title: Systematic Video Documentation in Laparoscopic Colon Surgery Using a Checklist: A Feasibility and Compliance Pilot Study.
abstract: BACKGROUND
  High-quality images can be readily captured during laparoscopic colon surgery, but there are no guidelines for documentation of these video data or how to best measure surgical quality from an operative video. This study evaluates the feasibility and compliance in documenting key steps during laparoscopic right hemicolectomy and sigmoid colectomy.
  
  
  METHODS
  A retrospective review of previously recorded videos of patients undergoing laparoscopic right hemicolectomy or sigmoid colectomy from September to December 2011 in a single institution was performed. Patients' demographics, intraoperative features, postoperative complications, and variables for video recording and editing were collected. Compliance of key surgical steps was assessed using a checklist by two independent surgeons.
  
  
  RESULTS
  Sixteen laparoscopic operations (seven right hemicolectomies and nine sigmoid colectomies) were recorded. Twelve (75%) were laparoscopic-assisted, and four (25%) were hand-assisted laparoscopic operations. Compliance with key surgical steps in laparoscopic right hemicolectomy and sigmoid colectomy was demonstrated in the majority of patients, with steps ranging in compliance from 42.9% to 100% and from 77.8% to 100%, respectively. The edited video had a median duration of 3 minutes 47 seconds (range, 1 minute 44 seconds-5 minutes 38 seconds) with a production time of nearly 1 hour and a resolution of 1440 × 1080 pixels.
  
  
  CONCLUSIONS
  Key surgical steps during laparoscopic right hemicolectomy and sigmoid colectomy can be documented and edited into a short representative video. Standardization of this process should allow video documentation to improve quality in laparoscopic colon surgery.
authors.affiliation: 1 Section of Colon and Rectal Surgery, Department of Surgery, NewYork Presbyterian Hospital, Weill Cornell Medical College , New York, New York.
authors.forename: Paul R A
authors.initials: PR
authors.lastname: O'Mahoney
authors.affiliation: 1 Section of Colon and Rectal Surgery, Department of Surgery, NewYork Presbyterian Hospital, Weill Cornell Medical College , New York, New York.
authors.forename: Koiana
authors.initials: K
authors.lastname: Trencheva
authors.affiliation: 2 Department of Surgical Oncology, Fujian Provincial Cancer Hospital, Teaching Hospital of Fujian Medical University , Fuzhou, People's Republic of China .
authors.forename: Changhua
authors.initials: C
authors.lastname: Zhuo
authors.affiliation: 1 Section of Colon and Rectal Surgery, Department of Surgery, NewYork Presbyterian Hospital, Weill Cornell Medical College , New York, New York.
authors.forename: Parul J
authors.initials: PJ
authors.lastname: Shukla
authors.affiliation: 1 Section of Colon and Rectal Surgery, Department of Surgery, NewYork Presbyterian Hospital, Weill Cornell Medical College , New York, New York.
authors.forename: Sang W
authors.initials: SW
authors.lastname: Lee
authors.affiliation: 1 Section of Colon and Rectal Surgery, Department of Surgery, NewYork Presbyterian Hospital, Weill Cornell Medical College , New York, New York.
authors.forename: Toyooki
authors.initials: T
authors.lastname: Sonoda
authors.affiliation: 1 Section of Colon and Rectal Surgery, Department of Surgery, NewYork Presbyterian Hospital, Weill Cornell Medical College , New York, New York.
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Milsom
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019985:Benchmarking; D057189:Checklist; D003082:Colectomy / Q000379:methods / Q000592:standards*; D003108:Colonic Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods / Q000592:standards*; D008297:Male; D008875:Middle Aged; D009519:New York City; D010865:Pilot Projects; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D014741:Video Recording