{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:36:20Z","timestamp":1780360580048,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T00:00:00Z","timestamp":1562544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T00:00:00Z","timestamp":1562544000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T00:00:00Z","timestamp":1562544000000},"content-version":"vor","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":[[2019,10,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The 2016 Dutch national guidelines on handling of a removed gallbladder for cholelithiasis proposes a selective histopathologic policy (Sel\u2010HP) rather than routine policy (Rout\u2010HP). The aim of this study was to determine the current implementation of the present guideline and the daily practice of Sel\u2010HP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Surgeons who were engaged in gallbladder surgery in the Netherlands and were involved in local hospitals\u2019 gallbladder protocols completed a questionnaire study regarding gallbladder policy, between December 2017 and May 2018. Data were analyzed using standard statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A 100% response rate was obtained (<jats:italic>n<\/jats:italic>\u2009=\u200974). Approximately 64% of all gallbladders (<jats:italic>n<\/jats:italic>\u2009=\u200922,500) were examined microscopically. Sixty\u2010nine (93.2%) hospitals confirmed they were aware of the new guidelines, and 56 (75.7%) knew the guideline was adjusted in favor of Sel\u2010HP. Half of the hospitals (<jats:italic>n<\/jats:italic>\u2009=\u200935, 47.3%) had adopted a Sel\u2010HP, and 39 (52.7%) a Rout\u2010HP. Of the 39 hospitals who had a Rout\u2010HP, 36 were open to a transition to a Sel\u2010HP although some expressed the need for more evidence on safety or novel guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The current implementation of the 2016 Dutch guideline advising a selective microscopic analysis of removed gallbladders for gallstone disease is suboptimal. Evidence demonstrating safety and cost\u2010effectiveness of an on demand histopathological examination will aid in the implementation process.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05077-w","type":"journal-article","created":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T17:02:30Z","timestamp":1562605350000},"page":"2561-2570","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Selective Histological Examination After Cholecystectomy: An Analysis of Current Daily Practice in The Netherlands"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5362-3442","authenticated-orcid":false,"given":"B. J. G. 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