{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T05:57:03Z","timestamp":1761631023799,"version":"3.37.3"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"DOI":"10.1007\/s00423-023-02840-5","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T01:02:51Z","timestamp":1677114171000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparison between Comprehensive Complication Index (CCI\u00ae) and Clavien-Dindo Classification for laparoscopic single-stage treatment of choledocholithiasis with concomitant cholelithiasis"],"prefix":"10.1007","volume":"408","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4178-1408","authenticated-orcid":false,"given":"Erik","family":"Ll\u00e0cer-Mill\u00e1n","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2370-6842","authenticated-orcid":false,"given":"Mihai-Calin","family":"Pavel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1763-6545","authenticated-orcid":false,"given":"Robert","family":"Memba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Coronado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4841-1047","authenticated-orcid":false,"given":"Sergio","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6835-2702","authenticated-orcid":false,"given":"Mar","family":"Achalandabaso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laia","family":"Estalella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6085-4628","authenticated-orcid":false,"given":"Elisabet","family":"Juli\u00e0-Verdaguer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5297-3416","authenticated-orcid":false,"given":"Erlinda","family":"Padilla-Zegarra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Collins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa","family":"Jorba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,2,23]]},"reference":[{"key":"2840_CR1","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1016\/j.surge.2018.12.001","volume":"17","author":"R Memba","year":"2019","unstructured":"Memba R, Gonz\u00e1lez S, Coronado D et al (2019) Single-stage approach for the management of choledocolithiasis with concomitant cholelithiasis. Implementation of a protocol in a secondary hospital. Surgeon 17:351\u2013359. https:\/\/doi.org\/10.1016\/j.surge.2018.12.001","journal-title":"Surgeon"},{"key":"2840_CR2","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1016\/j.ciresp.2012.02.003","volume":"90","author":"R Jorba Mart\u00edn","year":"2012","unstructured":"Jorba Mart\u00edn R, Ramirez Maldonado E, FabregatProus J et al (2012) Minimising hospital costs in the treatment of bile duct calculi: a comparison study. Cir Esp 90:310\u2013317. https:\/\/doi.org\/10.1016\/j.ciresp.2012.02.003","journal-title":"Cir Esp"},{"key":"2840_CR3","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1002\/jhbp.152","volume":"21","author":"V Nagaraja","year":"2014","unstructured":"Nagaraja V, Eslick GD, Cox MR (2014) Systematic review and meta-analysis of minimally invasive techniques for the management of cholecysto-choledocholithiasis. J Hepatobiliary Pancreat Sci 21:896\u2013901. https:\/\/doi.org\/10.1002\/jhbp.152","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"2840_CR4","doi-asserted-by":"publisher","first-page":"CD003327","DOI":"10.1002\/14651858.CD003327.pub4","volume":"2013","author":"BVM Dasari","year":"2013","unstructured":"Dasari BVM, Tan CJ, Gurusamy KS et al (2013) Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev 2013:CD003327. https:\/\/doi.org\/10.1002\/14651858.CD003327.pub4","journal-title":"Cochrane Database Syst Rev"},{"key":"2840_CR5","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1001\/archsurg.2009.226","volume":"145","author":"SJ Rogers","year":"2010","unstructured":"Rogers SJ, Cello JP, Horn JK et al (2010) Prospective randomized trial of LC+LCBDE vs ERCP\/S+LC for common bile duct stone disease. Arch Surg 145:28\u201333. https:\/\/doi.org\/10.1001\/archsurg.2009.226","journal-title":"Arch Surg"},{"key":"2840_CR6","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1007\/s00464-009-0594-0","volume":"24","author":"B Topal","year":"2010","unstructured":"Topal B, Vromman K, Aerts R et al (2010) Hospital cost categories of one-stage versus two-stage