{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T23:07:50Z","timestamp":1794265670281,"version":"4.9.0"},"reference-count":37,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["americanjournalofsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2024,3]]},"DOI":"10.1016\/j.amjsurg.2023.12.022","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T14:12:37Z","timestamp":1703081557000},"page":"145-150","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"special_numbering":"C","title":["Subtotal vs total cholecystectomy for difficult gallbladders: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"229","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9642-6094","authenticated-orcid":false,"given":"Sylvia SJ.","family":"Koo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohin J.","family":"Krishnan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0298-3675","authenticated-orcid":false,"given":"Masako","family":"Matsunaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1510-1125","authenticated-orcid":false,"given":"Hyeong Jun","family":"Ahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenric M.","family":"Murayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riley K.","family":"Kitamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.amjsurg.2023.12.022_bib1","doi-asserted-by":"crossref","first-page":"172","DOI":"10.5009\/gnl.2012.6.2.172","article-title":"Epidemiology of gallbladder disease: cholelithiasis and cancer","volume":"6","author":"Stinton","year":"2012","journal-title":"Gut Liver"},{"key":"10.1016\/j.amjsurg.2023.12.022_bib2","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.jss.2017.06.047","article-title":"Laparoscopic subtotal cholecystectomy compared to total cholecystectomy: a matched national analysis","volume":"218","author":"Kim","year":"2017","journal-title":"J\u00a0Surg Res"},{"issue":"4","key":"10.1016\/j.amjsurg.2023.12.022_bib3","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s004649900661","article-title":"Bile duct injury after laparoscopic cholecystectomy. The United States experience","volume":"12","author":"MacFadyen","year":"1998","journal-title":"Surg Endosc"},{"issue":"5","key":"10.1016\/j.amjsurg.2023.12.022_bib4","doi-asserted-by":"crossref","first-page":"2175","DOI":"10.1007\/s00464-017-5974-2","article-title":"Outcome trends and safety measures after 30 years of laparoscopic cholecystectomy: a systematic review and pooled data analysis","volume":"32","author":"Pucher","year":"2018","journal-title":"Surg Endosc"},{"issue":"1","key":"10.1016\/j.amjsurg.2023.12.022_bib5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s00534-012-0564-0","article-title":"TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis","volume":"20","author":"Kimura","year":"2013","journal-title":"J.\u00a0Hepatobiliary Pancreat. Sci."},{"issue":"3","key":"10.1016\/j.amjsurg.2023.12.022_bib6","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/0002-9610(55)90108-2","article-title":"Subtotal cholecystectomy in acute cholecystitis","volume":"89","author":"Madding","year":"1955","journal-title":"Am J Surg"},{"issue":"4","key":"10.1016\/j.amjsurg.2023.12.022_bib7","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1089\/lps.1993.3.365","article-title":"Laparoscopic subtotal cholecystectomy","volume":"3","author":"Bickel","year":"1993","journal-title":"J\u00a0Laparoendosc Surg"},{"issue":"10","key":"10.1016\/j.amjsurg.2023.12.022_bib8","doi-asserted-by":"crossref","first-page":"2553","DOI":"10.1007\/s11605-021-04934-1","article-title":"Subtotal cholecystectomy after failed critical view of safety is an effective and safe bail out strategy","volume":"25","author":"Chavez-Villa","year":"2021","journal-title":"J\u00a0Gastrointest Surg"},{"issue":"4","key":"10.1016\/j.amjsurg.2023.12.022_bib9","first-page":"461","article-title":"Safety of laparoscopic subtotal cholecystectomy in acute cholecystitis. Experience in Southeast Mexico","volume":"84","author":"Roesch-Dietlen","year":"2019","journal-title":"Rev Gastroenterol Mex (Engl Ed)."