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
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, 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
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
Core Tip
Core tip: Laparoscopic cholecystectomy (LC) is often performed by surgical residents. Avoiding bile duct injury (BDI) is a critical aspect of learning to perform this procedure safely. Landmark misperception is a high-risk factor for bile duct injury. Fluorescence cholangiography (FC) enables real-time identification of biliary anatomy during LC. We studied changes in biliary identification skills among surgical residents when FC was applied during LC, with staff surgeons as the control group. FC is a promising tool for enhancing biliary identification skills of surgeons-in-training.