{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T14:21:03Z","timestamp":1793110863488,"version":"4.5.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/ http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n            <jats:title>Purpose:<\/jats:title>\n            <jats:p>Choledochocystolithiasis and its associated complications such as cholangitis and pancreatitis are managed by endoscopic retrograde cholangiography (ERC), with endoscopic stone extraction followed by laparoscopic cholecystectomy (LC). However, affected patients present with complex conditions linked to operative difficulties in performing LC. The aim of this study was to elucidate the predictive factors for a prolonged LC procedure following ERC for treating patients with choledochocystolithiasis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and Methods:<\/jats:title>\n            <jats:p>The medical records of 109 patients who underwent LC after ERC for choledochocystolithiasis from September 2012 to August 2014 were evaluated retrospectively. The cases were divided into long and short operative duration groups using a cutoff operative time of 90 minutes. We used univariate and multivariate analyses to investigate predictive factors associated with long operative duration according to clinical variables, ERC-related factors, and peak serum levels of laboratory test values between the initial presentation and LC (intervening period).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Seventeen patients needed &gt;90 min to complete LC. The presence of acute cholecystitis, placement of percutaneous transhepatic gallbladder drainage, higher peak serum white blood cell count and levels of C-reactive protein (CRP), and lower peak serum levels of lipase during the intervening period were associated with prolonged operative duration. Multivariate analysis showed that the independent predictive factors for long operative duration were the presence of acute cholecystitis (hazard ratio, 5.418; <jats:italic toggle=\"yes\">P<\/jats:italic>=0.016) and higher peak levels of CRP (hazard ratio, 1.077; <jats:italic toggle=\"yes\">P<\/jats:italic>=0.022).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>When patients with choledochocystolithiasis are scheduled for LC after ERC, the presence of acute cholecystitis and high CRP levels during the intervening period could predict a protracted operation.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/sle.0000000000000461","type":"journal-article","created":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T16:06:26Z","timestamp":1509984386000},"page":"491-496","source":"Crossref","is-referenced-by-count":10,"title":["Predictive Factors for Long Operative Duration in Patients Undergoing Laparoscopic Cholecystectomy After Endoscopic Retrograde Cholangiography for Combined Choledochocystolithiasis"],"prefix":"10.1097","volume":"27","author":[{"given":"Ryukyung","family":"Lee","sequence":"first","affiliation":[{"name":"Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heontak","family":"Ha","sequence":"additional","affiliation":[{"name":"Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Seok","family":"Han","sequence":"additional","affiliation":[{"name":"Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Kyu","family":"Jung","sequence":"additional","affiliation":[{"name":"Internal Medicine, Kyungpook National University School of Medicine, Jung-gu, Daegu, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Min","family":"Chun","sequence":"additional","affiliation":[{"name":"Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20240221","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1007\/s00464-015-4273-z","article-title":"Surgeons, ERCP, and laparoscopic common bile duct exploration: do we need a standard approach for common bile duct stones?","volume":"30","author":"Baucom","year":"2016","journal-title":"Surg Endosc"},{"key":"R2-20240221","doi-asserted-by":"crossref","first-page":"2235","DOI":"10.1007\/s00268-015-3076-7","article-title":"Impact of preoperative ERCP on laparoscopic cholecystectomy: a case-controlled study with propensity score matching","volume":"39","author":"Ann","year":"2015","journal-title":"World J Surg"},{"key":"R3-20240221","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1002\/bjs.5406","article-title":"Conversion of elective laparoscopic cholecystectomy to open cholecystectomy between 1993 and 2004","volume":"93","author":"Ishizaki","year":"2006","journal-title":"Br J Surg"},{"key":"R4-20240221","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s00534-006-1153-x","article-title":"Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis: Tokyo guidelines","volume":"14","author":"Miura","year":"2007","journal-title":"J Hepatobiliary Panceat Surg"},{"key":"R5-20240221","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.jvir.2010.01.012","article-title":"Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy","volume":"21","author":"Saad","year":"2010","journal-title":"J Vasc Interv Radiol"},{"key":"R6-20240221","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1007\/s00534-006-1159-4","article-title":"Diagnostic criteria and severity assessment of acute cholecystitis: Tokyo