Cargando…

Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies

BACKGROUND: Laparoscopic cholecystectomy (LC) is a minimally invasive procedure, often performed by surgical residents (SRs). Fluorescence cholangiography (FC) enables real-time identification of biliary anatomy. AIM: To investigate the benefit of FC for enhancing SRs’ identification skills. METHODS...

Descripción completa

Detalles Bibliográficos
Autores principales: Rungsakulkij, Narongsak, Thewmorakot, Siraprapa, Suragul, Wikran, Vassanasiri, Watoo, Tangtawee, Pongsatorn, Muangkaew, Paramin, Mingphruedhi, Somkit, Aeesoa, Suraida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061241/
https://www.ncbi.nlm.nih.gov/pubmed/32218892
http://dx.doi.org/10.4240/wjgs.v12.i3.93
_version_ 1783504367711682560
author Rungsakulkij, Narongsak
Thewmorakot, Siraprapa
Suragul, Wikran
Vassanasiri, Watoo
Tangtawee, Pongsatorn
Muangkaew, Paramin
Mingphruedhi, Somkit
Aeesoa, Suraida
author_facet Rungsakulkij, Narongsak
Thewmorakot, Siraprapa
Suragul, Wikran
Vassanasiri, Watoo
Tangtawee, Pongsatorn
Muangkaew, Paramin
Mingphruedhi, Somkit
Aeesoa, Suraida
author_sort Rungsakulkij, Narongsak
collection PubMed
description BACKGROUND: Laparoscopic cholecystectomy (LC) is a minimally invasive procedure, often performed by surgical residents (SRs). Fluorescence cholangiography (FC) enables real-time identification of biliary anatomy. AIM: To investigate the benefit of FC for enhancing SRs’ identification skills. METHODS: Prospective data was collected from January 2018 to June 2018 at our hospital. The study cohorts were the SRs (study group, n = 15) and the surgical staff (SS; control group, n = 9). Participants were assigned to watch videos of LCs with FC from five different patients who had gallbladder disease, and identify structures in the video clips (including cystic duct, common bile duct, common hepatic duct, and cystic artery), first without FC, and then with FC. RESULTS: In the without-FC phase, the overall misidentification rate by SRs (21.7%) was greater than that of the SS (11.8%; P = 0.018), However, in the FC phase, the two groups did not significantly differ in misidentification rates (23.3% vs 23.3%, P = 0.99). Paired-structure analysis of the without-FC and with-FC phases for the SR group found a significantly higher misidentification rate in the without-FC phase than the with-FC phase (21.9% vs 10.9%; P < 0.01). However, misidentification rates in the with-FC phase did not significantly differ between SRs and SS. CONCLUSION: FC enhanced identification skills of inexperienced surgeons during LC compared with conventional training. Combined with simulation-based video training, FC is a promising tool for enhancing technical and decision skills of trainees and inexperienced surgeons.
format Online
Article
Text
id pubmed-7061241
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-70612412020-03-27 Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies Rungsakulkij, Narongsak Thewmorakot, Siraprapa Suragul, Wikran Vassanasiri, Watoo Tangtawee, Pongsatorn Muangkaew, Paramin Mingphruedhi, Somkit Aeesoa, Suraida World J Gastrointest Surg Observational Study BACKGROUND: Laparoscopic cholecystectomy (LC) is a minimally invasive procedure, often performed by surgical residents (SRs). Fluorescence cholangiography (FC) enables real-time identification of biliary anatomy. AIM: To investigate the benefit of FC for enhancing SRs’ identification skills. METHODS: Prospective data was collected from January 2018 to June 2018 at our hospital. The study cohorts were the SRs (study group, n = 15) and the surgical staff (SS; control group, n = 9). Participants were assigned to watch videos of LCs with FC from five different patients who had gallbladder disease, and identify structures in the video clips (including cystic duct, common bile duct, common hepatic duct, and cystic artery), first without FC, and then with FC. RESULTS: In the without-FC phase, the overall misidentification rate by SRs (21.7%) was greater than that of the SS (11.8%; P = 0.018), However, in the FC phase, the two groups did not significantly differ in misidentification rates (23.3% vs 23.3%, P = 0.99). Paired-structure analysis of the without-FC and with-FC phases for the SR group found a significantly higher misidentification rate in the without-FC phase than the with-FC phase (21.9% vs 10.9%; P < 0.01). However, misidentification rates in the with-FC phase did not significantly differ between SRs and SS. CONCLUSION: FC enhanced identification skills of inexperienced surgeons during LC compared with conventional training. Combined with simulation-based video training, FC is a promising tool for enhancing technical and decision skills of trainees and inexperienced surgeons. Baishideng Publishing Group Inc 2020-03-27 2020-03-27 /pmc/articles/PMC7061241/ /pubmed/32218892 http://dx.doi.org/10.4240/wjgs.v12.i3.93 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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.
spellingShingle Observational Study
Rungsakulkij, Narongsak
Thewmorakot, Siraprapa
Suragul, Wikran
Vassanasiri, Watoo
Tangtawee, Pongsatorn
Muangkaew, Paramin
Mingphruedhi, Somkit
Aeesoa, Suraida
Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies
title Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies
title_full Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies
title_fullStr Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies
title_full_unstemmed Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies
title_short Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies
title_sort fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies
topic Observational Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061241/
https://www.ncbi.nlm.nih.gov/pubmed/32218892
http://dx.doi.org/10.4240/wjgs.v12.i3.93
work_keys_str_mv AT rungsakulkijnarongsak fluorescencecholangiographyenhancessurgicalresidentsbiliarydelineationskillforlaparoscopiccholecystectomies
AT thewmorakotsiraprapa fluorescencecholangiographyenhancessurgicalresidentsbiliarydelineationskillforlaparoscopiccholecystectomies
AT suragulwikran fluorescencecholangiographyenhancessurgicalresidentsbiliarydelineationskillforlaparoscopiccholecystectomies
AT vassanasiriwatoo fluorescencecholangiographyenhancessurgicalresidentsbiliarydelineationskillforlaparoscopiccholecystectomies
AT tangtaweepongsatorn fluorescencecholangiographyenhancessurgicalresidentsbiliarydelineationskillforlaparoscopiccholecystectomies
AT muangkaewparamin fluorescencecholangiographyenhancessurgicalresidentsbiliarydelineationskillforlaparoscopiccholecystectomies
AT mingphruedhisomkit fluorescencecholangiographyenhancessurgicalresidentsbiliarydelineationskillforlaparoscopiccholecystectomies
AT aeesoasuraida fluorescencecholangiographyenhancessurgicalresidentsbiliarydelineationskillforlaparoscopiccholecystectomies