{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:06:13Z","timestamp":1777921573916,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"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 & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2022,7,1]]},"abstract":"\n Background:<\/jats:title>\n The implementation of the acute surgical unit (ASU) model has been demonstrated to improve care outcomes for the emergency general surgery patient in comparison to the traditional \u201con call\u201d model. Currently, only few studies have evaluated surgical outcomes of the ASU model in patients with acute biliary pathologies. This is the first comparative study of two different emergency surgery structures in the acute management of patients with acute cholecystitis and biliary colic.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A retrospective review of patients who underwent emergency cholecystectomy for acute cholecystitis and biliary colic at two tertiary hospitals between April 2018 and March 2019 was conducted. Primary outcomes included length of hospital stay, time from admission to definitive surgery, and postoperative complications. Secondary outcomes include proportion of cases performed during daylight hours, length of operating time, rate of conversion to open cholecystectomy, and consultant surgeon involvement.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 339 patients presented with acute biliary symptoms and were managed operatively. Univariate analysis identified a shorter mean time to surgery in the traditional group compared to the ASU group (29.2 hours versus 43.1 hours;\n P<\/jats:italic>\n \u2009<\u2009.001). There was no difference in mean length of stay, operation duration between models, and postoperative complication rates between groups, with the majority of surgeries performed during daylight hours. The ASU group had a greater proportion of consultant-led cases (48.2% versus 2.5%,\n P<\/jats:italic>\n \u2009<\u2009.001) compared to the traditional group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Patients with acute biliary pathology requiring laparoscopic cholecystectomy achieve equivalent surgical outcomes irrespective of the model of acute surgical care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/lap.2021.0588","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T12:59:35Z","timestamp":1642510775000},"page":"756-762","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Analysis of Models of Care and Its Impact on Emergency Cholecystectomy Outcomes"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0761-2205","authenticated-orcid":false,"given":"Alixandra","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Surgery, QEII Jubilee Hospital, Brisbane, Australia."},{"name":"School of Medicine, University of Queensland, Brisbane, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Burstow","sequence":"additional","affiliation":[{"name":"Department of Surgery, Logan Hospital, Meadowbrook, Australia."},{"name":"School of Medicine, Griffith University, Gold Coast, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Yuide","sequence":"additional","affiliation":[{"name":"Department of Surgery, Logan Hospital, Meadowbrook, Australia."},{"name":"School of Medicine, Griffith University, Gold Coast, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev","family":"Naidu","sequence":"additional","affiliation":[{"name":"Department of Surgery, QEII Jubilee Hospital, Brisbane, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond P.","family":"Lancashire","sequence":"additional","affiliation":[{"name":"Department of Surgery, QEII Jubilee Hospital, Brisbane, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4263-1017","authenticated-orcid":false,"given":"Terence C.","family":"Chua","sequence":"additional","affiliation":[{"name":"Department of Surgery, QEII Jubilee Hospital, Brisbane, Australia."},{"name":"School of Medicine, University of Queensland, Brisbane, Australia."},{"name":"School of Medicine, Griffith University, Gold Coast, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14802"},{"key":"e_1_3_4_3_2","first-page":"1","article-title":"A, Kurinchi G, et al. 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis","volume":"15","author":"Michele P","year":"2020","unstructured":"Michele P, Niccol\u00f2 A, Kurinchi G, et al. 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. 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