{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T14:24:06Z","timestamp":1751379846310},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2009,1,16]],"date-time":"2009-01-16T00:00:00Z","timestamp":1232064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic cholecystectomy is now indisputably the gold standard for managing most gallbladder diseases. However, subversion of the Calot triangle anatomy cannot always be managed by laparoscopy and often requires a laparotomy conversion. This report discusses our patients treated with our personal technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing subtotal cholecystectomy performed by the same surgeon with a personal technique from January 1999 to December 2007 were considered for the present study. Sex, age, symptoms, co\u2010morbidities, diagnostic modality, time between hospitalization and surgery, length of postsurgical hospitalization, morbidity and mortality, and follow\u2010up were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four men and six women, aged 23 to 88 years, were included. Every patient had symptoms of acute cholecystitis. Four patients had had symptoms for an average of 2.5\u00a0days and six for an average of 5.1 h. All patients were studied by ultrasonography, and seven underwent computed tomography. The operation was performed within 48 h in all patients. The average hospital stay from surgery to discharge was different for patients who underwent primary open cholecystectomy (10\u00a0days, range 5\u201316\u00a0days) and those having a conversion after a laparoscopic attempt (7.8\u00a0days, range 4\u201316\u00a0days). During the postoperative period only one patient presented a self\u2010limiting biliary leak. No postoperative mortality occurred. At follow\u2010up, any recurrences of stone in the biliary tract or newly formed pouch were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results suggest that this new approach can be considered effective in every instance of subversion of the normal anatomy of Calot\u2019s triangle.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-008-9897-x","type":"journal-article","created":{"date-parts":[[2009,1,15]],"date-time":"2009-01-15T21:35:31Z","timestamp":1232055331000},"page":"520-525","source":"Crossref","is-referenced-by-count":15,"title":["Modified Subtotal Cholecystectomy: Results of a Laparotomy Procedure During the Laparoscopic Era"],"prefix":"10.1002","volume":"33","author":[{"given":"Isidoro","family":"Di Carlo","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, Organ Transplantation and Advanced Technologies University of Catania, Cannizzaro Hospital Via Messina 95126 Catania Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elia","family":"Pulvirenti","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Organ Transplantation and Advanced Technologies University of Catania, Cannizzaro Hospital Via Messina 95126 Catania Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Toro","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Organ Transplantation and Advanced Technologies University of Catania, Cannizzaro Hospital Via Messina 95126 Catania Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Corsale","sequence":"additional","affiliation":[{"name":"Department of Radiology Cannizzaro Hospital Catania 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