From the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Robertson, Vergis); and the Clinician Investigator Program, University of Manitoba, Winnipeg, Man. (Johnson).
From the Department of Surgery, University of Manitoba, Winnipeg, Man. (Johnson, Robertson, Vergis); and the Clinician Investigator Program, University of Manitoba, Winnipeg, Man. (Johnson)
Can J Surg. 2022 Sep 7;65(5):E599-E604. doi: 10.1503/cjs.020021. Print 2022 Sep-Oct.
Transanal endoscopic surgery (TES) platforms have become quite popular. Many surgeons across the country have begun excising rectal lesions using these platforms; however, the perioperative decision-making surrounding these excisions can be quite variable. To facilitate care between providers, it would be helpful to standardize the way TES is reported. Synoptic operative reports have previously been established as an effective and efficient communication tool. For patients with rectal cancer, synoptic reports are required for pathology, radiology and major oncologic resections, but never previously for TES. We used a Delphi process including 15 stakeholders from across Canada to develop a TES synoptic report. Participants submitted items according to 6 categories: team characteristics, patient demographics, preoperative work-up, lesion characteristics, procedure details and postoperative details. Twenty-six surgeon-entered and 41 auto-populated items reached final inclusion. This will allow generation of a synoptic reporting template to improve perioperative communication for these patients.
经肛门内镜微创手术（TES）平台已广受欢迎。全国各地的许多外科医生已开始使用这些平台切除直肠病变；然而，这些切除手术的围手术期决策可能存在较大差异。为了促进提供者之间的护理，标准化 TES 的报告方式将很有帮助。摘要手术报告之前已被确立为一种有效且高效的沟通工具。对于直肠癌患者，病理、放射学和主要肿瘤切除术都需要摘要报告，但 TES 以前从未有过。我们使用包括来自加拿大各地的 15 名利益相关者的 Delphi 流程来开发 TES 摘要报告。参与者根据 6 个类别提交项目：团队特征、患者人口统计学、术前检查、病变特征、手术细节和术后细节。26 项由外科医生输入和 41 项自动生成的项目最终被纳入。这将允许生成一个概要报告模板，以改善这些患者的围手术期沟通。
