It's time for a minimum synoptic operation template in patients undergoing laparoscopic cholecystectomy: a systematic review

被引:7
作者
O'Connor, Niall [1 ,2 ]
Sugrue, Michael [1 ,2 ]
Melly, Conor [1 ,2 ]
McGeehan, Gearoid [1 ,2 ]
Bucholc, Magda [3 ]
Crawford, Aileen [1 ,2 ]
O'Connor, Paul [4 ]
Abu-Zidan, Fikri [5 ]
Wani, Imtiaz [6 ]
Balogh, Zsolt J. [7 ,8 ]
Shelat, Vishal G. [9 ]
Tebala, Giovanni D. [10 ]
De Simone, Belinda [11 ]
Eid, Hani O. [12 ]
Chirica, Mircea [13 ]
Fraga, Gustavo P. [14 ]
Di Saverio, Salomone [15 ]
Picetti, Edoardo [16 ]
Bonavina, Luigi [17 ]
Ceresoli, Marco [18 ]
Fette, Andreas [19 ]
Sakakushe, Boris [20 ]
Pikoulis, Emmanouil [21 ]
Coimbra, Raul [22 ,23 ]
Ten Broek, Richard [24 ]
Hecker, Andreas [25 ]
Leppaniemi, Ari [26 ,27 ]
Litvin, Andrey [28 ]
Stahel, Philip [29 ]
Tan, Edward [24 ]
Koike, Kaoru [30 ]
Catena, Fausto [31 ]
Pisano, Michele [32 ]
Coccolini, Federico [33 ]
Johnston, Alison [1 ,2 ]
机构
[1] Letterkenny Univ Hosp, Dept Surg, Donegal, Ireland
[2] Donegal Clin Res Acad, Donegal, Ireland
[3] Ulster Univ, EU INTERREG Ctr Personalized Med, Intelligent Syst Res Ctr, Sch Comp Engn & Intelligent Syst, Magee Campus, Derry Londonderry, North Ireland
[4] Letterkenny Univ Hosp, Dept Anaesthesia, Donegal, Ireland
[5] UAE Univ, Coll Med & Hlth Sci, Dept Surg, Al Ain, U Arab Emirates
[6] Govt Gousia Hosp, Srinagar, India
[7] John Hunter Hosp, Newcastle, NSW, Australia
[8] Univ Newcastle, Newcastle, NSW, Australia
[9] Tan Tock Seng Hosp, Singapore, Singapore
[10] Oxford Univ Hosp NHS Fdn Trust, John Radcliffe Hosp, Headley Way, Oxford OX3 9DU, England
[11] Poissy St Germain Laye Hosp, Poissy Ile De France, France
[12] HEMS, Abu Dhabi Police Aviat, Abu Dhabi, U Arab Emirates
[13] Ctr Hosp Univ Grenoble Alpes, Grenoble, France
[14] Univ Campinas Unicamp, Sch Med Sci, Div Trauma Surg, Campinas, Brazil
[15] Hosp San Benedetto Tronto AP, San Benedetto Tronto, Italy
[16] Parma Univ Hosp, Dept Anesthesia & Intens Care, Parma, Italy
[17] Univ Milan, Dept Biomed Sci Hlth, Div Gen & Foregut Surg, IRCCS Policlin San Donato, Milan, Italy
[18] Univ Milano Bicocca, Sch Med & Surg, Gen & Emergency Surg, Monza, Italy
[19] PS SS Weissach Tal, Weissach, Germany
[20] Med Univ Plovdiv, RIMU Res Inst, Plovdiv, Bulgaria
[21] Natl & Kapodistrian Univ Athens, Attikon Gen Hosp, Dept Surg, Athens, Greece
[22] Riverside Univ Hlth Syst Med CA, Riverside, CA USA
[23] Loma Linda Univ, Sch Med CA, Riverside, CA USA
[24] Radboud Univ Nijmegen, Med Ctr, Dept Surg, Nijmegen, Netherlands
[25] Univ Hosp Giessen, Dept Gen & Thorac Surg, Giessen, Germany
[26] Helsinki Univ Hosp, Helsinki, Finland
[27] Univ Helsinki, Helsinki, Finland
[28] Immanuel Kant Baltic Fed Univ, Reg Clin Hosp, Dept Surg Disciplines, Kaliningrad, Russia
[29] Rocky Vista Univ, Coll Osteopath Med, Dept Specialty Med, Parker, CO 80134 USA
[30] Kyoto Med Ctr, Kyoto, Japan
[31] Bufalini Hosp, Cesena, Italy
[32] Papa Giovanni XXIII Hosp, Bergamo, Italy
[33] Pisa Univ Hosp, Gen Emergency & Trauma Surg Dept, Pisa, Italy
关键词
Laparoscopic cholecystectomy; Synoptic reporting; Operation notes; Patient safety; CRITICAL-VIEW; PHOTOGRAPHIC DOCUMENTATION; SAFETY; QUALITY; EXTRACTION;
D O I
10.1186/s13017-022-00411-5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background Despite the call to enhance accuracy and value of operation records few international recommended minimal standards for operative notes documentation have been described. This study undertook a systematic review of existing operative reporting systems for laparoscopic cholecystectomy (LC) to fashion a comprehensive, synoptic operative reporting template for the future. Methods A search for all relevant articles was conducted using PubMed version of Medline, Scopus and Web of Science databases in June 2021, for publications from January 1st 2011 to October 25th 2021, using the keywords: laparoscopic cholecystectomy AND operation notes OR operative notes OR proforma OR documentation OR report OR narrative OR audio-visual OR