},{"key":"10.1016\/j.amjsurg.2023.12.022_bib10","article-title":"Subtotal cholecystectomy: is it a safe option for difficult gall bladders?","author":"Ibrahim","year":"2021","journal-title":"Ann R Coll Surg Engl"},{"issue":"4","key":"10.1016\/j.amjsurg.2023.12.022_bib11","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1016\/j.surg.2021.03.036","article-title":"Risks associated with subtotal cholecystectomy and the factors influencing them: a systematic review and meta-analysis of 85 studies published between 1985 and 2020","volume":"170","author":"Nzenwa","year":"2021","journal-title":"Surgery"},{"issue":"3","key":"10.1016\/j.amjsurg.2023.12.022_bib12","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.surg.2019.11.004","article-title":"Nationwide trends in the use of subtotal cholecystectomy for acute cholecystitis","volume":"167","author":"Sabour","year":"2020","journal-title":"Surgery"},{"issue":"6","key":"10.1016\/j.amjsurg.2023.12.022_bib13","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.hpb.2017.02.441","article-title":"Subtotal cholecystectomy for the hostile gallbladder: failure to control the cystic duct results in significant morbidity","volume":"19","author":"Lidsky","year":"2017","journal-title":"HPB (Oxford)"},{"issue":"9","key":"10.1016\/j.amjsurg.2023.12.022_bib14","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1007\/s00464-002-9128-8","article-title":"Laparoscopic subtotal cholecystectomy for severe cholecystitis","volume":"17","author":"Beldi","year":"2003","journal-title":"Surg Endosc"},{"issue":"10","key":"10.1016\/j.amjsurg.2023.12.022_bib15","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1007\/s00595-008-3975-4","article-title":"Laparoscopic subtotal cholecystectomy for severe cholecystitis","volume":"39","author":"Nakajima","year":"2009","journal-title":"Surg Today"},{"issue":"126","key":"10.1016\/j.amjsurg.2023.12.022_bib16","first-page":"1280","article-title":"Effectiveness of laparoscopic subtotal cholecystectomy: perioperative and long-term postoperative results","volume":"60","author":"Tamura","year":"2013","journal-title":"Hepato-Gastroenterology"},{"issue":"2","key":"10.1016\/j.amjsurg.2023.12.022_bib17","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1001\/jamasurg.2014.1219","article-title":"Subtotal cholecystectomy for \"difficult gallbladders\": systematic review and meta-analysis","volume":"150","author":"Elshaer","year":"2015","journal-title":"JAMA Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2023.12.022_bib18","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s13017-021-00392-x","article-title":"Subtotal cholecystectomy for difficult acute cholecystitis: how to finalize safely by laparoscopy-a systematic review","volume":"16","author":"Toro","year":"2021","journal-title":"World J Emerg Surg"},{"issue":"2","key":"10.1016\/j.amjsurg.2023.12.022_bib19","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1007\/s00464-012-2458-2","article-title":"Laparoscopic partial cholecystectomy for the difficult gallbladder: a systematic review","volume":"27","author":"Henneman","year":"2013","journal-title":"Surg Endosc"},{"key":"10.1016\/j.amjsurg.2023.12.022_bib20","doi-asserted-by":"crossref","first-page":"b2700","DOI":"10.1136\/bmj.b2700","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration","volume":"339","author":"Liberati","year":"2009","journal-title":"BMJ"},{"key":"10.1016\/j.amjsurg.2023.12.022_bib22","series-title":"Citing Stata Software, Documentation, and FAQs. Stata Statistical Software: Release 17","year":"2021"},{"issue":"7","key":"10.1016\/j.amjsurg.2023.12.022_bib23","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1177\/000313481207800724","article-title":"Subtotal cholecystectomy versus total cholecystectomy in complicated cholecystitis","volume":"78","author":"Davis","year":"2012","journal-title":"Am Surg"},{"issue":"5","key":"10.1016\/j.amjsurg.2023.12.022_bib24","first-page":"S87","article-title":"Bailout procedures for the difficult gallbladder: comparing outcomes of laparoscopic sub-total fenestrated cholecystectomy, with open cholecystectomy","volume":"233","author":"Freedle","year":"2021","journal-title":"JACS"},{"issue":"11","key":"10.1016\/j.amjsurg.2023.12.022_bib25","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1177\/000313481708301121","article-title":"Utility of laparoscopic subtotal cholecystectomy with or without cystic duct ligation for severe cholecystitis","volume":"83","author":"Hirajima","year":"2017","journal-title":"Am Surg"},{"key":"10.1016\/j.amjsurg.2023.12.022_bib26","first-page":"S38","article-title":"Subtotal cholecystectomy versus total cholecystectomy in complicated cholecystitis","volume":"30","author":"Grubnik","year":"2016","journal-title":"Surg