{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T12:32:34Z","timestamp":1769171554682,"version":"3.49.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,22]]},"DOI":"10.7759\/cureus.102086","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T20:23:31Z","timestamp":1769113411000},"source":"Crossref","is-referenced-by-count":0,"title":["A Time-Based and Clinical Status Stratified Protocol for Major Bile Duct Injury After Cholecystectomy: Retrospective, Single-Center Outcomes From a Resource-Limited Setting"],"prefix":"10.7759","author":[{"given":"Ahmed","family":"Ateik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saif A","family":"Ghabisha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lamia","family":"Abdulmughni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fares","family":"Awn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2019.08.005","article-title":"Outcomes of surgery for post-cholecystectomy bile duct injuries: An audit from a tertiary referral center","volume":"157","author":"Ray S","year":"2020","unstructured":"Ray S, Sanyal S, Das S, Jana K, Das AK, Khamrui S. Outcomes of surgery for post-cholecystectomy bile duct injuries: An audit from a tertiary referral center. J Visc Surg. 2020, 157:3-11. 10.1016\/j.jviscsurg.2019.08.005","journal-title":"J Visc Surg"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002258","article-title":"Long-term impact of bile duct injury on morbidity, mortality, quality of life, and work related limitations","volume":"268","author":"Booij KA","year":"2018","unstructured":"Booij KA, de Reuver PR, van Dieren S, et al.. Long-term impact of bile duct injury on morbidity, mortality, quality of life, and work related limitations. Ann Surg. 2018, 268:143-50. 10.1097\/SLA.0000000000002258","journal-title":"Ann Surg"},{"key":"ref3","article-title":"An analysis of the problem of biliary injury during laparoscopic cholecystectomy","volume":"180","author":"Strasberg SM","year":"1995","unstructured":"Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995, 180:101-25.","journal-title":"J Am Coll Surg"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/01.SLA.0000060680.92690.E9","article-title":"Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective","volume":"237","author":"Way LW","year":"2003","unstructured":"Way LW, Stewart L, Gantert W, Liu K, Lee CM, Whang K, Hunter JG. Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg. 2003, 237:460-9. 10.1097\/01.SLA.0000060680.92690.E9","journal-title":"Ann Surg"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003791","article-title":"Safe cholecystectomy multi-society practice guideline and state of the art consensus conference on prevention of bile duct injury during cholecystectomy","volume":"272","author":"Brunt LM","year":"2020","unstructured":"Brunt LM, Deziel DJ, Telem DA, et al.. Safe cholecystectomy multi-society practice guideline and state of the art consensus conference on prevention of bile duct injury during cholecystectomy. Ann Surg. 2020, 272:3-23. 10.1097\/SLA.0000000000003791","journal-title":"Ann Surg"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.4254\/wjh.v14.i2.442","article-title":"Timing of surgical repair of bile duct injuries after laparoscopic cholecystectomy: a systematic review","volume":"14","author":"Kambakamba P","year":"2022","unstructured":"Kambakamba P, Cremen S, M\u00f6ckli B, Linecker M. Timing of surgical repair of bile duct injuries after laparoscopic cholecystectomy: a systematic review. World J Hepatol. 2022, 14:442-55. 10.4254\/wjh.v14.i2.442","journal-title":"World J Hepatol"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.53507","article-title":"Optimal timing of surgical repair after bile duct injury: a systematic review and meta-analysis","volume":"16","author":"Manivasagam SS","year":"2024","unstructured":"Manivasagam SS, Chandra J N, Khera D, Aradhya PS, Hiremath AM. Optimal timing of surgical repair after bile duct injury: a systematic review and meta-analysis. Cureus. 2024, 16:e53507. 10.7759\/cureus.53507","journal-title":"Cureus"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-023-01611-7","article-title":"Bile duct injury after cholecystectomy: timing of surgical repair should be based on clinical presentation. The experience of a tertiary referral center with Hepp-Couinaud hepatico-jejunostomy","volume":"75","author":"Giuliante F","year":"2023","unstructured":"Giuliante F, Panettieri E, De Rose AM, et al.. Bile duct injury after cholecystectomy: timing of surgical repair should be based on clinical presentation. The experience of a tertiary referral center with Hepp-Couinaud hepatico-jejunostomy. Updates Surg. 2023, 75:1509-17. 