{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:31:26Z","timestamp":1761823886686},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T00:00:00Z","timestamp":1478736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T00:00:00Z","timestamp":1478736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We compared observed postoperative outcomes from laparoscopic cholecystectomy performed for acute cholecystitis (AC) to outcomes predicted by the ACS\u2010NSQIP risk calculator.We also noted and compared any differences in observed outcomes across the different Tokyo Guidelines (TG) levels of AC severity.We hypothesized that ACS\u2010NSQIP would accurately predict complications and length of stay (LOS) and that increased TG severity levels would correlate with more complications, increased conversion to open surgery, and longer LOS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A review of all patients who underwent laparoscopic cholecystectomy for acute cholecystitis over eighteen months was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ACS\u2010NSQIP predicted a complication rate of 4.6% (11% found) and LOS of 0.73\u00a0days (2.5 found), <jats:italic>p<\/jats:italic> &lt; 0.05. Increased TG severity had LOS of 1.89, 2.75, and 5.33, respectively, <jats:italic>p<\/jats:italic> &lt; 0.05. The complication numbers and conversion to open cholecystectomy were insignificant between the TG classes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ACS\u2010NSQIP did not accurately predict complications or LOS. TG classifications did not show a significant difference in complications or conversion to open surgery, but positively correlated with LOS. ACS\u2010NSQIP may not accurately predict patient outcomes and the TG, originally created with the purpose of differentiating levels of inflammation and severity, may only be useful for predicting LOS.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3816-3","type":"journal-article","created":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T18:14:21Z","timestamp":1478801661000},"page":"935-939","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Postoperative Complications of Laparoscopic Cholecystectomy for Acute Cholecystitis: A Comparison to the ACS\u2010NSQIP Risk Calculator and the Tokyo Guidelines"],"prefix":"10.1002","volume":"41","author":[{"given":"Roxanne L.","family":"Massoumi","sequence":"first","affiliation":[{"name":"Medical College of Wisconsin 8701\u00a0W Watertown Plank Road 53226 Milwaukee WI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen M.","family":"Trevino","sequence":"additional","affiliation":[{"name":"Division of Trauma and Critical Care Medical College of Wisconsin 8701\u00a0W Watertown Plank Road 53226 Milwaukee WI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis P.","family":"Webb","sequence":"additional","affiliation":[{"name":"Division of Trauma and Critical Care Medical College of Wisconsin 8701\u00a0W Watertown Plank Road 53226 Milwaukee WI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,10]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010007\u20109511\u20106"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2001.12098638"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001\u20105172.2004.00426.x"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010005\u20101042\u20108"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.08.001"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.10.006"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2012.160"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.07.385"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2015.01.057"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010012\u20100567\u2010x"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12876\u2010015\u20100365\u20104"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.284"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-016-3816-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-016-3816-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-016-3816-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-016-3816-3","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T16:55:17Z","timestamp":1703609717000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-016-3816-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11,10]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1007\/s00268-016-3816-3"],"URL":"https:\/\/doi.org\/10.1007\/s00268-016-3816-3","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11,10]]}}}