{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T07:28:00Z","timestamp":1787642880524,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Subtotal cholecystectomy aims to reduce the likelihood of bile duct injury but risks a multitude of less severe, yet significant complications. The primary aim of the present study was to report peri\u2010operative outcomes of subtotal laparoscopic cholecystectomy (SLC) relative to total laparoscopic cholecystectomy (TLC) to inform the consent process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>All laparoscopic cholecystectomies between 2015 and 2020\u00a0in one health board were included. The peri\u2010operative outcomes of SLC (n\u2009=\u200987) and TLC (n\u2009=\u20092650) were reported. Pre\u2010operative variables were compared between the two groups to identify risk factors for SLC. The outcomes between the SLC and TLC were compared using univariate, multivariate and propensity analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Risk factors for SLC included higher age, male gender, cholecystitis, increased biliary admissions, ERCP, cholecystostomy and emergency cholecystectomy. Following SLC, rates of post\u2010operative complication (45.9%), imaging (37.9%) intervention (28.7%) and readmission (29.9%) were significant. The risk profile was vastly heightened compared to that of TLC: intra\u2010operative complications (RR 9.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), post\u2010operative complications [bile leak (RR 58.9;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), collection (RR 12.2;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), retained stones (RR 7.2;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and pneumonia (RR 5.4;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001)], post\u2010operative imaging (RR 4.4;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), post\u2010operative intervention (RR 12.3;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), prolonged PLOS (RR 11.3;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and readmission (RR 4.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The findings were consistent using multivariate logistic regression and propensity analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The relative morbidity associated with SLC is significant and high\u2010risk patients should be counselled for the peri\u2010operative morbidity of subtotal cholecystectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-022-06737-0","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T15:04:46Z","timestamp":1665241486000},"page":"2955-2962","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Subtotal Cholecystectomy Results in High Peri\u2010operative Morbidity and Its Risk\u2010Profile Should be Emphasised During Consent"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6979-7818","authenticated-orcid":false,"given":"James","family":"Lucocq","sequence":"first","affiliation":[{"name":"Department of General and Upper GI Surgery Ninewells Hospital Dundee Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of General and Upper GI Surgery Ninewells Hospital Dundee Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Scollay","sequence":"additional","affiliation":[{"name":"Department of General and Upper GI Surgery Ninewells Hospital Dundee Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of General and Upper GI Surgery Ninewells Hospital Dundee Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,8]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Costing statement: Gallstone disease","year":"2014"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aex137"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.17219\/acem\/81519"},{"issue":"132","key":"e_1_2_7_5_1","first-page":"958","article-title":"Evaluation of preoperative risk factors for converting laparoscopic to open cholecystectomy: a meta\u2010analysis","volume":"61","author":"Yang TF","year":"2014","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010010\u20101539\u20103"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/13645706.2010.507339"},{"issue":"2","key":"e_1_2_7_8_1","first-page":"81","article-title":"The difficult cholecystectomy: problems during dissection and extraction","volume":"5","author":"Laws HL","year":"1998","journal-title":"Semin Laparosc Surg"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010008\u20103975\u20104"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.1219"},{"key":"e_1_2_7_11_1","unstructured":"FarrugiaA RavichandranN AliMet al. 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