10.1007\/s13304-023-01611-7","journal-title":"Updates Surg"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.hbpd.2020.10.001","article-title":"Impact of referral pattern and timing of repair on surgical outcome after reconstruction of post-cholecystectomy bile duct injury: a multicenter study","volume":"20","author":"El Nakeeb A","year":"2021","unstructured":"El Nakeeb A, Sultan A, Ezzat H, et al.. Impact of referral pattern and timing of repair on surgical outcome after reconstruction of post-cholecystectomy bile duct injury: a multicenter study. Hepatobiliary Pancreat Dis Int. 2021, 20:53-60. 10.1016\/j.hbpd.2020.10.001","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318208fad3","article-title":"Specialist early and immediate repair of post-laparoscopic cholecystectomy bile duct injuries is associated with an improved long-term outcome","volume":"253","author":"Perera MT","year":"2011","unstructured":"Perera MT, Silva MA, Hegab B, et al.. Specialist early and immediate repair of post-laparoscopic cholecystectomy bile duct injuries is associated with an improved long-term outcome. Ann Surg. 2011, 253:553-60. 10.1097\/SLA.0b013e318208fad3","journal-title":"Ann Surg"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001868","article-title":"Timing of surgical repair after bile duct injury impacts postoperative complications but not anastomotic patency","volume":"264","author":"Dominguez-Rosado I","year":"2016","unstructured":"Dominguez-Rosado I, Sanford DE, Liu J, Hawkins WG, Mercado MA. Timing of surgical repair after bile duct injury impacts postoperative complications but not anastomotic patency. Ann Surg. 2016, 264:544-53. 10.1097\/SLA.0000000000001868","journal-title":"Ann Surg"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-006-1126-0","article-title":"Recurrent bile duct stricture: causes and long-term results of surgical management","volume":"14","author":"Pottakkat B","year":"2007","unstructured":"Pottakkat B, Sikora SS, Kumar A, Saxena R, Kapoor VK. Recurrent bile duct stricture: causes and long-term results of surgical management. J Hepatobiliary Pancreat Surg. 2007, 14:171-6. 10.1007\/s00534-006-1126-0","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.05.015","article-title":"Risk factors for anastomotic stricture after hepaticojejunostomy for bile duct injury-a systematic review and meta-analysis","volume":"170","author":"Halle-Smith JM","year":"2021","unstructured":"Halle-Smith JM, Hall LA, Mirza DF, Roberts KJ. Risk factors for anastomotic stricture after hepaticojejunostomy for bile duct injury-a systematic review and meta-analysis. Surgery. 2021, 170:1310-6. 10.1016\/j.surg.2021.05.015","journal-title":"Surgery"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2022.03.003","article-title":"Surgical reconstruction of major bile duct injuries: long-term results and risk factors for restenosis","volume":"21","author":"Tekant Y","year":"2023","unstructured":"Tekant Y, Serin KR, \u0130bi\u015f AC, Ekiz F, Bayg\u00fcl A, \u00d6zden \u0130. Surgical reconstruction of major bile duct injuries: long-term results and risk factors for restenosis. Surgeon. 2023, 21:e32-41. 10.1016\/j.surge.2022.03.003","journal-title":"Surgeon"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.07.003","article-title":"Long-term evaluation of biliary reconstruction after partial resection of segments IV and V in iatrogenic injuries","volume":"10","author":"Mercado MA","year":"2006","unstructured":"Mercado MA, Chan C, Orozco H, Villalta JM, Barajas-Olivas A, Era\u00f1a J, Dom\u00ednguez I. Long-term evaluation of biliary reconstruction after partial resection of segments IV and V in iatrogenic injuries. J Gastrointest Surg. 2006, 10:77-82. 10.1016\/j.gassur.2005.07.003","journal-title":"J Gastrointest Surg"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000252442.91839.44","article-title":"Referral pattern and timing of repair are risk factors for complications after reconstructive surgery for bile duct injury","volume":"245","author":"de Reuver PR","year":"2007","unstructured":"de Reuver PR, Grossmann I, Busch OR, Obertop H, van Gulik TM, Gouma DJ. Referral pattern and timing of repair are risk factors for complications after reconstructive surgery for bile duct injury. Ann Surg. 2007, 245:763-70. 10.1097\/01.sla.0000252442.91839.44","journal-title":"Ann Surg"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-025-02708-1","article-title":"Factors associated with delayed referrals of patients with sepsis from primary to tertiary healthcare in Blantyre, Malawi: a qualitative study","volume":"26","author":"Kaimba S","year":"2025","unstructured":"Kaimba S, Umar E. Factors associated with delayed referrals of patients with sepsis from primary to tertiary healthcare in Blantyre, Malawi: a qualitative study. BMC Prim Care. 2025, 26:13. 