management of common bile duct stones. Surg Endosc 24:413\u2013416. https:\/\/doi.org\/10.1007\/s00464-009-0594-0","journal-title":"Surg Endosc"},{"key":"2840_CR7","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1007\/s00464-013-3237-4","volume":"28","author":"VK Bansal","year":"2014","unstructured":"Bansal VK, Misra MC, Rajan K et al (2014) Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized con. Surg Endosc 28:875\u2013885. https:\/\/doi.org\/10.1007\/s00464-013-3237-4","journal-title":"Surg Endosc"},{"key":"2840_CR8","doi-asserted-by":"publisher","first-page":"3582","DOI":"10.1007\/s00464-015-4657-0","volume":"30","author":"P Prasson","year":"2016","unstructured":"Prasson P, Bai X, Zhang Q, Liang T (2016) One-stage laproendoscopic procedure versus two-stage procedure in the management for gallstone disease and biliary duct calculi: a systemic review and meta-analysis. Surg Endosc 30:3582\u20133590. https:\/\/doi.org\/10.1007\/s00464-015-4657-0","journal-title":"Surg Endosc"},{"key":"2840_CR9","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1002\/jhbp.509","volume":"25","author":"F Miura","year":"2018","unstructured":"Miura F, Okamoto K, Takada T et al (2018) Tokyo guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis. J Hepatobiliary Pancreat Sci 25:31\u201340. https:\/\/doi.org\/10.1002\/jhbp.509","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"2840_CR10","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07984-9","author":"R Jorba","year":"2020","unstructured":"Jorba R, Pavel MC, Ll\u00e0cer-Mill\u00e1n E et al (2020) Contemporary management of concomitant gallstones and common bile duct stones: a survey of Spanish surgeons. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-020-07984-9","journal-title":"Surg Endosc"},{"key":"2840_CR11","doi-asserted-by":"publisher","first-page":"907","DOI":"10.1097\/SLA.0b013e31821d4a43","volume":"254","author":"R Vonlanthen","year":"2011","unstructured":"Vonlanthen R, Slankamenac K, Breitenstein S et al (2011) The impact of complications on costs of major surgical procedures: a cost analysis of 1200 patients. Ann Surg 254:907\u2013913. https:\/\/doi.org\/10.1097\/SLA.0b013e31821d4a43","journal-title":"Ann Surg"},{"key":"2840_CR12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/SLA.0b013e3182402c17","volume":"255","author":"JD Birkmeyer","year":"2012","unstructured":"Birkmeyer JD, Gust C, Dimick JB et al (2012) Hospital quality and the cost of inpatient surgery in the United States. Ann Surg 255:1\u20135. https:\/\/doi.org\/10.1097\/SLA.0b013e3182402c17","journal-title":"Ann Surg"},{"key":"2840_CR13","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1111\/j.1525-1497.2006.00319.x","volume":"21","author":"NA Khan","year":"2006","unstructured":"Khan NA, Quan H, Bugar JM et al (2006) Association of postoperative complications with hospital costs and length of stay in a tertiary care center. J Gen Intern Med 21:177\u2013180. https:\/\/doi.org\/10.1111\/j.1525-1497.2006.00319.x","journal-title":"J Gen Intern Med"},{"key":"2840_CR14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/SLA.0b013e318296c732","volume":"258","author":"K Slankamenac","year":"2013","unstructured":"Slankamenac K, Graf R, Barkun J et al (2013) The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg 258:1\u20137. https:\/\/doi.org\/10.1097\/SLA.0b013e318296c732","journal-title":"Ann Surg"},{"key":"2840_CR15","doi-asserted-by":"publisher","first-page":"1045","DOI":"10.1097\/SLA.0000000000002132","volume":"265","author":"PA Clavien","year":"2017","unstructured":"Clavien PA, Vetter D, Staiger RD et al (2017) The comprehensive complication index (CCI \u00ae): added value and clinical perspectives 3 years \u201cdown the line.