{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T03:08:57Z","timestamp":1791428937918,"version":"4.3.3"},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,8,12]],"date-time":"2016-08-12T00:00:00Z","timestamp":1470960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>An incorrect approach to the critical view of safety can cause bile duct and\/or vascular injury. However, only superficial anatomical features have been proposed as surgical landmarks to initiate laparoscopic cholecystectomy (LC) safely in previous reports. Accordingly, we have proposed a novel surgical anatomical definition of the gallbladder wall, in which the subserosal (SS) layer is divided into the inner layer of the SS (SS\u2010Inner) layer consisting of vasculature and fibrous tissue, and the outer layer of the SS (SS\u2010Outer) layer consisting of abundant fat tissue. By dissecting the gallbladder along the SS\u2010Inner layer after exposure at a safe region, bile duct and\/or vascular injury can be avoided, even in cholecystitis cases. Furthermore, recognition of this surgical anatomy reveals several aspects. In cholecystitis cases associated with severe fibrotic change, completion of LC by dissecting along the SS\u2010Inner layer is impossible, resulting in abandonment of regular LC. An abscess in the liver bed associated with acute cholecystitis usually forms in the SS\u2010Outer layer, thus, the gallbladder can be dissected easily. In the dome\u2010down technique, the right hepatic duct is endangered by whole\u2010layer dissection, in which the SS\u2010Outer layer is also removed. The proposed procedure should become the universal standard for LC.<\/jats:p>","DOI":"10.1002\/jhbp.382","type":"journal-article","created":{"date-parts":[[2016,8,12]],"date-time":"2016-08-12T05:48:40Z","timestamp":1470980920000},"source":"Crossref","is-referenced-by-count":41,"title":["Universal safe procedure of laparoscopic cholecystectomy standardized by exposing the inner layer of the subserosal layer (with video)"],"prefix":"10.1002","volume":"23","author":[{"given":"Goro","family":"Honda","sequence":"first","affiliation":[{"name":"Department of Surgery Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital  3\u201018\u201022 Honkomagome Bunkyo\u2010ku Tokyo 113-8677 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Laparoscopic Surgery Center Tokai Hospital  Nagoya Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Umezawa","sequence":"additional","affiliation":[{"name":"Minimally Invasive Surgery Center Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/hpb.12161"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2014.0195"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005340200071"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-007-1267-9"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2002.127681"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-009-0060-3"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-007-1260-3"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1758-5910.2010.00056.x"},{"key":"e_1_2_9_10_1","first-page":"331","article-title":"Knacks for dissection of the gallbladder in the liver bed in cholecystitis cases (in Japanese)","volume":"62","author":"Honda G","year":"2008","journal-title":"Shujutsu"},{"key":"e_1_2_9_11_1","first-page":"1151","article-title":"Laparoscopic cholecystectomy according to surgical anatomy of the gallbladder wall (in Japanese)","volume":"38","author":"Honda G","year":"2015","journal-title":"Syokakigeka"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.5833\/jjgs.44.1411"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.252"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-011-0445-y"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.117"},{"key":"e_1_2_9_16_1","first-page":"705","article-title":"Laparoscopic whole layer cholecystectomy for early gallbladder carcinoma (in Japanese)","volume":"24","author":"Honda G","year":"2013","journal-title":"Tando"}],"container-title":["Journal of Hepato-Biliary-Pancreatic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhbp.382","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.382","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T23:16:33Z","timestamp":1696374993000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhbp.382"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,12]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1002\/jhbp.382"],"URL":"https:\/\/doi.org\/10.1002\/jhbp.382","archive":["Portico"],"relation":{},"ISSN":["1868-6974","1868-6982"],"issn-type":[{"value":"1868-6974","type":"print"},{"value":"1868-6982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,12]]}}}