{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:22:35Z","timestamp":1762431755201},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"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":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic cholecystectomy (LC) is often performed during the index admission after emergency presentation for acute biliary pain. Many patients have acute cholecystitis (AC) that may increase operative difficulty and complications. Our primary aim was to assess the validity of Tokyo Guidelines (TG18) for diagnosing AC by comparison with the admitting team diagnosis, operative findings and histopathology. The secondary aim was to assess outcomes after same\u2010admission or delayed LC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of patients who underwent LC after presenting to a tertiary hospital emergency department over a 12\u2010month period was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 139 patients underwent LC with no mortality or bile duct injury. A diagnosis of AC made by the admitting surgical team had sensitivity of 84% and specificity of 57%. The TG18 diagnosis had sensitivity of 84% and specificity of 53%. A diagnosis of AC by the admitting surgical team correlated well with TG18 criteria diagnosis. There was poor correlation between clinical and histopathological diagnoses. Nine percent of patients had complications and 4% required conversion to open procedure. Patients with a clinical diagnosis of AC had longer post\u2010operative length of stay and more complications compared with those who had non\u2010AC diagnosis. There was no difference in outcomes between same\u2010admission LC or delayed LC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TG18 diagnosis of AC does not improve accuracy of diagnosis or predictability of a poor outcome over the admitting surgical team diagnosis. Same\u2010admission LC for patients with AC is associated with similar outcomes compared to those who undergo delayed LC.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15603","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T08:11:35Z","timestamp":1576570295000},"page":"295-299","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Acute cholecystitis or simple biliary colic after an emergency presentation: why it matters"],"prefix":"10.1111","volume":"90","author":[{"given":"Chu Luan","family":"Nguyen","sequence":"first","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital and North Shore Private Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aafke","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Department of Surgery Radboud University Medical Centre  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garett","family":"Smith","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital and North Shore Private Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Surgery, Northern Clinical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Leibman","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital and North Shore Private Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anubhav","family":"Mittal","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital and North Shore Private Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Surgery, Northern Clinical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Albania","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital and North Shore Private Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"de Reuver","sequence":"additional","affiliation":[{"name":"Department of Surgery Radboud University Medical Centre  Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Hugh","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital and North Shore Private Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Surgery, Northern Clinical School The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800761105"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050640615606012"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900274"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-006-1159-4"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.515"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.516"},{"key":"e_1_2_6_8_1","first-page":"CD005440","article-title":"Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis","author":"Gurusamy KS","year":"2013","journal-title":"Cochrane Database Syst. 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