{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:18:49Z","timestamp":1783444729480,"version":"3.54.6"},"reference-count":47,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","hpbonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["HPB"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.hpb.2025.11.013","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T16:45:50Z","timestamp":1764261950000},"page":"143-153","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Completion cholecystectomy: a meta-analysis of indications, techniques and outcomes"],"prefix":"10.1016","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5215-656X","authenticated-orcid":false,"given":"Nicolas J.","family":"Smith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4016-7900","authenticated-orcid":false,"given":"Simon D.","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Windsor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9221-6674","authenticated-orcid":false,"given":"Cameron I.","family":"Wells","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hpb.2025.11.013_bib1","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1093\/oxfordjournals.aje.a117403","article-title":"Epidemiology of gallstone disease in Italy: prevalence data of the multicenter Italian study on cholelithiasis (M.I.COL.)","volume":"141","author":"Attili","year":"1995","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.hpb.2025.11.013_bib2","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"},{"key":"10.1016\/j.hpb.2025.11.013_bib3","year":"1998"},{"key":"10.1016\/j.hpb.2025.11.013_bib4","year":"1998"},{"key":"10.1016\/j.hpb.2025.11.013_bib5","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.hpb.2025.11.013_bib6","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1002\/jhbp.616","article-title":"A three-step conceptual roadmap for avoiding bile duct injury in laparoscopic cholecystectomy: an invited perspective review","volume":"26","author":"Strasberg","year":"2019","journal-title":"J Hepato-Biliary-Pancreatic Sci"},{"key":"10.1016\/j.hpb.2025.11.013_bib7","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/s13017-020-00336-x","article-title":"2020 world society of emergency surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis","volume":"15","author":"Pisano","year":"2020","journal-title":"World J Emerg Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib8","doi-asserted-by":"crossref","first-page":"62","DOI":"10.4240\/wjgs.v11.i2.62","article-title":"Safe laparoscopic cholecystectomy: adoption of universal culture of safety in cholecystectomy","volume":"11","author":"Gupta","year":"2019","journal-title":"World J Gastrointest Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib9","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2023.1142579","article-title":"State of the art in subtotal cholecystectomy: an overview","volume":"10","author":"Ram\u00edrez-Giraldo","year":"2023","journal-title":"Front Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib10","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"},{"key":"10.1016\/j.hpb.2025.11.013_bib11","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1001\/jamasurg.2014.1219","article-title":"Subtotal cholecystectomy for \u201cdifficult gallbladders\u201d: systematic review and meta-analysis","volume":"150","author":"Elshaer","year":"2015","journal-title":"JAMA Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib12","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.hpb.2023.09.005","article-title":"Meta-analysis of fenestrating versus reconstituting subtotal cholecystectomy in the management of difficult gallbladder","volume":"26","author":"Hajibandeh","year":"2024","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2025.11.013_bib13","doi-asserted-by":"crossref","first-page":"7475","DOI":"10.1007\/s00464-024-11225-8","article-title":"Fenestrating vs reconstituting laparoscopic subtotal cholecystectomy: a systematic review and meta-analysis","volume":"38","author":"Motter","year":"2024","journal-title":"Surg Endosc"},{"key":"10.1016\/j.hpb.2025.11.013_bib14","article-title":"Laparoscopic completion cholecystectomy: an audit from the Americas hepato-pancreato-biliary association (AHPBA) Caribbean chapter","volume":"12","author":"Cawich","year":"2020","journal-title":"Cureus"},{"key":"10.1016\/j.hpb.2025.11.013_bib15","doi-asserted-by":"crossref","first-page":"4584","DOI":"10.1177\/00031348221124331","article-title":"Indications and outcomes of completion cholecystectomy: a 5-year experience from a rural tertiary center","volume":"89","author":"Alser","year":"2023","journal-title":"Am Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib16","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"Br Med J"},{"key":"10.1016\/j.hpb.2025.11.013_bib17","first-page":"410","article-title":"Laparoscopic