Endosc"},{"issue":"10","key":"10.1016\/j.amjsurg.2023.12.022_bib27","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1177\/000313481408001009","article-title":"Subtotal cholecystectomy and open total cholecystectomy: alternatives in complicated cholecystitis","volume":"80","author":"Kaplan","year":"2014","journal-title":"Am Surg"},{"issue":"4","key":"10.1016\/j.amjsurg.2023.12.022_bib28","doi-asserted-by":"crossref","first-page":"171","DOI":"10.14701\/kjhbps.2013.17.4.171","article-title":"Experience with partial cholecystectomy in severe cholecystitis","volume":"17","author":"Lee","year":"2013","journal-title":"Korean J Hepatobiliary Pancreat Surg"},{"issue":"3","key":"10.1016\/j.amjsurg.2023.12.022_bib29","first-page":"113","article-title":"Laparoscopic subtotal cholecystectomy could Be an alternative to conversion","volume":"13","author":"Peker","year":"2017","journal-title":"Medical Journal of Bakirkoy"},{"issue":"6","key":"10.1016\/j.amjsurg.2023.12.022_bib30","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1503\/cjs.014617","article-title":"Safe laparoscopic subtotal cholecystectomy in the face of severe inflammation in the cystohepatic triangle: a retrospective review and proposed management strategy for the difficult gallbladder","volume":"62","author":"Purzner","year":"2019","journal-title":"Can J Surg"},{"key":"10.1016\/j.amjsurg.2023.12.022_bib31","series-title":"Short and Long Term Outcomes of Laparoscopic Fenestrating or Reconstituting Subtotal Cholecystectomy versus Laparoscopic Total Cholecystectomy in the Management of Acute Cholecystitis","author":"Loh","year":"2021"},{"key":"10.1016\/j.amjsurg.2023.12.022_bib32","first-page":"S30","article-title":"Laparoscopic subtotal cholecystectomy in treatment of severe acute cholecystitis","volume":"25","author":"Ukhanov","year":"2011","journal-title":"Surg Endosc"},{"issue":"7","key":"10.1016\/j.amjsurg.2023.12.022_bib33","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1007\/s004640000103","article-title":"Bile duct injury during laparoscopic cholecystectomy: myth or reality of the learning curve?","volume":"14","author":"Calvete","year":"2000","journal-title":"Surg Endosc"},{"issue":"3","key":"10.1016\/j.amjsurg.2023.12.022_bib34","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1007\/s00464-018-6333-7","article-title":"Bile duct injuries (BDI) in the advanced laparoscopic cholecystectomy era","volume":"33","author":"Mangieri","year":"2019","journal-title":"Surg Endosc"},{"issue":"16","key":"10.1016\/j.amjsurg.2023.12.022_bib35","doi-asserted-by":"crossref","first-page":"2168","DOI":"10.1001\/jama.290.16.2168","article-title":"Bile duct injury during cholecystectomy and survival in medicare beneficiaries","volume":"290","author":"Flum","year":"2003","journal-title":"JAMA"},{"issue":"11","key":"10.1016\/j.amjsurg.2023.12.022_bib36","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1001\/jamasurg.2022.3146","article-title":"Early outcomes of subtotal vs total cholecystectomy for acute cholecystitis","volume":"157","author":"Braschi","year":"2022","journal-title":"JAMA Surg"},{"issue":"2","key":"10.1016\/j.amjsurg.2023.12.022_bib37","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1080\/136518201317077189","article-title":"Minimally invasive management of bile leak after laparoscopic cholecystectomy","volume":"3","author":"Tzovaras","year":"2001","journal-title":"HPB (Oxford)"},{"issue":"3","key":"10.1016\/j.amjsurg.2023.12.022_bib38","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.jamcollsurg.2017.05.016","article-title":"Short- and long-term outcomes after a reconstituting and fenestrating subtotal cholecystectomy","volume":"225","author":"van Dijk","year":"2017","journal-title":"J\u00a0Am Coll Surg"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961023006682?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961023006682?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:30:13Z","timestamp":1757701813000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961023006682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":37,"alternative-id":["S0002961023006682"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2023.12.022","relation":{},"ISSN":["0002-9610"],"issn-type":[{"value":"0002-9610","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Subtotal vs total cholecystectomy for difficult gallbladders: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2023.12.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}