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Updated: Jul 14, 2026

Technical Detail for Robot Assisted Pancreaticoduodenectomy
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Patient Expectations in High-Risk Abdominal Surgery for Cancer.

Kimberly E Kopecky1, Jacquelyn E F Speer2, Janet Julson1

  • 1Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|July 12, 2026
PubMed
Summary

Patient expectations for high-risk cancer surgery are complex and often misaligned with actual recovery experiences. Improving communication strategies is crucial for better patient preparation and outcomes in surgical oncology.

Keywords:
expectationspatient perspectivesurgery

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Area of Science:

  • Oncology
  • Surgical Care
  • Patient Experience Research

Background:

  • Patient expectations are vital for informed consent and shared decision-making in surgery.
  • However, these expectations are often unelicited, underexplored, or assumed rather than explicitly addressed.
  • This gap highlights a critical need to understand patient perspectives in high-risk surgical contexts.

Purpose of the Study:

  • To investigate how patients develop expectations for high-risk abdominal cancer surgery.
  • To examine the influence of preoperative expectations on surgical recovery and post-surgery life.
  • To identify strategies for aligning patient and clinician expectations.

Main Methods:

  • A qualitative study involving 34 adult patients undergoing or having recently undergone high-risk abdominal cancer surgery.
  • Semi-structured interviews were conducted preoperatively and postoperatively.
  • Data were analyzed using cognitive task analysis and an abductive thematic framework.

Main Results:

  • Patient expectations for cancer surgery are dynamic, context-dependent, and influenced by multiple information sources.
  • Expectations varied widely, were often internally inconsistent, and conflated with hopes.
  • Postoperative recovery frequently differed from preoperative expectations, leading to uncertainty even in uncomplicated cases.

Conclusions:

  • The variability and inconsistency in patient expectations underscore the complexity of preparing for high-risk surgery and navigating uncertainty.
  • Mismatches between anticipated and actual recovery highlight the need for patient-centered communication to set realistic expectations.
  • Findings emphasize the necessity of eliciting and clarifying patient expectations to improve surgical oncology care and patient outcomes.