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Related Experiment Video

Updated: Jun 1, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Operative notes do not reflect reality in laparoscopic cholecystectomy.

L S G L Wauben1, W M U van Grevenstein, R H M Goossens

  • 1Department of Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands. l.s.g.l.wauben@tudelft.nl

The British Journal of Surgery
|June 3, 2011
PubMed
Summary

Operative notes for laparoscopic cholecystectomy (LC) do not fully reflect the actual procedure performed. Video recordings revealed more procedural steps than documented in notes, highlighting a need for improved record-keeping.

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Area of Science:

  • Surgical documentation accuracy
  • Medical record-keeping standards
  • Minimally invasive surgery procedures

Background:

  • Clear and accurate operative notes are crucial for patient safety.
  • This study investigated the concordance between operative notes and actual laparoscopic cholecystectomy (LC) procedures.

Purpose of the Study:

  • To compare operative notes with video recordings of laparoscopic cholecystectomies.
  • To assess the accuracy of surgical documentation in representing performed procedures.

Main Methods:

  • Seven hospitals analyzed 125 laparoscopic cholecystectomies (LCs) with corresponding video recordings and operative notes.
  • Comparison focused on procedural steps, adherence to guidelines, and iatrogenic gallbladder perforations.

Related Experiment Videos

Last Updated: Jun 1, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Main Results:

  • Operative notes documented fewer procedural steps compared to video recordings.
  • Significant discrepancies were found in specific steps like trocar insertion and critical view of safety.
  • Iatrogenic gallbladder perforation occurred in 24.8% of cases, with discrepancies in reporting.

Conclusions:

  • Operative notes inadequately represent actual laparoscopic cholecystectomies (LCs).
  • Inclusion of video recordings in operative notes is suggested to improve accuracy.