Abstract Aim Laparoscopic cholecystectomy is among the most commonly performed general surgical procedures but carries a risk of potentially serious postoperative complications. Obtaining informed consent is crucial to ensure patients understand these risks and to minimize the likelihood of costly litigation. This study compares variations in consenting practices between biliary and non-biliary surgeon performing laparoscopic cholecystectomy, with a focus on documenting significant biliary risks. Methods This multicentre retrospective study included consecutive adult patients who underwent elective and emergency cholecystectomy at three hospitals between August 2023 and July 2024. The health board comprises over 30 general surgeons, including two biliary specialists managing complex cases. Consent forms were analysed and compared between biliary and non-biliary surgeons. Results 564 patients were identified, median age was 53 years and 404 (71.6%) were female. 210 (37.2%) were emergency cases. 125 (22.2%) cholecystectomies were performed by biliary surgeon and 439 (77.8%) by non-biliary surgeon. Bile leak and bile duct injury (including rate of injury) was documented more often by biliary surgeon as compared to non-biliary surgeon (95.2% vs 82.5%, p0.001 and 87.2% vs 21.2%, p0.001, respectively). Post-cholecystectomy syndrome and conversation to open surgery was also documented more often by biliary surgeon as compared to non-biliary surgeon (91.2% vs 52.8%, p0.001 and 99.2% vs 92.7%, p0.006; respectively) Conclusions The quality of consent for laparoscopic cholecystectomy was higher when obtained by biliary surgeons. This study underscores the importance of thorough and high-quality consent. Implementing procedure-specific consent forms alongside patient information leaflets can significantly enhance the consent process.
Keenan et al. (Fri,) studied this question.