\u201d Ann Surg 265:1045\u20131050. https:\/\/doi.org\/10.1097\/SLA.0000000000002132","journal-title":"Ann Surg"},{"key":"2840_CR16","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","unstructured":"Dindo D, Demartines N, Clavien P-A (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205\u2013213","journal-title":"Ann Surg"},{"key":"2840_CR17","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1097\/SLA.0b013e3181b13ca2","volume":"250","author":"PA Clavien","year":"2009","unstructured":"Clavien PA, Barkun J, de Oliveira ML et al (2009) The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 250:187\u2013196. https:\/\/doi.org\/10.1097\/SLA.0b013e3181b13ca2","journal-title":"Ann Surg"},{"key":"2840_CR18","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1016\/j.euf.2017.02.014","volume":"4","author":"D Mitropoulos","year":"2018","unstructured":"Mitropoulos D, Artibani W, Biyani CS et al (2018) Validation of the Clavien-Dindo grading system in urology by the European Association of Urology Guidelines Ad Hoc Panel. Eur Urol Focus 4:608\u2013613","journal-title":"Eur Urol Focus"},{"key":"2840_CR19","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1007\/s10353-018-0551-z","volume":"50","author":"M Bolliger","year":"2018","unstructured":"Bolliger M, Kroehnert JA, Molineus F et al (2018) Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients. Eur Surg - Acta Chir Austriaca 50:256\u2013261. https:\/\/doi.org\/10.1007\/s10353-018-0551-z","journal-title":"Eur Surg - Acta Chir Austriaca"},{"key":"2840_CR20","doi-asserted-by":"publisher","unstructured":"Miyamoto S, Nakao J, Higashino T, et al (2019) Clavien-Dindo classification for grading complications after total pharyngolaryngectomy and free jejunum transfer. PLoS One 14. https:\/\/doi.org\/10.1371\/journal.pone.0222570","DOI":"10.1371\/journal.pone.0222570"},{"key":"2840_CR21","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1097\/SLA.0000000000002902","volume":"268","author":"RD Staiger","year":"2018","unstructured":"Staiger RD, Cimino M, Javed A et al (2018) The comprehensive complication index (CCI\u00ae) is a novel cost assessment tool for surgical procedures. Ann Surg 268:784\u2013791. https:\/\/doi.org\/10.1097\/SLA.0000000000002902","journal-title":"Ann Surg"},{"key":"2840_CR22","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1097\/SLA.0000000000000948","volume":"260","author":"K Slankamenac","year":"2014","unstructured":"Slankamenac K, Nederlof N, Pessaux P et al (2014) The comprehensive complication index: a novel and more sensitive endpoint for assessing outcome and reducing sample size in randomized controlled trials. Ann Surg 260:757\u201362. https:\/\/doi.org\/10.1097\/SLA.0000000000000948","journal-title":"Ann Surg"},{"key":"2840_CR23","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1159\/000433608","volume":"32","author":"AE Slaman","year":"2015","unstructured":"Slaman AE, Lagarde SM, Gisbertz SS, Van Berge Henegouwen MI (2015) A quantified scoring system for postoperative complication severity compared to the Clavien-Dindo classification. Dig Surg 32:361\u2013366. https:\/\/doi.org\/10.1159\/000433608","journal-title":"Dig Surg"},{"key":"2840_CR24","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1097\/SLA.0000000000002839","volume":"268","author":"LR De la Plaza","year":"2018","unstructured":"De la Plaza LR, Ramia\u00c1ngel JM, Bell\u00f3n JM et al (2018) Clinical validation of the comprehensive complication index as a measure of postoperative morbidity at a surgical department: a prospective study. Ann Surg 268:838\u2013844. https:\/\/doi.org\/10.1097\/SLA.0000000000002839","journal-title":"Ann Surg"},{"key":"2840_CR25","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.hpb.2016.10.011","volume":"19","author":"S Quaresima","year":"2017","unstructured":"Quaresima S, Balla A, Guerrieri M et al (2017) A 23 year experience with laparoscopic common bile duct exploration. HPB 19:29\u201335. https:\/\/doi.org\/10.1016\/j.hpb.2016.10.011","journal-title":"HPB"},{"key":"2840_CR26","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.clinre.2015.02.002","volume":"39","author":"HY Zhu","year":"2015","unstructured":"Zhu HY, Xu M, Shen HJ et al (2015) A meta-analysis of single-stage versus two-stage management for concomitant gallstones and common bile duct stones. Clin Res Hepatol Gastroenterol 39:584\u2013593. https:\/\/doi.org\/10.1016\/j.clinre.2015.02.002","journal-title":"Clin Res Hepatol Gastroenterol"},{"key":"2840_CR27","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1002\/bjs.1800780327","volume":"78","author":"GP Copeland","year":"1991","unstructured":"Copeland GP, Jones D, Walters M (1991) POSSUM: a scoring system for surgical audit. Br J Surg 78:355\u2013360. https:\/\/doi.org\/10.1002\/bjs.1800780327","journal-title":"Br J Surg"},{"key":"2840_CR28","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1016\/j.hpb.2020.09.002","volume":"23","author":"C Ricci","year":"2021","unstructured":"Ricci C, Ingaldi C, Grego DG et al (2021) The use of comprehensive complication Index\u00ae in pancreatic surgery: a comparison with the Clavien-Dindo system in a high volume center. HPB 23:618\u2013624. https:\/\/doi.org\/10.1016\/j.hpb.2020.09.002","journal-title":"HPB"},{"key":"2840_CR29","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1007\/s00268-020-05859-7","volume":"45","author":"SH Kim","year":"2021","unstructured":"Kim SH, Hwang HK, Lee WJ, Kang CM (2021) Comprehensive complication index or Clavien-Dindo classification: which is better for evaluating the severity of postoperative complications following pancreatectomy? World J Surg 45:849\u2013856. https:\/\/doi.org\/10.1007\/s00268-020-05859-7","journal-title":"World J Surg"},{"key":"2840_CR30","doi-asserted-by":"publisher","first-page":"688","DOI":"10.1245\/s10434-017-6157-z","volume":"25","author":"S Dumitra","year":"2018","unstructured":"Dumitra S, O\u2019Leary M, Raoof M et al (2018) The comprehensive complication index: a new measure of the burden of complications after hyperthermic intraperitoneal chemotherapy. Ann Surg Oncol 25:688\u2013693. https:\/\/doi.org\/10.1245\/s10434-017-6157-z","journal-title":"Ann Surg Oncol"},{"key":"2840_CR31","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1016\/j.jss.2019.10.003","volume":"247","author":"J Veli\u010dkovi\u0107","year":"2020","unstructured":"Veli\u010dkovi\u0107 J, Feng C, Palibrk I et al (2020) The assessment of complications after major abdominal surgery: a comparison of two scales. J Surg Res 247:397\u2013405. https:\/\/doi.org\/10.1016\/j.jss.2019.10.003","journal-title":"J Surg Res"},{"key":"2840_CR32","doi-asserted-by":"publisher","unstructured":"Gao YC, Chen J, Qin Q, et al (2017) Efficacy and safety of laparoscopic bile duct exploration versus endoscopic sphincterotomy for concomitant gallstones and common bile duct stones. Med (United States) 96. https:\/\/doi.org\/10.1097\/MD.0000000000007925","DOI":"10.1097\/MD.0000000000007925"},{"key":"2840_CR33","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1093\/bja\/78.2.228","volume":"78","author":"E Magi","year":"1997","unstructured":"Magi E (1997) ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth 78:228. https:\/\/doi.org\/10.1093\/bja\/78.2.228","journal-title":"Br J Anaesth"},{"key":"2840_CR34","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1007\/s00384-017-2811-y","volume":"32","author":"K Slankamenac","year":"2017","unstructured":"Slankamenac K, Slankamenac M, Schlegel A et al (2017) Impact of postoperative complications on readmission and long-term survival in patients following surgery for colorectal cancer. Int J Colorectal Dis 32:805\u2013811. https:\/\/doi.org\/10.1007\/s00384-017-2811-y","journal-title":"Int J Colorectal Dis"}],"container-title":["Langenbeck's Archives of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-023-02840-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00423-023-02840-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-023-02840-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T16:24:20Z","timestamp":1705595060000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00423-023-02840-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,23]]},"references-count":34,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["2840"],"URL":"https:\/\/doi.org\/10.1007\/s00423-023-02840-5","relation":{},"ISSN":["1435-2451"],"issn-type":[{"type":"electronic","value":"1435-2451"}],"subject":[],"published":{"date-parts":[[2023,2,23]]},"assertion":[{"value":"30 April 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 February 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 February 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Institutional Review Board (IRB) of University Hospital Joan XXIII, Tarragona, Spain (IRB No. 037\/2021).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"100"}}