Laparoscopic colorectal surgery: adding video improves report

  • van de Graaf FW & al.
  • JAMA Surg
  • 23 janv. 2019

  • Par Jim Kling
  • Résumés d'articles
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Takeaway

  • Supplementing narrative reports (NR) with systematic video reporting (SVR) for laparoscopic colorectal surgeries led to better documentation of important steps.
  • During the procedure, the primary surgeon directed the recording of predefined key steps.

Why this matters

  • NRs are subjective and may often exclude critical information.

Study design

  • At 3 centers in the Netherlands, 113 adult patients undergoing elective laparoscopic surgery for colon cancer with SVR were compared with an historical cohort that underwent procedures using NR alone.
  • Funding: Stichting Kwaliteitsgelden Medisch Specialisten Quality Foundation Funds Medical Specialists; Olympus Netherlands.

Key results

  • More key steps were adequately recorded in the SVR cohort (78.5%; P<.001>) than in the historic NR cohort (52.5%; P<.001 and in the accompanying nr of study group p>
  • Combining NR with SVR led to a mean of 85.1% adequate recording of steps, which was higher than that achieved for both the NR (P<.001 and the reviewed svr>

Limitations

  • Nonrandomized.
  • Historical controls.