Rungsakulkij N, Thewmorakot S, Suragul W, Vassanasiri W, Tangtawee P, Muangkaew P, Mingphruedhi S, Aeesoa S. Fluorescence cholangiography enhances surgical residents’ biliary delineation skill for laparoscopic cholecystectomies. World J Gastrointest Surg 2020; 12(3): 93-103 [PMID: 32218892 DOI: 10.4240/wjgs.v12.i3.93]
Corresponding Author of This Article
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
Research Domain of This Article
Surgery
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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. See: http://creativecommons.org/licenses/by-nc/4.0/
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 Processing time: 134 Days and 1.1 Hours
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.
