{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:18:46Z","timestamp":1791371926123,"version":"4.3.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Data on subtotal cholecystectomy (STC) as an alternative to conventional cholecystectomy in difficult surgical situations are limited. This multiaspectual report aims to reduce the STC-specific knowledge gap and inform clinical decision-making strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>All 180 patients who underwent STC at a single center between 2011 and 2017 were assessed in this retrospective cohort study. Their outcomes were followed up until March 23, 2018. Six subgroups stratified by surgical setting (elective\/nonelective), surgical approach used (open\/laparoscopic), and type of STC (reconstituting\/fenestrating) were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The ratio of conventional to STC procedures was 13:1. Of the 180 patients, 150 had a history of hospitalization for the acute biliary disease. The proportion of all cholecystectomies that were STC ranged from 1% to 71% between individual surgeons; similarly, laparoscopic STC comprised 0%\u201397% of all STCs. STC was associated with high intraoperative (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200919; 10.6%) and short-term postoperative (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009159; 88.3%) complication rates. There were three significant intraoperative complications\u2014bleeding (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098; 4.4%), bile duct injury (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20097; 3.9%), and intestinal injury (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094; 2.2%). The most common postoperative surgical site complications were external bile leak (21%), wound infection (17%), and biloma (10%). Associations between fenestrating STC and the rates of postoperative bile leak and retained gallstones, mainly in the main bile duct, were detected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>STC-associated perioperative morbidity is significant. There is a substantial investigation burden. Injuries can be avoided when conversion to STC is timely, and its technical variant is correctly selected. The STC rate is a potential key performance indicator monitoring gallbladder surgery practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0713","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T12:34:09Z","timestamp":1602851649000},"page":"1019-1033","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Subtotal Cholecystectomy: Results of a Single-Center, Registry-Based Retrospective Cohort Study of 180 Adults in 2011\u20132018"],"prefix":"10.1177","volume":"31","author":[{"given":"Raimundas","family":"Lunevicius","sequence":"first","affiliation":[{"name":"Department of General Surgery, Liverpool University Hospitals NHS Foundation Trust, School of Medicine, University of Liverpool, Liverpool, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juanita A.","family":"Haagsma","sequence":"additional","affiliation":[{"name":"Department of Public Health, Erasmus MC University Medical Center, Rotterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,9,15]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30994-2"},{"key":"e_1_3_6_3_2","unstructured":"Commissioning guide: gallstone disease. 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