{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:35:05Z","timestamp":1747226105397,"version":"3.40.5"},"reference-count":13,"publisher":"Galenos Yayinevi","issue":"1","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk J Surg"],"accepted":{"date-parts":[[2022,1,17]]},"published-print":{"date-parts":[[2022,3,1]]},"abstract":"<jats:p><jats:bold>Objective:<\/jats:bold> Complex gallstone disease is associated with a higher risk of complication during laparoscopic cholecystectomy than biliary colic and simple cholecystitis. It is traditionally managed in a hepatopancreaticobiliary (HPB) unit where there is expertise for common bile duct exploration and repair. We developed a mentorship scheme for a busy upper gastro-intestinal (UGI) unit, with support from a specialist HPB unit to treat complex gallstone disease, to reduce the burden on the HPB unit and enable local treatment of patients.<\/jats:p>\n                    <jats:p><jats:bold>Material and Methods:<\/jats:bold> Through the creation of a service level agreement, the specialist HPB unit were commissioned to provide mentorship for two surgeons at a large UGI unit with an interest in providing a complex gallstone service to their local population. Eight sessions of mentored operating were supported, with the provision for additional support if complications occurred.<\/jats:p>\n                    <jats:p><jats:bold>Results:<\/jats:bold> There were 14 patients included in the mentorship phase of the programme from November 2015 to May 2017. Cholecystectomies were performed on patients with previously complex histories, which included: previous cholecystostomy; CBD stones and multiple ERCPs; suspected choledochoduodenal fistula; suspected cholecystoduodenal fistula; suspected Mirrizzi\u2019s syndrome; previous significant intra-abdominal operation; and significant medical co-morbidities. There was one post-operative complication requiring a return to theatre, and one minor wound infection associated with the complex gallstone lists.<\/jats:p>\n                    <jats:p><jats:bold>Conclusion:<\/jats:bold> We demonstrated a method to reduce the burden on specialist HPB unit for the operative management of complex gallstone disease and safely implement such a service at large UGI unit with an interest in providing a complex gallstone service.<\/jats:p>","DOI":"10.47717\/turkjsurg.2022.5559","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T15:28:06Z","timestamp":1648567686000},"page":"81-85","source":"Crossref","is-referenced-by-count":0,"title":["Setting up a surgical complex gallstone service in a non-HPB unit"],"prefix":"10.47717","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0590-2153","authenticated-orcid":false,"given":"Siobhan","family":"Mckay","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2082-2813","authenticated-orcid":false,"given":"Jonathan","family":"Super","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0640-3535","authenticated-orcid":false,"given":"Ravi","family":"Marudanayagam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5144-4344","authenticated-orcid":false,"given":"Markos","family":"Daskalakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7357-4417","authenticated-orcid":false,"given":"Rajwinder","family":"Nijjar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5520-0734","authenticated-orcid":false,"given":"John","family":"Isaac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4447-5951","authenticated-orcid":false,"given":"Martin","family":"Richardson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2797-2569","authenticated-orcid":false,"given":"Rishi","family":"Singhal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2811","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"ref-1","unstructured":"Woolf N. 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J Hepatobiliary Pancreat Sci 2018; 25: 55-72. https:\/\/doi.org\/10.1002\/jhbp.516","DOI":"10.1002\/jhbp.516"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Pankaj RG, Zahir SF, Hugh GW. Medicolegal costs of bile duct injuries incurred during laparoscopic cholecystectomy. HPB 2009; 11(2): 130- 4. https:\/\/doi.org\/10.1111\/j.1477-2574.2008.00023.x","DOI":"10.1111\/j.1477-2574.2008.00023.x"}],"container-title":["Turkish Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/turkjsurg.com\/full-text-pdf\/1837\/eng","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/turkjsurg.com\/full-text-pdf\/1837\/eng","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T06:06:02Z","timestamp":1741068362000},"score":1,"resource":{"primary":{"URL":"https:\/\/turkjsurg.com\/articles\/doi\/turkjsurg.2022.5559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,1]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,3,1]]}},"URL":"https:\/\/doi.org\/10.47717\/turkjsurg.2022.5559","relation":{},"ISSN":["2564-6850","2564-7032"],"issn-type":[{"type":"print","value":"2564-6850"},{"type":"electronic","value":"2564-7032"}],"subject":[],"published":{"date-parts":[[2022,3,1]]}}}