{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:06:29Z","timestamp":1790003189059,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T00:00:00Z","timestamp":1766275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T00:00:00Z","timestamp":1766275200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Tokyo Guidelines 2018 recommend early laparoscopic cholecystectomy for acute cholecystitis once the diagnosis is made. In surgical high\u2010risk patients, however, initial management with antibiotics and gallbladder drainage is advised, followed by standby surgery. The optimal timing of standby surgery after percutaneous transhepatic gallbladder drainage remains unclear. This study aimed to evaluate the timing of standby cholecystectomy after gallbladder drainage in surgical high\u2010risk patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed 97 patients who underwent cholecystectomy after percutaneous transhepatic gallbladder drainage between January 2019 and July 2024 at our hospital. Patients were classified as surgical high\u2010risk (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200956) or low\u2010risk (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200941) according to the Tokyo Guidelines 2018. In the high\u2010risk group, both the total cohort and a propensity score\u2010matched cohort (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922) were analyzed, comparing an early group (surgery within 7\u2009days after gallbladder drainage) and a delay group (surgery \u2265\u20098\u2009days); patients with Grade III acute cholecystitis were excluded before matching. Clinical characteristics and surgical outcomes were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the total cohort, C\u2010reactive protein levels at initial presentation were significantly higher in the delay group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). All patients with Grade III acute cholecystitis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099) were included in the delay group. In the matched cohort, surgical outcomes did not differ significantly between groups. However, total hospitalization was significantly shorter in the early group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In surgical high\u2010risk patients, standby surgery within 7\u2009days after percutaneous transhepatic gallbladder drainage may be preferable, as it shortens hospitalization without compromising surgical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70219","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T01:39:26Z","timestamp":1766367566000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Optimal Timing of Laparoscopic Cholecystectomy After Percutaneous Transhepatic Gallbladder Drainage in High\u2010Risk Acute Cholecystitis"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2760-5351","authenticated-orcid":false,"given":"Yutaro","family":"Nakagawa","sequence":"first","affiliation":[{"name":"Department of Surgery Fukuoka Tokushukai Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuhei","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuoka Tokushukai Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuminori","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuoka Tokushukai Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Ureshino","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuoka Tokushukai Hospital  Fukuoka 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Tokushukai Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuzo","family":"Hanaoka","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuoka Tokushukai Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhito","family":"Hosoda","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuoka Tokushukai Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuoka Tokushukai Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazune","family":"Komiya","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuoka Tokushukai Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Maki","sequence":"additional","affiliation":[{"name":"Department 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