ArticleCureus2025
Improving Risk Documentation in Laparoscopic Cholecystectomy: A Single-Centre Before-and-After Study of a Pre-printed Consent Form.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionInformed consent is essential in surgery, requiring patients to receive clear information about risks, benefits, and alternatives. For laparoscopic cholecystectomy, the most commonly performed general surgical procedure in the UK, studies highlight inconsistencies in risk disclosure, with frequent omission of uncommon but serious complications. Such omissions may compromise patient understanding, shared decision-making, and medico-legal protection. This study aimed to assess whether a pre-printed, procedure-specific consent form could improve compliance with risk documentation.
methodsWe performed a retrospective, single-centre, before-and-after study at a UK district general hospital. Consecutive adult patients undergoing laparoscopic cholecystectomy were included across two study periods: baseline (December 2023-June 2024,
resultsAt baseline, none of the 46 forms achieved full compliance (0%). While common risks such as bleeding, infection, and conversion to open surgery were documented universally, other important risks were inconsistently recorded: bile duct injury (95.7%), bile leak (95.7%), adhesional obstruction (15.2%), chest infection (6.5%), and death (2.2%). Following the introduction of the pre-printed form, all 23 forms achieved complete compliance (100%). Surgeons described the new form as time-saving, clear, comprehensive, and helpful in enhancing patient trust.
conclusionThe introduction of a pre-printed consent form significantly transformed risk documentation for laparoscopic cholecystectomy, increasing from 0% to 100%. This simple, low-cost intervention standardises practice, strengthens medico-legal robustness, and supports shared decision-making. Wider adoption across surgical services may improve consent quality and patient safety.
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