Publication: ele-colleaguography - Adjunct to Intraoperative Time Out for Safe Laparoscopic Cholecystectomy
Date
2024
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Laparoscopic cholecystectomy is a common surgical procedure, and strategies for
preventing biliovascular injury include intraoperative time-out and intraoperative
cholangiography. However, the feasibility of intraoperative cholangiography is
limited in certain regions due to cost and training constraints. This article introduces
the concept of “Tele-colleaguography” as an adjunct to intraoperative time-out
during laparoscopic cholecystectomy, particularly in low-resource settings. Tele-
colleaguography, a term coined to signify remote consultation with senior surgeons
using video applications like WhatsApp and Viber, presents a potential solution to
prevent bile duct injuries. The viewpoint discusses the potential benefits of Tele-
colleaguography, and the role of modern technology such as 5G, and references key
studies that support this approach.
KEY WORDS
Intraoperative time-outs, Laparoscopic cholecystectomy, Tele-colleaguography
Description
Laudari U,1 Chaudhary A,1 Chaudhary A,2 Thapa PB3
1Department of Surgery
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
2Everest Hospital Pvt Ltd
New Baneshwor, Kathmandu, Nepal
3Department of Surgery
Kathmandu Medical College
Kathmandu, Nepal
Keywords
Intraoperative time-outs, Laparoscopic cholecystectomy, Tele-colleaguography