{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:42:36Z","timestamp":1740109356628,"version":"3.37.3"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"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":["Surg Endosc"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Where the critical view of safety cannot be established during cholecystectomy, certain salvage techniques are indicated to reduce the likelihood of bile duct injury. The present study describes a salvage technique termed the \u201claparoscopic lumen-guided cholecystectomy\u201d (LLC) and reports its peri-operative outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>A summary of the technique is as follows: (1) Hartmann\u2019s pouch is incised and stones are evacuated; (2) the cystic anatomy is inspected from the inside of the gallbladder; (3) the lumen is used to guide retrograde dissection towards the cystic pedicle; (4) cystic duct control is achieved if deemed safe. LLC cases performed between June 2020 and January 2022 in a single health board were included. The operative details and peri-operative outcomes of the technique are reported and compared to cases of similar difficulty where the LLC was not attempted.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>LLC was performed in 4.6% (27\/587) of cases. In all 27 cases, LLC was performed for a \u201cfrozen\u201d cholecystohepatic triangle. Hartmann\u2019s pouch was completely excised in all cases (27\/27) and cystic duct control was achieved in 85.2% of cases (23\/27). No cases of bile leak or ductal injury were reported. Rates of bile leak, post-operative complications and ERCP were lower following LLC compared to the group where LLC was not attempted (<jats:italic>p\u2009<\/jats:italic>&lt;\u20090.01).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>LLC is a safe salvage technique and should be considered in cases where the critical view of safety cannot be established. The technique achieves cystic duct control in the majority of cases and favourable outcomes in the face of a difficult cholecystectomy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-022-09538-7","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T15:03:13Z","timestamp":1661439793000},"page":"556-563","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic Lumen-guided cholecystectomy in face of the difficult gallbladder"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6979-7818","authenticated-orcid":false,"given":"James","family":"Lucocq","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Driscoll","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Naqvi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alasdair","family":"MacMillan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Bennett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Luhmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew G.","family":"Robertson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"issue":"4","key":"9538_CR1","doi-asserted-by":"publisher","first-page":"1683","DOI":"10.1007\/s00464-017-5847-8","volume":"32","author":"M Barrett","year":"2018","unstructured":"Barrett M, Asbun HJ, Chien HL, Brunt LM, Telem DA (2018) Bile duct injury and morbidity following cholecystectomy: a need for improvement. Surg Endosc 32(4):1683\u20131688","journal-title":"Surg Endosc"},{"key":"9538_CR2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e6457","author":"B T\u00f6rnqvist","year":"2012","unstructured":"T\u00f6rnqvist B, Str\u00f6mberg C, Persson G, Nilsson M (2012) Effect of intended intraoperative cholangiography and early detection of bile duct injury on survival after cholecystectomy: population based cohort study. BMJ. https:\/\/doi.org\/10.1136\/bmj.e6457","journal-title":"BMJ"},{"issue":"1","key":"9538_CR3","first-page":"101","volume":"180","author":"S Strasberg","year":"1995","unstructured":"Strasberg S, Hertl M, Soper N (1995) An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 180(1):101\u2013125","journal-title":"J Am Coll Surg"},{"issue":"11","key":"9538_CR4","doi-asserted-by":"publisher","first-page":"6039","DOI":"10.1007\/s00464-020-08093-3","volume":"35","author":"AHM Nassar","year":"2021","unstructured":"Nassar AHM, Hj Ng, Wysochi AP, Khan KS, Gil IC (2021) Achieving the critical view of safety in the difficult laparoscopic cholecystectomy: a prospective study of predictors of failure. Surg Endosc 35(11):6039\u20136047","journal-title":"Surg Endosc"},{"key":"9538_CR5","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1007\/s00595-008-3975-4","volume":"39","author":"J Nakajima","year":"2009","unstructured":"Nakajima J, Sasaki A, Obuchi T et al (2009) Laparoscopic subtotal cholecystectomy for severe cholecystitis. Surg Today 39:870\u2013875","journal-title":"Surg Today"},{"issue":"2","key":"9538_CR6","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1001\/jamasurg.2014.1219","volume":"150","author":"M Elshaer","year":"2015","unstructured":"Elshaer M, Gravante G, Thomas K et al (2015) Subtotal cholecystectomy for \u201cdifficult gallbladders.