Baertschiger Reto M, Polites Stephanie, Fusco Joseph C, Roach Jonathan P, Christison-Lagay Emily, Malek Marcus, Gow Kenneth W
Division of Pediatric General and Thoracic Surgery, Dartmouth Health Children's, Lebanon, Lebanon, New Hampshire, USA.
Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Pediatr Blood Cancer. 2025 Apr;72 Suppl 2:e31280. doi: 10.1002/pbc.31280. Epub 2024 Aug 16.
Synoptic operative notes for pediatric surgical oncology provide standardized and structured documentation of surgical procedures performed on pediatric patients with cancer. These reports capture essential details such as preoperative diagnosis, intraoperative findings, surgical technique, and tumor characteristics in a concise and uniform format. By promoting consistency, accuracy, and completeness in reporting, synoptic operative notes facilitate effective communication among multidisciplinary healthcare teams, enhance quality assurance efforts, and streamline data extraction for research purposes. The integration of synoptic reporting within electronic medical record systems further enhances accessibility and usability, ensuring efficient documentation practices and improved patient care outcomes in pediatric surgical oncology.
小儿外科肿瘤手术记录以标准化和结构化的方式记录了对患有癌症的小儿患者进行的手术过程。这些报告以简洁统一的格式记录了诸如术前诊断、术中发现、手术技术和肿瘤特征等重要细节。通过促进报告的一致性、准确性和完整性，手术记录有助于多学科医疗团队之间的有效沟通，加强质量保证工作，并简化用于研究目的的数据提取。手术记录在电子病历系统中的整合进一步提高了可及性和可用性，确保了小儿外科肿瘤学中高效的文档记录实践并改善了患者护理结果。
