Observational Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Mar 27, 2020; 12(3): 93-103
Published online Mar 27, 2020. doi: 10.4240/wjgs.v12.i3.93
Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies
Narongsak Rungsakulkij, Siraprapa Thewmorakot, Wikran Suragul, Watoo Vassanasiri, Pongsatorn Tangtawee, Paramin Muangkaew, Somkit Mingphruedhi, Suraida Aeesoa
Narongsak Rungsakulkij, Siraprapa Thewmorakot, Wikran Suragul, Watoo Vassanasiri, Pongsatorn Tangtawee, Paramin Muangkaew, Somkit Mingphruedhi, Suraida Aeesoa, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
Author contributions: Rungsakulkij N designed the study, collected and interpreted the data, and wrote the paper; Thewmorakot S collected the data; Suragul W collected the data and wrote the paper; Vassanasiri W collected the data, Mingphruedhi S collected and analyzed the data; Tangtawee P collected and analyzed the data; Muangkaew P collected the data; and Aeesoa S analyzed the data.
Institutional review board statement: The study was reviewed and approved by the Ramathibodi Hospital Institutional Review Board Committee on Human Rights Related to Research Involving Human Subjects (protocol number ID MURA2018/558).
Informed consent statement: The population in this study signed inform consent.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE-statement, and the manuscript was prepared and revised according to the STROBE-statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Wikran Suragul, FRCS (Gen Surg), MD, Doctor, Lecturer, Surgeon, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Praram VI Road, Ratchathewi, Bangkok 10400, Thailand. wikran.sur@mahidol.ac.th
Received: October 17, 2019
Peer-review started: October 17, 2019
First decision: December 4, 2019
Revised: December 19, 2019
Accepted: January 19, 2020
Article in press: January 19, 2020
Published online: March 27, 2020
ARTICLE HIGHLIGHTS
Research background

Fluorescence cholangiography (FC) is considered as one of the supporting imaging techniques for achieving safe laparoscopic cholecystectomy (LC) in the rationale of FC would reduce the misinterpretation rate of the biliary tree.

Research motivation

The identification benefit of FC might be very helpful for inexperienced surgeons.

Research objectives

To investigate the benefit of FC for enhancing the skill of surgical resident (SR) to identify the important structure during LC when comparing with experienced surgeon.

Research methods

The prospective observatory study in university hospital. The data collected from participants including surgical staff and resident which were assigned to watch videos of LC with FC from different patients, and identify structures in the video clips.

Research results

The result indicates that FC increases the delineation of the biliary tree significantly for SR.

Research conclusions

FC enhanced identification skills of surgeons-in-training during LC, especially for biliary structures.

Research perspectives

The further well-designed prospective study should be conduct to confirm the ability of FC which enhancing the skill of SR.