\u201d JAMA Surg 150(2):159\u2013168","journal-title":"JAMA Surg"},{"key":"9538_CR7","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.1219","author":"M Elshaer","year":"2015","unstructured":"Elshaer M, Gravanta G, Thomas K et al (2015) Subtotal cholecystectomy for \u201cdifficult gallbladders.\u201d JAMA Surg. https:\/\/doi.org\/10.1001\/jamasurg.2014.1219","journal-title":"JAMA Surg"},{"key":"9538_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.1477-2574.2011.00393.x","volume":"14","author":"SM Strasberg","year":"2012","unstructured":"Strasberg SM, Gouma DJ (2012) \u2018Extreme\u2019 vasculobiliary injuries: association with fundus-down cholecystectomy in severely inflamed gallbladders. J HPB 14:1\u20138","journal-title":"J HPB"},{"key":"9538_CR9","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5854","author":"PJ Jenkins","year":"2007","unstructured":"Jenkins PJ, Paterson HM, Parks RW, Garden OJ (2007) Open cholecystectomy in the laparoscopic era. Br J Surg. https:\/\/doi.org\/10.1002\/bjs.5854","journal-title":"Br J Surg"},{"key":"9538_CR10","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1007\/s00464-018-6281-2","volume":"33","author":"EA Griffiths","year":"2019","unstructured":"Griffiths EA, Hodson J, Vohra RS et al (2019) Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy. Surg Endosc 33:110\u2013121. https:\/\/doi.org\/10.1007\/s00464-018-6281-2","journal-title":"Surg Endosc"},{"issue":"3","key":"9538_CR11","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1016\/j.surg.2019.11.004","volume":"167","author":"AF Sabour","year":"2020","unstructured":"Sabour AF, Matsushima K, Love BE et al (2020) Nationwide trends in the use of subtotal cholecystectomy for acute cholecystitis. Surgery 167(3):569\u2013574","journal-title":"Surgery"},{"key":"9538_CR12","first-page":"181","volume":"91","author":"YM Vardar","year":"2020","unstructured":"Vardar YM, Akturk OM (2020) Can we predict the risk of conversion in elective laparoscopic cholecystectomy? Ann Ital Chir 91:181\u2013186","journal-title":"Ann Ital Chir"},{"issue":"2","key":"9538_CR13","doi-asserted-by":"publisher","first-page":"99","DOI":"10.7869\/tg.2012.106","volume":"34","author":"M Jayant","year":"2013","unstructured":"Jayant M, Kaushik R (2013) Presentation and management of gallbladder remnant after partial cholecystectomy. Trop Gastroenterol 34(2):99\u2013103","journal-title":"Trop Gastroenterol"},{"issue":"9","key":"9538_CR14","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1093\/jscr\/2012.9.17","volume":"1","author":"A Sosulski","year":"2012","unstructured":"Sosulski A, Fei J, DeMuro J (2012) Partial cholecystectomy resulting in recurrent acute cholecystitis and choledocholithiasis. J Surg Case Rep 1(9):17","journal-title":"J Surg Case Rep"},{"issue":"5","key":"9538_CR15","doi-asserted-by":"publisher","first-page":"226","DOI":"10.4174\/astr.2016.91.5.226","volume":"91","author":"M Shin","year":"2016","unstructured":"Shin M, Choi N, Yoo Y et al (2016) Clinical outcomes of subtotal cholecystectomy performed for difficult cholecystectomy. Ann Surg Treat Res 91(5):226\u2013232","journal-title":"Ann Surg Treat Res"},{"key":"9538_CR16","doi-asserted-by":"publisher","first-page":"325","DOI":"10.4103\/0972-9941.181323","volume":"12","author":"MR Harilingam","year":"2016","unstructured":"Harilingam MR, Shrestha AK, Basu S (2016) Laparoscopic modified subtotal cholecystectomy for difficult gallbladder. J Minim Access Surg 12:325\u2013329","journal-title":"J Minim Access Surg"},{"key":"9538_CR17","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08986-x","author":"J Lucocq","year":"2022","unstructured":"Lucocq J, Scollay J, Patil P (2022) Elective laparoscopic cholecystectomy: recurrent biliary admissions predispose to difficult cholecystectomy. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-021-08986-x","journal-title":"Surg Endosc"},{"key":"9538_CR18","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09103-2","author":"J Lucocq","year":"2022","unstructured":"Lucocq J, Radhakishnan G, Scollay J, Patil P (2022) Morbidity following emergency and elective cholecystectomy: a retrospective comparative cohort study. