{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T05:40:54Z","timestamp":1696398054631},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,7,11]],"date-time":"2013-07-11T00:00:00Z","timestamp":1373500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Laparoscopic cholecystectomy (<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ap\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>) is a standard surgery for symptomatic gallbladder stones and acute or chronic cholecystitis. Resident surgeons often perform this operation early in their training, but they sometimes encounter difficulties for various technical reasons. Although encountering a gallbladder buried deep within the gallbladder bed is a common operative difficulty, literature on the subject scarcely exists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010two patients underwent <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ap\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> at our hospitals and were analyzed retrospectively. We defined the gallbladder bed pocket score (<jats:styled-content style=\"fixed-case\">GBPS<\/jats:styled-content>) as the maximum ratio between the height and width of the gallbladder bed measured based on multi\u2010detector computed tomography (<jats:styled-content style=\"fixed-case\">MDCT<\/jats:styled-content>) images. <jats:styled-content style=\"fixed-case\">GBPS<\/jats:styled-content> and clinical factors were assessed in terms of their correlation with the time required for gallbladder dissection from the gallbladder bed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 42 patients, 20 had histories of acute or chronic cholecystitis. The mean gallbladder dissection time was 14.9\u2009min, and the mean <jats:styled-content style=\"fixed-case\">GBPS<\/jats:styled-content> was 0.43 in the coronal <jats:styled-content style=\"fixed-case\">MDCT<\/jats:styled-content> section and 0.56 in the sagittal section. The correlation coefficient between the <jats:styled-content style=\"fixed-case\">GBPS<\/jats:styled-content> and gallbladder dissection time was 0.40 (<jats:italic>P<\/jats:italic>\u2009=\u20090.01) in the coronal section and 0.38 (<jats:italic>P<\/jats:italic>\u2009=\u20090.02) in the sagittal section of the <jats:styled-content style=\"fixed-case\">MDCT<\/jats:styled-content> images. There was no statistically significant correlation between gallbladder dissection time and the surgeon's experience, patient's history of cholecystitis, gallstone size, or blood loss. However, <jats:styled-content style=\"fixed-case\">GBPS<\/jats:styled-content>\u2009&gt;\u20090.4 predicted more difficult and prolonged dissection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">GBPS<\/jats:styled-content> is a useful tool for preoperatively predicting the time needed to dissect the gallbladder from the gallbladder bed during <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ap\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>. Cases with <jats:styled-content style=\"fixed-case\">GBPS<\/jats:styled-content>\u2009&lt;\u20090.4 seem more suitable for resident surgeons who are performing gallbladder dissection early in their <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ap\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> training.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12051","type":"journal-article","created":{"date-parts":[[2013,7,11]],"date-time":"2013-07-11T09:21:11Z","timestamp":1373534471000},"page":"285-291","source":"Crossref","is-referenced-by-count":2,"title":["Gallbladder bed pocket score as a preoperative measure for assessing the difficulty of laparoscopic cholecystectomy"],"prefix":"10.1111","volume":"6","author":[{"given":"Kenta","family":"Shinozaki","sequence":"first","affiliation":[{"name":"Department of Surgery Division of Hepato\u2010Biliary\u2010Pancreatic Surgery Kobe University Graduate School of Medicine  Kobe 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