing patients.
Dr Meguid sees an opportunity for tailored interventions to expedite recovery and improve overall quality of life.
These interventions could include physical therapy, counselling and referrals to specialists.
‘We have the data now to guide individualised recovery plans. By addressing specific needs and challenges, we can optimise outcomes for each patient.’
He stresses the importance of transparent communication between surgeons and patients. Setting realistic expectations preoperatively can prevent disappointment and foster trust in the medical system.
‘This study has changed how I communicate with patients,’ he added. ‘We want patients to make informed decisions and feel supported throughout their recovery journey.’
While this study focused on the first 90 days post-surgery, the pair hope it will inspire further research into long-term recovery outcomes.
In the meantime, they urge surgeons to re-evaluate their approach to preoperative discussions, ensuring patients have accurate expectations about their recovery process.
