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
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World J Gastrointest Surg. Mar 27, 2020; 12(3): 93-103 Published online Mar 27, 2020. doi: 10.4240/wjgs.v12.i3.93
Table 1 Overall answers of staff and residents during with-fluorescence cholangiography and without-fluorescence cholangiography phases
Without FC
With FC
n = 360
Staff
Residents
P value
n = 480
Staff
Residents
P value
False
65 (18.0)
16 (11.8)
49 (21.7)
0.018
112 (23.3)
42 (23.3)
70 (23.3)
0.999
True
295 (81.9)
119 (88.1)
176 (78.2)
368 (76.6)
138 (76.6)
230 (76.6)
Total
360 (100)
135 (100)
225 (100)
480 (100)
180 (100)
300 (100)
Table 2 Subgroup analysis of the effect of fluorescence cholangiography on overall answers from the resident group
Identified
n (%)
Resident group, n = 525
Without-FC
With-FC
P value
False
119 (22.67)
49 (21.78)
70 (23.33)
0.674
True
406 (77.33)
176 (78.22)
230 (76.67)
Total
525 (100)
225 (100)
300 (100)
Table 3 Effect of fluorescence cholangiography on match-paired and non-match-paired structures
Identified
Match-paired
Non-match-paired
Without FC
With FC
P value
Without FC
With FC
P value
False
60 (17.86)
35 (10.42)
< 0.01
65 (18.06)
112 (23.33)
0.063
True
276 (82.14)
301 (89.58)
295 (81.94)
368 (76.67)
Total
336 (100)
336 (100)
360 (100)
480 (100)
Table 4 Accuracy of match-pairing analysis, comparing between with- and without-fluorescence cholangiography phases in each participant group
Identified
Staff, n = 126
Resident, n (%) n = 210
Without FC
With FC
P value
Without FC
With FC
P value
False
14 (11.11)
12 (9.52)
< 0.01
46 (21.90)
23 (10.95)
< 0.01
True
112 (88.89)
114 (90.48)
164 (78.10)
187 (89.05)
Total
126 (100)
126 (100)
210 (100)
210 (100)
Table 5 Subgroup analysis of the resident group, before and after dissection of Calot’s triangle
Resident group
Identified
Before dissection (n = 45)
After dissection (n = 165)
Without FC
With FC
P value
Without FC
With FC
P value
False
25 (55.56)
10 (22.22)
< 0.001
21 (12.73)
13 (7.88)
0.045
True
20 (44.44)
35 (77.78)
144 (87.27)
152 (92.12)
Total
45 (100)
45 (100)
165 (100)
165 (100)
Table 6 Accuracy of match-pairing analysis, comparing between staff and residents, in with-fluorescence cholangiography and without-fluorescence cholangiography phases
Identified
Without FC, n (%), n = 336
With FC, n (%), n = 336
Staff
Residents
P value
Staff
Residents
P value
False
14 (11.11)
46 (21.90)
0.012
12 (9.52)
23 (10.95)
0.678
True
112 (88.89)
164 (78.10)
114 (90.48)
187 (89.05)
Total
126 (100)
210 (100)
126 (100)
210 (100)
Citation: 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