removal of a gallbladder remnant","volume":"5","author":"Gurel","year":"1995","journal-title":"Surg Laparosc Endosc Percutaneous Tech"},{"key":"10.1016\/j.hpb.2025.11.013_bib18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014A web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst Rev"},{"key":"10.1016\/j.hpb.2025.11.013_bib19","doi-asserted-by":"crossref","first-page":"240","DOI":"10.3163\/1536-5050.104.3.014","article-title":"De-duplication of database search results for systematic reviews in EndNote","volume":"104","author":"Bramer","year":"2016","journal-title":"J Med Libr Assoc"},{"key":"10.1016\/j.hpb.2025.11.013_bib20","doi-asserted-by":"crossref","first-page":"80","DOI":"10.13105\/wjma.v5.i4.80","article-title":"Assessing the quality of studies in meta-analyses: advantages and limitations of the Newcastle Ottawa scale","volume":"5","author":"Luchini","year":"2017","journal-title":"World Journal of Meta-Analysis"},{"key":"10.1016\/j.hpb.2025.11.013_bib21","first-page":"2127","article-title":"Methodological quality of case series studies: an introduction to the JBI critical appraisal tool","volume":"18","author":"Munn","year":"2020","journal-title":"JBI evidence synthesis"},{"key":"10.1016\/j.hpb.2025.11.013_bib22","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/0197-2456(86)90046-2","article-title":"Meta-analysis in clinical trials","volume":"7","author":"DerSimonian","year":"1986","journal-title":"Control Clin Trials"},{"key":"10.1016\/j.hpb.2025.11.013_bib23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.hpb.2025.11.013_bib24","doi-asserted-by":"crossref","first-page":"1785","DOI":"10.1177\/0962280216669183","article-title":"Optimally estimating the sample mean from the sample size, median, mid-range, and\/or mid-quartile range","volume":"27","author":"Luo","year":"2018","journal-title":"Stat Methods Med Res"},{"key":"10.1016\/j.hpb.2025.11.013_bib25","doi-asserted-by":"crossref","first-page":"2264","DOI":"10.1111\/ans.15986","article-title":"The incidence of symptomatic remnant gall bladder: a population study","volume":"90","author":"Bradshaw","year":"2020","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib26","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1016\/j.hpb.2023.03.015","article-title":"Robot-assisted and fluorescence-guided remnant-cholecystectomy: a prospective dual-center cohort study","volume":"25","author":"Gijsen","year":"2023","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2025.11.013_bib27","doi-asserted-by":"crossref","DOI":"10.1002\/rcs.2312","article-title":"Robotic-assisted completion cholecystectomy: a safe and effective approach to a challenging surgical scenario \u2013 a single center retrospective cohort study","volume":"17","author":"Tschuor","year":"2021","journal-title":"Int J Med Robot Comput Assist Surg"},{"issue":"4","key":"10.1016\/j.hpb.2025.11.013_bib28","article-title":"Management of residual gallbladder and cystic duct stump stone after cholecystectomy: a retrospective study","volume":"35","author":"El","year":"2016","journal-title":"The Egyptian Journal of Surgery"},{"key":"10.1016\/j.hpb.2025.11.013_bib29","doi-asserted-by":"crossref","first-page":"257","DOI":"10.4103\/jmas.jmas_75_22","article-title":"Surgical management of cystic duct stump calculi causing post-cholecystectomy syndrome: a prospective study","volume":"19","author":"Kumar","year":"2023","journal-title":"J Minimal Access Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib30","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1016\/j.hpb.2018.05.005","article-title":"Resection of gallbladder remnants after subtotal cholecystectomy: presentation and management","volume":"20","author":"Concors","year":"2018","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2025.11.013_bib31","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/ases.12012","article-title":"Laparoscopic completion cholecystectomy: a retrospective study of 40 cases","volume":"6","author":"Parmar","year":"2013","journal-title":"Asian J Endosc Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib32","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/00129689-200302000-00007","article-title":"Laparoscopic reintervention for residual gallstone disease","volume":"13","author":"Chowbey","year":"2003","journal-title":"Surg Laparosc Endosc Percutaneous Tech"},{"key":"10.1016\/j.hpb.2025.11.013_bib33","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1308\/003588409X358980","article-title":"Laparoscopic management of remnant cystic duct calculi: a retrospective study","volume":"91","author":"Palanivelu","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"10.1016\/j.hpb.2025.11.013_bib34","doi-asserted-by":"crossref","DOI":"10.1016\/j.surg.2024.09.028","article-title":"Resection of the remnant gallbladder after subtotal cholecystectomy: