{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T18:02:22Z","timestamp":1788458542131,"version":"build-2803163510"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Emerg Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This commentary addresses the recent research titled \u201cComparing percutaneous treatment and cholecystectomy outcomes in acute cholecystitis patients: a systematic review and meta-analysis\u201d published in the\n                    <jats:italic>World Journal of Emergency Surgery<\/jats:italic>\n                    . The review confirms that cholecystectomy (CC), particularly laparoscopic, is associated with lower mortality and readmission rates compared to percutaneous cholecystostomy (PC). However, this commentary emphasizes that the interpretation of these findings must account for inherent selection bias: in clinical practice, PC is typically reserved for higher-risk patients who are unfit for immediate surgery. Thus, the observed outcome differences partially reflect disparities in baseline risk rather than therapeutic efficacy alone. The review\u2019s true value lies in reinforcing early CC as the standard of care for suitable patients and clarifying the role of PC as a \u201cbridge therapy\u201d to stabilize patients for subsequent definitive surgery. Future research should focus on optimizing risk stratification and timing of delayed CC after PC.\n                  <\/jats:p>","DOI":"10.1186\/s13017-026-00671-5","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T10:26:50Z","timestamp":1770978410000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Percutaneous vs. surgical management in acute cholecystitis: addressing selection bias in meta-analyses"],"prefix":"10.1186","volume":"21","author":[{"given":"Ling","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,13]]},"reference":[{"key":"671_CR1","doi-asserted-by":"publisher","unstructured":"Fanciulli G, Favara G, Maugeri A et al. Comparing percutaneous treatment and cholecystectomy outcomes in acute cholecystitis patients: a systematic review and meta-analysis. World J Emerg Surg. 2025;20(1):50. DIO: https:\/\/doi.org\/10.1186\/s13017-025-00622-6","DOI":"10.1186\/s13017-025-00622-6"},{"key":"671_CR2","doi-asserted-by":"publisher","unstructured":"Lam V, Loon MM, Alrawe M, Abougendy IS, Ali M. Comparative Predictive Accuracy of ASA, POSSUM, and NSQIP Risk Scoring Systems in Major Abdominal Surgeries: a systematic review. Cureus. 2025;17(6):e85572. DIO: https:\/\/doi.org\/10.7759\/cureus.85572","DOI":"10.7759\/cureus.85572"},{"key":"671_CR3","doi-asserted-by":"publisher","unstructured":"Kivrak S, Haller G. Scores for preoperative risk evaluation of postoperative mortality. Best Pract Res Clin Anaesthesiol. 2021;35(1):115\u2013134. DIO: https:\/\/doi.org\/10.1016\/j.bpa.2020.12.005","DOI":"10.1016\/j.bpa.2020.12.005"},{"key":"671_CR4","doi-asserted-by":"publisher","unstructured":"Alius C, Serban D, Tribus LC et al. When Not to Operate on Acute Cases-A Surgeon\u2019s Perspective on Rapid Assessment of Emergency Abdominopelvic Computed Tomography. J Imaging. 2023;9(10). DIO: https:\/\/doi.org\/10.3390\/jimaging9100200","DOI":"10.3390\/jimaging9100200"},{"key":"671_CR5","doi-asserted-by":"publisher","unstructured":"Khan SM, Emile SH, Barsom SH, Naqvi SAA, Khan MS. Accuracy of pre-operative parameters in predicting severe cholecystitis-A systematic review. Surgeon. 2021;19(4):219\u2013225. DIO: https:\/\/doi.org\/10.1016\/j.surge.2020.06.010","DOI":"10.1016\/j.surge.2020.06.010"},{"key":"671_CR6","doi-asserted-by":"publisher","unstructured":"Cirocchi R, Cozza V, Sapienza P et al. Percutaneous cholecystostomy as bridge to surgery vs surgery in unfit patients with acute calculous cholecystitis: a systematic review and meta-analysis. Surgeon. 2023;21(4):e201-e223. DIO: https:\/\/doi.org\/10.1016\/j.surge.2022.12.003","DOI":"10.1016\/j.surge.2022.12.003"},{"key":"671_CR7","doi-asserted-by":"publisher","unstructured":"Bekraki A, Isik AL, Aydin O et al. The influence of percutaneous cholecystostomy duration on optimizing surgical outcomes and timing of interval cholecystectomy in ASA II patients with grade II-III acute calculous cholecystitis. Langenbecks Arch Surg. 2025;410(1):283. 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