guidelines","volume":"14","author":"Hirota","year":"2007","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"R7-20240221","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1007\/s00534-006-1156-7","article-title":"Diagnostic criteria and severity assessment of acute cholangitis: Tokyo guidelines","volume":"14","author":"Wada","year":"2007","journal-title":"J Hepatobiliary Panceat Surg"},{"key":"R8-20240221","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1136\/gutjnl-2012-302779","article-title":"Acute Pancreatitis Classification Working Group Classification of acute pancreatitis-2012: revision of the Atlanta classification and definitions by international consensus","volume":"62","author":"Banks","year":"2013","journal-title":"Gut"},{"key":"R9-20240221","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1136\/gut.2007.121657","article-title":"Guidelines on the management of common bile duct stones (CBDS)","volume":"57","author":"Williams","year":"2008","journal-title":"Gut"},{"key":"R10-20240221","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1007\/s00464-001-9094-6","article-title":"Fundus first laparoscopic cholecystectomy","volume":"16","author":"Mahmud","year":"2002","journal-title":"Surg Endosc"},{"key":"R11-20240221","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.jamcollsurg.2009.09.034","article-title":"General surgical operative duration is associated with increased risk-adjusted infectious complication rates and length of hospital stay","volume":"210","author":"Procter","year":"2010","journal-title":"J Am Coll Surg"},{"key":"R12-20240221","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/S0140-6736(02)09896-3","article-title":"Wait-and-see policy or laparoscopic cholecystectomy after endoscopic sphincterotomy for bile duct stones: a randomized trial","volume":"360","author":"Boerma","year":"2002","journal-title":"Lancet"},{"key":"R13-20240221","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.surg.2015.05.005","article-title":"Perioperative outcomes of delayed laparoscopic cholecystectomy for acute calculous cholecystitis with and without percutaneous cholecystostomy","volume":"158","author":"Mizrahi","year":"2015","journal-title":"Surgery"},{"key":"R14-20240221","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1097\/SLE.0b013e318188e2fe","article-title":"Impact of delayed laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage for patients with complicated acute cholecystitis","volume":"19","author":"Kim","year":"2009","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"R15-20240221","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s00464-010-1185-9","article-title":"Elective laparoscopic cholecystectomy in the presence of common bile duct stent","volume":"25","author":"Nair","year":"2011","journal-title":"Surg Endosc"},{"key":"R16-20240221","doi-asserted-by":"crossref","first-page":"4620","DOI":"10.1007\/s00464-013-3082-5","article-title":"Does prophylactic stent insertion to the common bile duct during endoscopic retrograde cholangiopancreatography (ERCP) before cholecystectomy have any impact on the rate of biliary complications?","volume":"27","author":"Verzhbitsky","year":"2013","journal-title":"Surg Endosc"},{"key":"R17-20240221","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1007\/s00464-004-2206-3","article-title":"Conversion rate of laparoscopic cholecystectomy after endoscopic retrograde cholangiography in the treatment of choledocholithiasis. Does the time interval matter?","volume":"19","author":"de Vries","year":"2005","journal-title":"Surg Endosc"},{"key":"R18-20240221","doi-asserted-by":"crossref","first-page":"2315","DOI":"10.1053\/j.gastro.2010.02.052","article-title":"Early laparoscopic cholecystectomy improves outcomes after endoscopic sphincterotomy for choledochocystolithiasis","volume":"138","author":"Reinders","year":"2010","journal-title":"Gastroenterology"},{"key":"R19-20240221","doi-asserted-by":"crossref","first-page":"5388","DOI":"10.1007\/s00464-016-4895-9","article-title":"Anticipation of complications after laparoscopic cholecystectomy: prediction of individual outcome","volume":"30","author":"Donkervoort","year":"2016","journal-title":"Surg Endosc"},{"key":"R20-20240221","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/j.surg.2012.11.012","article-title":"Laparoscopic cholecystectomy in the cirrhotic patient: predictors of outcome","volume":"153","author":"Quillin","year":"2013","journal-title":"Surgery"},{"key":"R21-20240221","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.1007\/s00464-010-1453-8","article-title":"The quality of cholecystectomy in Denmark: outcome and risk factors for 20,307 patients from the national database","volume":"25","author":"Harboe","year":"2011","journal-title":"Surg Endosc"}],"container-title":["Surgical Laparoscopy, Endoscopy &amp; Percutaneous Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00129689-201712000-00015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T05:00:51Z","timestamp":1708491651000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00129689-201712000-00015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/sle.0000000000000461","relation":{},"ISSN":["1530-4515"],"issn-type":[{"value":"1530-4515","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}