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

Niall O’Connor, Michael Sugrue, Conor Melly, Gearoid McGeehan, Magda Bucholc, Aileen Crawford, Paul O’Connor, Fikri Abu-Zidan, Imtiaz Wani, Zsolt J. Balogh, Vishal G. Shelat, Giovanni D. Tebala, Belinda De Simone, Hani O. Eid, Mircea Chirica, Gustavo P. Fraga, Salomone Di Saverio, Edoardo Picetti, Luigi Bonavina, Marco CeresoliAndreas Fette, Boris Sakakushe, Emmanouil Pikoulis, Raul Coimbra, Richard ten Broek, Andreas Hecker, Ari Leppäniemi, Andrey Litvin, Philip Stahel, Edward Tan, Kaoru Koike, Fausto Catena, Michele Pisano, Federico Coccolini, Alison Johnston

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


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.

Original languageEnglish
Article number15
JournalWorld Journal of Emergency Surgery
Issue number1
Publication statusPublished - Dec 2022


  • Laparoscopic cholecystectomy
  • Operation notes
  • Patient safety
  • Synoptic reporting

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine


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