{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:44:54Z","timestamp":1787013894123,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"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":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2023,10]]},"abstract":"Abstract<\/jats:title>\n \n Purpose<\/jats:title>\n Textbook outcome (TO) is a novel composite measure of clinical outcomes that can be used to measure the quality of surgical outcomes. The aim of this cohort study was to propose TO criteria for laparoscopic cholecystectomy for acute cholecystitis and to identify reasons for TO failure and individual patient factors that predispose to failure.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We retrospectively analyzed data for 189 patients with acute cholecystitis who underwent laparoscopic cholecystectomy. TO was defined as laparoscopic cholecystectomy without conversion to open cholecystectomy, intraoperative complications, postoperative complications (Clavien\u2013Dindo classification \u22652), prolonged length of stay (\u226510\u2009days), readmission within 30\u2009days, or mortality.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n TO was achieved in 154 of 189 patients who underwent laparoscopic cholecystectomy for acute cholecystitis. Medical costs were lower in the TO\u2010achieved group than in the TO\u2010failure group. Factors associated with TO failure on multivariate analysis were age\u2009>\u200970\u2009years, hemoglobin <11.9\u2009g\/dL, and white blood cells >18\u2009000 \/ \u03bcL (all\n P<\/jats:italic>\n \u2009<\u2009.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Applying TO to patients with acute cholecystitis allowed us to evaluate the overall quality of care related to hospitalization. TO may provide better assessment of the quality of care and help determine the treatment choice and reduce costs.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ases.13238","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T03:54:35Z","timestamp":1690862075000},"page":"741-746","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Textbook outcome in the laparoscopic cholecystectomy of acute cholecystitis"],"prefix":"10.1111","volume":"16","author":[{"given":"Norifumi","family":"Iseda","sequence":"first","affiliation":[{"name":"Department of Surgery Saiseikai Fukuoka General Hospital Fukuoka Japan"},{"name":"Department of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka 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