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Related Experiment Videos

Teaching cholangiography in a surgical residency program.

William W Hope1, Lindsay Bools, W Borden Hooks

  • 1Department of Surgery, South East Area Health Education Center, Department of Surgery, New Hanover Regional Medical Center, Wilmington, North Carolina, USA. william.hope@seahec.net

Journal of Surgical Education
|February 23, 2013
PubMed
Summary

Routine intraoperative cholangiography during laparoscopic cholecystectomy is safely performed by surgical residents. This procedure does not significantly increase operative time, regardless of resident experience level.

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Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Diagnostic Imaging

Background:

  • Intraoperative cholangiography (IOC) is a key component of laparoscopic cholecystectomy.
  • Evaluating the time efficiency of IOC in residency programs is crucial for surgical training.

Purpose of the Study:

  • To assess the time required for routine intraoperative cholangiography performed by surgical residents.
  • To determine if resident experience level impacts cholangiography time.

Main Methods:

  • Retrospective review of 54 laparoscopic cholecystectomies with IOC performed by residents (PGY 1-5).
  • Analysis of cholangiogram duration, operative time, and complication rates.
  • Statistical comparison using Fisher's exact test, Kruskal-Wallis test, and linear regression.

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Main Results:

  • Average cholangiogram time was 11 minutes, constituting 17% of total operative time.
  • Successful cholangiography in 96% of cases, with minor complications in 33%.
  • No significant difference in completion rate or time based on resident PGY level.

Conclusions:

  • Surgical residents can safely perform intraoperative cholangiography during laparoscopic cholecystectomy.
  • IOC does not add significant time to the procedure, irrespective of resident experience.