{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:21:14Z","timestamp":1740126074690,"version":"3.37.3"},"reference-count":19,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2017,6,6]],"date-time":"2017-06-06T00:00:00Z","timestamp":1496707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2017,7]]},"abstract":"Background<\/jats:title>Index cholecystectomy (IC<\/jats:styled-content>) refers to an operation during a patient's first hospital admission with symptomatic gallstone (GS<\/jats:styled-content>) disease. There are proven reductions in cost, hospital bed days and GS<\/jats:styled-content>\u2010related complications while awaiting elective surgery. IC<\/jats:styled-content> has not been universally adopted, particularly in smaller centres where logistics can present a barrier. The aim of this paper is to describe the introduction of routine IC<\/jats:styled-content> at Hastings Hospital and the effects in terms of waiting time until surgery; GS<\/jats:styled-content>\u2010related re\u2010presentations and complications while awaiting surgery; operative complications and overall hospital stay.<\/jats:p><\/jats:sec>Methods<\/jats:title>Data were collected for all patients who underwent cholecystectomy in the year following the introduction of IC<\/jats:styled-content> (2015\/2016). The results were compared with data from the year 2009\/2010.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 259 cholecystectomies were performed over the 2015\/2016 study period compared with 186 in the 2009\/2010 study period. The IC<\/jats:styled-content> rate increased from 9.89% in 2009 to 75.4% in 2015 (P<\/jats:italic>\u2009<\u20090.001). The incidence of GS pancreatitis whilst waiting for surgery reduced from six in 2009 compared with one in 2015 (P<\/jats:italic>\u2009=\u20090.046). The operative complications were similar in both groups. Total hospital stay was also similar.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The study shows that it is possible to perform IC<\/jats:styled-content> in a rural setting reducing complications of waiting and in particular, rates of GS<\/jats:styled-content>\u2010related pancreatitis were significantly reduced. It can be done safely with an accommodating acute on\u2010call system.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14072","type":"journal-article","created":{"date-parts":[[2017,6,7]],"date-time":"2017-06-07T00:22:47Z","timestamp":1496794967000},"page":"565-568","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Index cholecystectomy in a rural hospital: it can be done"],"prefix":"10.1111","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3239-1256","authenticated-orcid":false,"given":"Jay","family":"Maloney","sequence":"first","affiliation":[{"name":"Hawke's Bay Fallen Soldiers' Memorial Hospital Hawke's Bay District Health Board Hastings New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"McLachlan","sequence":"additional","affiliation":[{"name":"Hawke's Bay Fallen Soldiers' Memorial Hospital Hawke's Bay District Health Board Hastings New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Welch","sequence":"additional","affiliation":[{"name":"Hawke's Bay Fallen Soldiers' Memorial Hospital Hawke's Bay District Health Board Hastings New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Davenport","sequence":"additional","affiliation":[{"name":"Hawke's Bay Fallen Soldiers' Memorial Hospital Hawke's Bay District Health Board Hastings New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,6]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800621025"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(00)00520-1"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02826.x"},{"key":"e_1_2_5_5_1","first-page":"U2844","article-title":"A follow\u2010up to the management of acute biliary disease at a major New Zealand metropolitan hospital","volume":"120","author":"Sakowska M","year":"2007","journal-title":"N. Z. Med. J."},{"key":"e_1_2_5_6_1","first-page":"48","article-title":"Timely cholecystectomy for acute gallstone disease: an ongoing challenge in a New Zealand provincial centre","volume":"127","author":"Welch MJ","year":"2014","journal-title":"N. Z. Med. J."},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-005-2998-3"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010326"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1996.01430160040007"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-7871-4"},{"key":"e_1_2_5_11_1","first-page":"53","article-title":"Index cholecystectomy: a continuing challenge for a provincial hospital","volume":"126","author":"Sakowska M","year":"2013","journal-title":"N. Z. Med. J."},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477-2574.2011.00345.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2008.04647.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02561.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2013.218"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182a5cf36"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.12.031"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-015-2909-x"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003327.pub3"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinre.2015.02.002"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.14072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.14072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T16:08:08Z","timestamp":1695485288000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.14072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,6]]},"references-count":19,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1111\/ans.14072"],"URL":"https:\/\/doi.org\/10.1111\/ans.14072","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2017,6,6]]},"assertion":[{"value":"2017-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-04-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-06-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}