General surgery residents experience new technology with energy, excitement
Some residents are being introduced to transcystic common bile duct exploration before their attendings and will serve as agents for progress and raising the bar.

New technology — transcystic common bile duct exploration — is allowing surgeons to explore and remove stones from the common bile duct during the cholecystectomy. When successful, the patient won't require an additional procedure for stone removal.
With the support and leadership of Jeremy Howes, M.D., FACS, general surgeon with Wichita Surgical Specialists, 26 KU School of Medicine-Wichita surgery residents, during a recent skills lab, learned about the new Boston Scientific SpyGlass™ Discover Digital Catheter for Common Bile Duct Exploration. After a brief introduction, the residents were given time to gain hands-on experience with the equipment under the guidance of Howes, who is a volunteer clinical assistant professor in the KU School of Medicine-Wichita Department of Surgery, and the Boston Scientific representatives.
“It was so inspiring to see the excitement of the surgery residents as they were introduced to technology that allows them to expand their skills set in doing a common bile duct exploration at the time of the cholecystectomy,” said Marilee McBoyle, M.D., FACS, MAMSE, clinical professor at KU School of Medicine-Wichita. “This ability saves the patient from an extended hospital stay and an additional procedure.”
Third-year resident Kristina Fraser, D.O., said she was excited her residency program and KU Wichita faculty are "at the forefront of utilizing new technology."
“This allows us after graduation to have the skills and knowledge to incorporate this and other newer techniques into our practices," Fraser said. "It also sets an example of ways we may continue to learn once out of residency and on our own.”
Howes was pleased to have the opportunity to introduce the enhanced technology to both attending surgeons and surgical residents.
"The Spyglass technology, with the design of the choledochoscope, allows surgeons and surgical residents the ability to standardize the technique of common bile duct exploration at the time of the cholecystectomy,” he said.
"The enthusiasm from the residents during their lab time was palpable,” said Mary Thompson, CHSOS, simulation coordinator for the Department of Surgery at KU School of Medicine-Wichita. “Their ability to get hands-on experience with new technology is very much appreciated. Partnering with industry to bring new technologies into our Skills Lab is always exciting."
In post-lab surveys, the residents shared enthusiasm about the experience, stating: “Excellent lab! Really enjoyed the opportunity to learn a new skill!,” “Can’t wait to be able to use this technology!” and “Loved the interactive nature with actual tools!”