{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:22:30Z","timestamp":1747149750604,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The utility of the SAND balloon catheter in laparoscopic cholecystectomy for acute cholecystitis (AC) remains unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study of patients who underwent emergency cholecystectomy at Shinshu University was performed to evaluate the efficacy of the SAND balloon catheter in cases of AC (SAND balloon utilization: Group S, <jats:italic>n<\/jats:italic>\u2009=\u200944; non\u2010utilization: Group non\u2010S, <jats:italic>n<\/jats:italic>\u2009=\u200947).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The duration of surgery was significantly shorter in Group S than in Group non\u2010S (<jats:italic>p<\/jats:italic>\u2009=\u2009.031). Despite comparable incidences of blood transfusions in the two groups, intraoperative blood loss was significantly less in Group S than in Group non\u2010S (<jats:italic>p<\/jats:italic>\u2009=\u2009.013). The incidence of postoperative intraperitoneal infection tended to be higher in Group non\u2010S (<jats:italic>p<\/jats:italic>\u2009=\u2009.076). Within Group non\u2010S, bile spillage during operation was found in 16 (34.0%) patients. The multivariate analysis revealed that gangrenous AC was the strongest independent risk factor for bile spillage during operation (odds ratio [OR]: 19.1; 95% confidence interval [CI]: 2.84\u201378.4; <jats:italic>p<\/jats:italic>\u2009=\u2009.002), followed by surgeons with \u226410\u2009years of experience (OR: 11.3; 95% CI: 1.81\u201370.6; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.010).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of the SAND balloon catheter in patients with AC is a safe and efficacious surgical option. This catheter is recommended in cases of gangrenous cholecystitis and for surgeons with limited experience.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.1346","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T09:15:08Z","timestamp":1691399708000},"page":"1141-1151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["For safe and fast surgery: Utilization of the <scp>SAND<\/scp> balloon catheter for acute cholecystitis"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3643-0921","authenticated-orcid":false,"given":"Koya","family":"Yasukawa","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto 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Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hikaru","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidenori","family":"Tomida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yudai","family":"Kuroiwa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenya","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuta","family":"Hongo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Soejima","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, 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