Work

Effect of video-assisted informed consent on preoperative anxiety in patients undergoing laparoscopic gastrointestinal cancer surgery: a randomized controlled trial

Year: 2026

Type: article

Abstract: INTRODUCTION: Preoperative anxiety is common in patients undergoing cancer surgery, and may be influenced by the quality of preoperative information. Video-assisted consent may improve the informed consent process and reduce anxiety. AIM: This randomized controlled trial evaluated whether video-assisted preoperative consent reduced state anxiety, as compared with standard verbal and written consent, in patients undergoing laparoscopic gastrointestinal cancer surgery. MATERIALS AND METHODS: Adult patients scheduled for elective laparoscopic resection due to gastrointestinal or hepatobiliary malignancy were randomized to the video-assisted or standard consent groups. The State-Trait Anxiety Inventory Form I (STAI-I) was used for state anxiety assessment prior to and following consent. The primary end point was the between-group difference in the STAI-I score change, calculated as preconsent score minus postconsent STAI-I score. Secondary outcomes included patient satisfaction, postoperative pain, functional recovery, length of hospital stay (LOS), and complications. RESULTS: = 0.02). Satisfaction scores were higher in the video consent group, whereas recovery time, LOS, and major complications were similar between the groups. CONCLUSIONS: Video-assisted consent was associated with a greater, albeit modest, reduction in preoperative anxiety and a higher level of satisfaction, as compared with standard consent in laparoscopic gastrointestinal cancer surgery; the anxiety findings remained following an adjustment for BMI and health literacy.

Source: Videosurgery and Other Miniinvasive Techniques

DOI: 10.20452/wiitm.2026.18040