Synoptic operative reporting for laparoscopic cholecystectomy and pancreaticoduodenectomy: A multi institutional pilot study evaluating completeness and surgeon perceptions

Am J Surg. 2018 Nov;216(5):935-940. doi: 10.1016/j.amjsurg.2018.06.008. Epub 2018 Jun 19.

Abstract

Background: Synoptic operative reports (SOR) are more accurate than dictated operative reports (DOR) in a few single institution experiences. We sought to examine the completeness of SOR for laparoscopic cholecystectomy (LC) and pancreaticoduodenectomy (PD) in a multi institutional pilot study.

Methods: Six institutions participated in SOR submission via a web-based survey. One institution collected DOR and case matched historical dictated operative reports (HOR) for subset analysis. A checklist evaluated completeness of all reports. A post-survey assessed participant opinions.

Results: 40 PD SORs were 98.5% complete and 35 LC SORs were 99.7% complete. Single institution subset analysis respective percent complete were: 11 PD SORs 99%, DORs 70% and HORs 74% and 14 LC SORs 99.7%, DORs 76%, and HORs 75%. Post-survey results yielded 10 PD and 24 LC responses. An overwhelming majority agreed that SOR were easy to use and would prefer to use SOR compared to DOR.

Conclusion: SOR are more complete than both study associated DOR and HOR. The majority of surgeons indicated their preference for SOR and their willingness to use them.

Publication types

  • Multicenter Study

MeSH terms

  • Cholecystectomy, Laparoscopic / statistics & numerical data*
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Medical Records Systems, Computerized*
  • Pancreaticoduodenectomy / statistics & numerical data*
  • Pilot Projects
  • Quality Control*
  • Surgeons*
  • Surveys and Questionnaires