E107 Masterclass with Francis Sutherland on Common Bile Duct Injuries and Cognitive Biases

Cold Steel: Canadian Journal of Surgery Podcast

This week we had a masterclass on common bile duct injuries by Dr. Francis Sutherland. Dr. Sutherland is a hepatobiliary surgeon at the University of Calgary. Dr. Sutherland talks about not just how CBD injuries happen, but why they happen, and the cognitive biases that lead up to them. Please check out the show notes for videos and papers that supplement our discussion.

Links:

1. The importance of cognitive map placement in bile duct injuries. https://pubmed.ncbi.nlm.nih.gov/29173261/

2. Is an optical illusion the cause of classical bile duct injuries? https://pubmed.ncbi.nlm.nih.gov/33411998/

3. Video from Dr. Shiva Jayaraman of a CBD injury which illustrates the cognitive mapping errors: https://www.youtube.com/watch?v=I0AtJqCj2dI

4. Claude Couinaud: a passion for the liver. https://pubmed.ncbi.nlm.nih.gov/12413326/

5. Rouvière's sulcus: a useful landmark in laparoscopic cholecystectomy. by Thomas Hugh. https://pubmed.ncbi.nlm.nih.gov/9313706/

6. Thinking, Fast and Slow by Daniel Kahnemann. https://www.goodreads.com/book/show/11468377-thinking-fast-and-slow

7. Memories of colonoscopy: a randomized trial. https://pubmed.ncbi.nlm.nih.gov/12855328/

8. Causes and Prevention of Laparoscopic Bile Duct Injuries
Analysis of 252 Cases From a Human Factors and Cognitive Psychology Perspective. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1514483/

9. Subtotal Cholecystectomy-"Fenestrating" vs "Reconstituting" Subtypes and the Prevention of Bile Duct Injury: Definition of the Optimal Procedure in Difficult Operative Conditions. https://pubmed.ncbi.nlm.nih.gov/26521077/

10. Trauma ICU Rounds podcast on "Managing the Difficult Cholecystectomy" with a good discussion on subtotal cholecystectomy. https://www.traumaicurounds.ca/episodes/episode-42-management-of-the-difficult-gallbladder-gen2n

Bio (from https://charbonneau.ucalgary.ca/our-members/associate-members/francis-sutherland):

Dr. Sutherland graduated from the University of Calgary Medical School and did his General Surgery Residency in Calgary. Upon completion he then went to the University of Western Ontario and completed a Fellowship in Transplantation under the mentoring of Dr. Bill Wall. Upon returning to Calgary he initially was involved in the Organ Transplant Program. He then focused his surgical career on Hepatobiliary Surgery by taking a one year sabbatical to work under Professor Bernard Launois at the University of Rennes in France. Dr. Sutherland has been a Faculty Member since 1990 and is currently at the Foothills Hospital. His clinical practice evolves around General Surgery with a strong focus and interest in hepatobiliary and pancreatic surgery. He is an integral member of the Hepatobiliary Multidisciplinary Clinic at the Tom Baker Cancer Centre. His research interests have evolved around studying the hepatobiliary anatomy and has made innovative observations in this area. He has also studied the ways to minimize blood loss during major hepatic resections and has an interesting in pancreatic cysts.