Abstract
BackgroundThe prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable. Audio-video recording during laparoscopic surgery provides useful information for the purposes of education and event analyses, and may have an impact on the focus of the surgeons operating. The aim of the present study was to investigate how audio-video recording in the operating room during laparoscopic surgery affects the focus of the surgeon and his/her assistant.MethodsA group of laparoscopic procedures where video recording only was performed was compared to a group where both audio and video recordings were made. All laparoscopic procedures were performed at Lindesberg Hospital, Sweden, during the period August to September 2017. The primary outcome was conversation not relevant to the ongoing procedure. Secondary outcomes were intra- and postoperative adverse events or complications, operation time and number of times the assistant was corrected by the surgeon.ResultsThe study included 41 procedures, 20 in the video only group and 21 in the audio-video group. The material comprised laparoscopic cholecystectomies, totally extraperitoneal inguinal hernia repairs and bariatric surgical procedures. Irrelevant conversation time fell from 4.2% of surgical time to 1.4% when both audio and video recordings were made (p = 0.002). No differences in perioperative adverse event or complication rates were seen.ConclusionAudio-video recording during laparoscopic abdominal surgery reduces irrelevant conversation time and may improve intraoperative safety and surgical outcome.Trial registrationAvailable at FOU Sweden (ID: 232771) and retrospectively at Clinical trials.gov (ID: NCT03425175; date of registration 7/2 2018).
Highlights
The prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable
Despite increased awareness of perioperative safety, the prevalence of intraoperative adverse events and postoperative complications remains an important issue, with perioperative complications being estimated to result in one million deaths each year
Laparoscopic surgery performed at a high volume center is associated with a lower complication rate than at a low-volume hospital [6, 7]
Summary
The prevalence of perioperative surgical complications is a worldwide issue: In many cases, these events are preventable. Audio-video recording during laparoscopic surgery provides useful information for the purposes of education and event analyses, and may have an impact on the focus of the surgeons operating. The aim of the present study was to investigate how audio-video recording in the operating room during laparoscopic surgery affects the focus of the surgeon and his/her assistant. Despite increased awareness of perioperative safety, the prevalence of intraoperative adverse events and postoperative complications remains an important issue, with perioperative complications being estimated to result in one million deaths each year. The use of a minimally invasive approach for standard surgical procedures is considered safe and has a low complication rate [4,5,6]. Even in ideal circumstances both intra- and postoperative adverse events do occur, causing significant morbidity and even mortality
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