{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T22:11:45Z","timestamp":1755036705592,"version":"3.32.0"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T00:00:00Z","timestamp":1729036800000},"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":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Access to laparoscopic cholecystectomy is more limited for remote communities and Indigenous patients internationally. To date, studies exploring the incidence of gallstone disease and access to laparoscopic cholecystectomy in Australian regional communities are limited. This study examined the rates and outcomes of emergency laparoscopic cholecystectomy (EMLC) in Far North Queensland, specifically in Indigenous and remote populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We retrospectively examined all patients who underwent an EMLC at Cairns Hospital between 2016 and 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over the study period, 634 EMLCs were undertaken. The average annual rate of 56 cases per 100\u2009000 was considerably lower than national estimates. However, rates of EMLC were significantly higher in remote communities and Indigenous patients compared with the remaining cohort. Patients from remote communities were more likely to have pre\u2010existing gallstone disease but were less likely to have been seen in a surgical outpatient clinic prior to admission. Despite this, surgical outcomes for EMLC were comparable to national and international standards.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights the challenges in surgical healthcare provision for gallstone disease in a regional centre. The requirement for EMLC disproportionately effects geographically isolated communities and Australian Indigenous people. Addressing the healthcare barriers to management of GD in regional Australia should be a priority.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19277","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T10:07:06Z","timestamp":1729073226000},"page":"2206-2212","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A review of emergency laparoscopic cholecystectomies in <scp>F<\/scp>ar North Queensland"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1717-677X","authenticated-orcid":false,"given":"Emily","family":"Sawyer","sequence":"first","affiliation":[{"name":"Department of Surgery Cairns and Hinterland Hospital and Health Service  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Buschel","sequence":"additional","affiliation":[{"name":"Department of Surgery Cairns and Hinterland Hospital and Health Service  Cairns Queensland Australia"},{"name":"School of Medicine and Dentistry James Cook University  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8796-2290","authenticated-orcid":false,"given":"Hannah","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Surgery Cairns and Hinterland Hospital and Health Service  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Mouline","sequence":"additional","affiliation":[{"name":"Department of Surgery Cairns and Hinterland Hospital and Health Service  Cairns Queensland Australia"},{"name":"School of Medicine and Dentistry James Cook University  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxanne","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Surgery Cairns and Hinterland Hospital and Health Service  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2016.24"},{"key":"e_1_2_8_3_1","first-page":"48","article-title":"The effect of rurality and ethnicity in patients with acute cholecystitis in Northland, New Zealand","volume":"135","author":"Kau N","year":"2022","journal-title":"N. 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