Laparoscopic surgery for endometrial cancer: a phenomenological study

Area of Science:

• Gynecologic Oncology
• Surgical Patient Experience
• Qualitative Research

Background:

• Laparoscopic surgery is a common, safe treatment for early endometrial cancer with low morbidity.
• Limited research exists on the quality of life and patient experiences associated with this procedure.

Purpose of the Study:

• To explore women's perspectives on their experiences with laparoscopic surgery for endometrial cancer.
• To understand the lived experience of patients undergoing this gynecologic cancer surgery.

Main Methods:

• Heideggerian hermeneutic phenomenology was employed.
• In-depth interviews were conducted with 14 women treated in English cancer centers.
• Colaizzi's framework was used for data analysis.

Main Results:

• Key themes included the impact of cancer diagnosis, reliance on the surgeon, information needs, and the desire for independence and normality.
• The cancer diagnosis overshadowed the surgical experience, influencing trust and decision-making.
• While surgery induced vulnerability, early mobility and reduced pain facilitated a return to independence and normality.

Conclusions:

• Healthcare providers should acknowledge the psychological impact of cancer and the patient's need for practical information.
• Care should support patient independence and a sense of normality during and after endometrial cancer treatment.
• Addressing unmet information needs and empowering patients are crucial for improving the surgical experience.