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-022-09103-2","journal-title":"Surg Endosc"},{"issue":"1","key":"9538_CR19","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1515\/med-2016-0078","volume":"11","author":"N Tartaglia","year":"2016","unstructured":"Tartaglia N, Cianci P, Lascia AD et al (2016) Laparoscopic antegrade cholecystectomy: a standard procedure? Open Med (Wars) 11(1):429\u2013432","journal-title":"Open Med (Wars)"},{"issue":"2","key":"9538_CR20","first-page":"225","volume":"11","author":"V Neri","year":"2007","unstructured":"Neri V, Ambrosi A, Fersini A et al (2007) Antegrade dissection in laparoscopic cholecystectomy. JSLS 11(2):225\u2013228","journal-title":"JSLS"},{"issue":"56","key":"9538_CR21","first-page":"362","volume":"51","author":"T Ichihara","year":"2004","unstructured":"Ichihara T, Takada M, Ajiki T et al (2004) Tape ligature of cystic duct and fundus-down approach for safety laparoscopic cholecystectomy: outcome of 500 patients. Hepatogastroenterology 51(56):362\u2013364","journal-title":"Hepatogastroenterology"},{"key":"9538_CR22","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-55401-6","author":"Y Cengiz","year":"2019","unstructured":"Cengiz Y, Lund M, Janes A et al (2019) Fundus first as the standard technique for laparoscopic cholecystectomy. Sci Rep. https:\/\/doi.org\/10.1038\/s41598-019-55401-6","journal-title":"Sci Rep"},{"key":"9538_CR23","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2006.0194","author":"M Tuveri","year":"2008","unstructured":"Tuveri M, Calo PG, Medas F, Tuveri A, Micolosi, (2008) Limits and advantages of fundus-first laparoscopic cholecystectomy: lessons learned. J Laparoscoendosc Adv Surg Tech A. https:\/\/doi.org\/10.1089\/lap.2006.0194","journal-title":"J Laparoscoendosc Adv Surg Tech A"},{"key":"9538_CR24","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1005480","author":"K Kato","year":"1996","unstructured":"Kato K, Kasai S, Matsuda M (1996) A new technique for laparoscopic cholecystectomy\u2014retrograde laparoscopic cholecystectomy: an analysis of 81 cases. Endoscopy. https:\/\/doi.org\/10.1055\/s-2007-1005480","journal-title":"Endoscopy"},{"key":"9538_CR25","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2006.16.124","author":"Y Wang","year":"2006","unstructured":"Wang Y, Yang H, Chung P, Jeng L, Chen R (2006) Role of fundus-first laparoscopic cholecystectomy in the management of acute cholecystitis in elderly patients. J Laparoscoendosc Adv Surg Tech A. https:\/\/doi.org\/10.1089\/lap.2006.16.124","journal-title":"J Laparoscoendosc Adv Surg Tech A"},{"issue":"3","key":"9538_CR26","first-page":"255","volume":"8","author":"A Gupta","year":"2004","unstructured":"Gupta A, Agarwal PN, Kant R, Malik V (2004) Evaluation of fundus-first laparoscopic cholecystectomy. JSLS 8(3):255\u2013258","journal-title":"JSLS"},{"issue":"6","key":"9538_CR27","first-page":"431","volume":"5","author":"I Uyama","year":"1995","unstructured":"Uyama I, Lida S, Ogiwara H et al (1995) Laparoscopic retrograde cholecystectomy (from fundus downward) facilitated by lifting the liver bed up to the diaphragm for inflammatory gallbladder. Surg Laparosc Endosc 5(6):431\u2013436","journal-title":"Surg Laparosc Endosc"},{"key":"9538_CR28","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-9094-6","author":"S Mahmud","year":"2002","unstructured":"Mahmud S, Masaud M, Canna K, Nassar AHM (2002) Fundus-first laparoscopic cholecystectomy. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-001-9094-6","journal-title":"Surg Endosc"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09538-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-022-09538-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-022-09538-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T20:15:16Z","timestamp":1673640916000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-022-09538-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,25]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["9538"],"URL":"https:\/\/doi.org\/10.1007\/s00464-022-09538-7","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"type":"print","value":"0930-2794"},{"type":"electronic","value":"1432-2218"}],"subject":[],"published":{"date-parts":[[2022,8,25]]},"assertion":[{"value":"9 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 August 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"James Lucocq, Aaron Taylor, Peter Driscoll, Syed Naqvi, Alasdair MacMillan, Andreas Luhmann, Stephen Bennett and Andrew G. Robertson do not have any conflicts of interest or financial ties to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}