Understanding AI in Colorectal Surgery: Patients’ Perspectives

Artificial intelligence (AI) is playing an increasingly important role in healthcare, including surgery. One promising application is using AI to help surgeons predict complications during operations. However, little is known about how patients feel regarding these technologies used in their care.
In this study, we spoke with 19 patients who had undergone colorectal surgery with the help of four patient organisations: Stichting Darmkanker, Stomavereniging, ILCO, and Digestive Cancers Europe. We aimed to understand their thoughts on AI models that assist surgeons in predicting the risk of a complication called anastomotic leakage (a leakage at the site where the bowel is reconnected).
Overall, patients were positive about using AI as a tool to support surgical decisions. However, they felt strongly that the surgeon should always have the final say and be able to override AI recommendations if necessary. Patients also emphasised the importance of clear communication regarding how AI is used and how it might affect their treatment. Additionally, they wanted discussions to focus on quality of life, especially when making decisions about having a stoma versus reconnecting the bowel.
This study highlights that AI can be a valuable tool in surgery, but it should be used responsibly and in a way that keeps patients’ needs and concerns at the centre of care.
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