TY - JOUR
T1 - A comparison between real-time intraoperative voice dictation and the operative report in laparoscopic cholecystectomy
T2 - a multicenter prospective observational study
AU - Eryigit, Özgür
AU - van de Graaf, Floyd W.
AU - Nieuwenhuijs, Vincent B.
AU - Sosef, Meindert N.
AU - de Graaf, Eelco J. R.
AU - Menon, Anand G.
AU - Lange, Marilyne M.
AU - Lange, Johan F.
N1 - Funding Information: We want to thank all participating surgeons, fellows, surgical residents, and OR personnel of Isala, Zuyderland Medical Center, IJsselland Hospital, and Park Medical Center for taking part in the SONAR-trial. We thank Nicole Erler, postdoctoral researcher at the Department of Biostatistics at the Erasmus University Medical Center, for her help with the statistical analysis and Guus de Klein, MD, for his help with the data collection at Isala. Finally, we thank E.G.J.M. Pierik, MD, PhD, Isala, and L.P.S. Stassen, MD, PhD, Maastricht University Medical Center, for their continual support. These individuals were not compensated for their contributions. The SONAR-trial was preregistered in the Netherlands Trial Registry as Trial NL6822 (NTR7008). Publisher Copyright: © 2023, The Author(s).
PY - 2023/12/1
Y1 - 2023/12/1
N2 - Purpose: The current operative report often inadequately reflects events occurring during laparoscopic cholecystectomy (LC). The addition of intraoperative video recording to the operative report has already proven to add important information. It was hypothesized that real-time intraoperative voice dictation (RIVD) can provide an equal or more complete overview of the operative procedure compared to the narrative operative report (NR) produced postoperatively. Methods: SONAR is a multicenter prospective observational trial, conducted at four surgical centers in the Netherlands. Elective LCs of patients aged 18 years and older were included. Participating surgeons were requested to dictate the essential steps of LC during surgery. RIVDs and NRs were reviewed according to the stepwise LC guideline of the Dutch Society for Surgery. The cumulative adequacy rates for RIVDs were compared with those of the postoperatively written NR. Results: 79 of 90 cases were eligible for inclusion and available for further analysis. RIVD resulted in a significantly higher adequacy rate compared to NR for the circumferential dissection of the cystic duct and artery (NR 32.5% vs. RIVD 61.0%, P = 0.016). NR had higher adequacy rates in reporting the transection of the cystic duct (NR 100% vs. RIVD 77.9%, P = < 0.001) and the removal of the gallbladder from the liver bed (NR 98.7% vs. RIVD 68.8%, P < 0.001). The total adequacy was not significantly different between the two reporting methods (NR 78.0% vs. RIVD 76.4%, P = 1.00). Conclusion: Overall, the adequacy of RIVD is comparable to the postoperatively written NR in reporting surgical steps in LC. However, the most essential surgical step, the circumferential dissection of the cystic duct and artery, was reported more adequately in RIVD.
AB - Purpose: The current operative report often inadequately reflects events occurring during laparoscopic cholecystectomy (LC). The addition of intraoperative video recording to the operative report has already proven to add important information. It was hypothesized that real-time intraoperative voice dictation (RIVD) can provide an equal or more complete overview of the operative procedure compared to the narrative operative report (NR) produced postoperatively. Methods: SONAR is a multicenter prospective observational trial, conducted at four surgical centers in the Netherlands. Elective LCs of patients aged 18 years and older were included. Participating surgeons were requested to dictate the essential steps of LC during surgery. RIVDs and NRs were reviewed according to the stepwise LC guideline of the Dutch Society for Surgery. The cumulative adequacy rates for RIVDs were compared with those of the postoperatively written NR. Results: 79 of 90 cases were eligible for inclusion and available for further analysis. RIVD resulted in a significantly higher adequacy rate compared to NR for the circumferential dissection of the cystic duct and artery (NR 32.5% vs. RIVD 61.0%, P = 0.016). NR had higher adequacy rates in reporting the transection of the cystic duct (NR 100% vs. RIVD 77.9%, P = < 0.001) and the removal of the gallbladder from the liver bed (NR 98.7% vs. RIVD 68.8%, P < 0.001). The total adequacy was not significantly different between the two reporting methods (NR 78.0% vs. RIVD 76.4%, P = 1.00). Conclusion: Overall, the adequacy of RIVD is comparable to the postoperatively written NR in reporting surgical steps in LC. However, the most essential surgical step, the circumferential dissection of the cystic duct and artery, was reported more adequately in RIVD.
KW - Laparoscopic cholecystectomy
KW - Operative reporting
KW - Patient safety
KW - Voice dictation
UR - http://www.scopus.com/inward/record.url?scp=85168747938&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00423-023-03079-w
DO - https://doi.org/10.1007/s00423-023-03079-w
M3 - Article
C2 - 37624422
SN - 1435-2443
VL - 408
JO - Langenbeck's Archives of Surgery
JF - Langenbeck's Archives of Surgery
IS - 1
M1 - 334
ER -