an institutional experience","volume":"178","author":"Zhu","year":"2025","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2025.11.013_bib35","first-page":"1379","article-title":"Laparoscopic completion cholecystectomy: a retrospective study","volume":"16","author":"Kumar","year":"2024","journal-title":"Int J Pharmaceut Chem Res"},{"key":"10.1016\/j.hpb.2025.11.013_bib36","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1001\/archsurg.140.10.986","article-title":"Bile duct injury during laparoscopic cholecystectomy: results of an Italian national survey on 56 591 cholecystectomies","volume":"140","author":"Nuzzo","year":"2005","journal-title":"Arch Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib37","article-title":"Residual gallbladder stones after cholecystectomy: a literature review","volume":"11","author":"Chowbey","year":"2015","journal-title":"J Minimal Access Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib38","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1002\/jhbp.613","article-title":"A diagnosis reconsidered: the symptomatic gallbladder remnant","volume":"26","author":"Grossman","year":"2019","journal-title":"J Hepato-Biliary-Pancreatic Sci"},{"key":"10.1016\/j.hpb.2025.11.013_bib39","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1159\/000442476","article-title":"Impact of adhesiolysis on outcome of colorectal surgery","volume":"33","author":"Stommel","year":"2016","journal-title":"Dig Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib40","doi-asserted-by":"crossref","DOI":"10.1016\/j.surg.2024.08.006","article-title":"Robotic compared with laparoscopic cholecystectomy: a National surgical quality improvement program comparative analysis","volume":"178","author":"Maegawa","year":"2025","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2025.11.013_bib41","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1055\/s-0041-1729863","article-title":"Robotic surgery for complicated diverticular disease","volume":"34","author":"Ali","year":"2021","journal-title":"Clin Colon Rectal Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib42","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s11701-021-01240-5","article-title":"Robotic colorectal surgery and ergonomics","volume":"16","author":"Wong","year":"2022","journal-title":"Journal of Robotic Surgery"},{"key":"10.1016\/j.hpb.2025.11.013_bib43","doi-asserted-by":"crossref","first-page":"7126","DOI":"10.1007\/s00464-022-09267-x","article-title":"Selective intraoperative cholangiography should be considered over routine intraoperative cholangiography during cholecystectomy: a systematic review and meta-analysis","volume":"36","author":"Kov\u00e1cs","year":"2022","journal-title":"Surg Endosc"},{"key":"10.1016\/j.hpb.2025.11.013_bib44","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1002\/bjs.7809","article-title":"Systematic review of intraoperative cholangiography in cholecystectomy","volume":"99","author":"Ford","year":"2012","journal-title":"Br J Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib45","first-page":"253","article-title":"The use of indocyanine green and near-infrared imaging in laparoscopic completion cholecystectomy for the management of stump cholecystitis: a case series","volume":"20","author":"Bhandarkar","year":"2024","journal-title":"J Minimal Access Surg"},{"key":"10.1016\/j.hpb.2025.11.013_bib46","doi-asserted-by":"crossref","first-page":"353","DOI":"10.14701\/ahbps.2019.23.4.353","article-title":"Residual gall bladder: an emerging disease after safe cholecystectomy","volume":"23","author":"Gupta","year":"2019","journal-title":"Annals of Hepato-biliary-pancreatic Surgery"},{"key":"10.1016\/j.hpb.2025.11.013_bib47","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/j.hpb.2018.03.004","article-title":"Reporting of complications after laparoscopic cholecystectomy: a systematic review","volume":"20","author":"Alexander","year":"2018","journal-title":"Hpb"}],"container-title":["HPB"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1365182X25017137?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1365182X25017137?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:50:00Z","timestamp":1770889800000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1365182X25017137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":47,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S1365182X25017137"],"URL":"https:\/\/doi.org\/10.1016\/j.hpb.2025.11.013","relation":{},"ISSN":["1365-182X"],"issn-type":[{"value":"1365-182X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Completion cholecystectomy: a meta-analysis of indications, techniques and outcomes","name":"articletitle","label":"Article Title"},{"value":"HPB","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hpb.2025.11.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}