{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T23:37:51Z","timestamp":1776123471065,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2010,5,5]],"date-time":"2010-05-05T00:00:00Z","timestamp":1273017600000},"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":[[2010,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study was designed to determine the number of cases and amount of operating room time required, for a population of 600,000, to provide definitive treatment in the form of cholecystectomy for all patients admitted as an emergency with cholecystitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The total number of patients admitted to a single NHS trust in South East Wales with the diagnosis of cholecystitis during a 1\u2010year period was assessed. The number of laparoscopic cholecystectomies performed and the time taken was investigated with the conversion rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were a total of 787\u00a0individual emergency admissions attributed to cholecystitis, and 224 patients (36%) underwent cholecystectomy on the same admission. The median operative time was 77 (range, 23\u2013238) min, and the median operating room time was 108 (range, 37\u2013278) min. To treat all patients definitively would necessitate 12 cholecystectomies per week, requiring 1,296\u00a0min or 5.4 sessions of operating room time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A population of 600,000 could be expected to generate enough emergency cholecystectomies to require more than one operating session per day. A significant increase in emergency operating room availability would be necessary to allow the provision of definitive treatment for all emergency admissions with cholelithiasis.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-010-0606-1","type":"journal-article","created":{"date-parts":[[2010,5,4]],"date-time":"2010-05-04T14:22:11Z","timestamp":1272982931000},"page":"2041-2044","source":"Crossref","is-referenced-by-count":12,"title":["Early Cholecystectomy after Acute Admission with Cholecystitis: How Much Work?"],"prefix":"10.1002","volume":"34","author":[{"given":"Michael R.","family":"Stephens","sequence":"first","affiliation":[{"name":"Department of Surgery Nevill Hall Hospital, Gwent Healthcare NHS Trust Brecon Road Abergavenny UK"},{"name":"Department of Surgery University Hospital of Wales Heath Park Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ceri","family":"Beaton","sequence":"additional","affiliation":[{"name":"Department of Surgery Nevill Hall 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