synoptic OR digital. Two reviewers (NOC, GMC) independently assessed each published study using a MINORS score of >= 16 for comparative and >= 10 for non-comparative for inclusion. This systematic review followed PRISMA guidelines and was registered with PROSPERO. Synoptic operative templates from published data were assimilated into one "ideal" laparoscopic operative report template following international input from the World Society of Emergency Surgery board. Results A total of 3567 articles were reviewed. Following MINORS grading 25 studies were selected spanning 14 countries and 4 continents. Twenty-two studies were prospective. A holistic overview of the operative procedure documentation was reported in 6/25 studies and a further 19 papers dealt with selective surgical aspects of LC. A unique synoptic LC operative reporting template was developed and translated into Chinese/Mandarin, French and Arabic. Conclusion This systematic review identified a paucity of publications dealing with operative reporting of LC. The proposed new template may be integrated digitally with hospitals' medical systems and include additional narrative text and audio-visual data. The template may help define new OR (operating room) recording standards and impact on care for patients undergoing LC.
引用
收藏
页数:11
相关论文
共 53 条
  • [1] Baigrie R J, 1994, Ann R Coll Surg Engl, V76, P8
  • [2] ATOM Classification of Bile Duct Injuries During Laparoscopic Cholecystectomy: Analysis of a Single Institution Experience
    Balla, Andrea
    Quaresima, Silvia
    Corona, Mario
    Lucatelli, Pierleone
    Fiocca, Fausto
    Rossi, Massimo
    Bezzi, Mario
    Catalano, Carlo
    Salvatori, Filippo M.
    Fingerhut, Abe
    Paganini, Alessandro M.
    [J]. JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, 2019, 29 (02): : 206 - 212
  • [3] New Operative Reporting Standards: Where We Stand Now and Opportunities for Innovation
    Ballester, Jacqueline M. Soegaard
    Goodsell, Kristin E.
    Ermer, Jae P.
    Karakousis, Giorgos C.
    Miura, John T.
    Saur, Nicole M.
    Mahmoud, Najjia N.
    Brooks, Ari
    Tchou, Julia C.
    Gabriel, Peter E.
    Shulman, Lawrence N.
    Wachtel, Heather
    [J]. ANNALS OF SURGICAL ONCOLOGY, 2022, 29 (03) : 1797 - 1804
  • [4] Bolivar-Rodriguez MA., 2018, CIR CIR, V86, P152
  • [5] Insufficient safety measures reported in operation notes of complicated laparoscopic cholecystectomies
    Booij, Klaske A. C.
    de Reuver, Philip R.
    Nijsse, Bram
    Busch, Olivier R. C.
    van Gulik, Thomas M.
    Gouma, Dirk J.
    [J]. SURGERY, 2014, 155 (03) : 384 - 389
  • [6] Borchert D, 2005, INTERNET J SURG, V8, P1
  • [7] Documenting correct assessment of biliary anatomy during laparoscopic cholecystectomy
    Buddingh, K. T.
    Morks, A. N.
    Hoedemaker, H. O. ten Cate
    Blaauw, C. B.
    van Dam, G. M.
    Ploeg, R. J.
    Hofker, H. S.
    Nieuwenhuijs, V. B.
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (01): : 79 - 85
  • [8] Cahill K C, 2016, Ir Med J, V109, P332
  • [9] Proposed standards for reporting outcomes of treating biliary injuries
    Cho, Jai Young
    Baron, Todd H.
    Carr-Locke, David L.
    Chapman, William C.
    Costamagna, Guido
    de Santibanes, Eduardo
    Dominguez Rosado, Ismael
    Garden, O. James
    Gouma, Dirk
    Lillemoe, Keith D.
    Angel Mercado, Miguel
    Mullady, Daniel K.
    Padbury, Robert
    Picus, Daniel
    Pitt, Henry A.
    Sherman, Stuart
    Shlansky-Goldberg, Richard
    Tornqvist, Bjorn
    Strasberg, Steven M.
    [J]. HPB, 2018, 20 (04) : 370 - 378
  • [10] Synoptic operative reporting for laparoscopic cholecystectomy and pancreaticoduodenectomy: A multi institutional pilot study evaluating completeness and surgeon perceptions
    Deal, Shanley B.
    D'Angelica, Michael, I
    Hawkins, William G.
    Pucci, Michael
    Ujiki, Michael
    Brunt, L. Michael
    Wexner, Steven
    Alseidi, Adnan A.
    [J]. AMERICAN JOURNAL OF SURGERY, 2018, 216 (05) : 935 - 940