10.1186\/s12875-025-02708-1","journal-title":"BMC Prim Care"},{"key":"ref18","article-title":"Bile duct injury repairs after laparoscopic cholecystectomy: a five-year experience in a highly specialized community hospital","volume":"85","author":"Arcerito M","year":"2019","unstructured":"Arcerito M, Jamal MM, Nurick HA. Bile duct injury repairs after laparoscopic cholecystectomy: a five-year experience in a highly specialized community hospital. Am Surg. 2019, 85:1150-4.","journal-title":"Am Surg"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-021-00369-w","article-title":"2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy","volume":"16","author":"de'Angelis N","year":"2021","unstructured":"de'Angelis N, Catena F, Memeo R, et al.. 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy. World J Emerg Surg. 2021, 16:30. 10.1186\/s13017-021-00369-w","journal-title":"World J Emerg Surg"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v3.i4.43","article-title":"Classification and management of bile duct injuries","volume":"3","author":"Mercado MA","year":"2011","unstructured":"Mercado MA, Dom\u00ednguez I. Classification and management of bile duct injuries. World J Gastrointest Surg. 2011, 3:43-8. 10.4240\/wjgs.v3.i4.43","journal-title":"World J Gastrointest Surg"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.512","article-title":"Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholangitis (with videos)","volume":"25","author":"Kiriyama S","year":"2018","unstructured":"Kiriyama S, Kozaka K, Takada T, et al.. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholangitis (with videos). J Hepatobiliary Pancreat Sci. 2018, 25:17-30. 10.1002\/jhbp.512","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000624","article-title":"Bile duct injury and litigation in laparoscopic cholecystectomy: a global review of current and future preventative initiatives","volume":"6","author":"Hoang DA","year":"2025","unstructured":"Hoang DA, Liang Y, Pheiffer O, Kaushal D, Wilson RB. Bile duct injury and litigation in laparoscopic cholecystectomy: a global review of current and future preventative initiatives. Ann Surg Open. 2025, 6:e624. 10.1097\/AS9.0000000000000624","journal-title":"Ann Surg Open"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5974-2","article-title":"Outcome trends and safety measures after 30\u00a0years of laparoscopic cholecystectomy: a systematic review and pooled data analysis","volume":"32","author":"Pucher PH","year":"2018","unstructured":"Pucher PH, Brunt LM, Davies N, et al.. Outcome trends and safety measures after 30\u00a0years of laparoscopic cholecystectomy: a systematic review and pooled data analysis. Surg Endosc. 2018, 32:2175-83. 10.1007\/s00464-017-5974-2","journal-title":"Surg Endosc"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.13.1639","article-title":"Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy","volume":"289","author":"Flum DR","year":"2003","unstructured":"Flum DR, Dellinger EP, Cheadle A, Chan L, Koepsell T. Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy. JAMA. 2003, 289:1639-44. 10.1001\/jama.289.13.1639","journal-title":"JAMA"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06842-0","article-title":"Critical view of safety in laparoscopic cholecystectomy: a systematic review of current evidence and future perspectives","volume":"47","author":"Manatakis DK","year":"2023","unstructured":"Manatakis DK, Antonopoulou MI, Tasis N, Agalianos C, Tsouknidas I, Korkolis DP, Dervenis C. Critical view of safety in laparoscopic cholecystectomy: a systematic review of current evidence and future perspectives. World J Surg. 2023, 47:640-8. 10.1007\/s00268-022-06842-0","journal-title":"World J Surg"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-009-0841-7","article-title":"Hepaticojejunostomy vs. end-to-end biliary reconstructions in the treatment of iatrogenic bile duct injuries","volume":"13","author":"Jab\u0142o\u0144ska B","year":"2009","unstructured":"Jab\u0142o\u0144ska B, Lampe P, Olakowski M, G\u00f3rka Z, Lekstan A, Gruszka T. Hepaticojejunostomy vs. end-to-end biliary reconstructions in the treatment of iatrogenic bile duct injuries. J Gastrointest Surg. 2009, 13:1084-93. 10.1007\/s11605-009-0841-7","journal-title":"J Gastrointest Surg"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199608000-00008","article-title":"The long-term outcome of hepaticojejunostomy in the treatment of benign bile duct strictures","volume":"224","author":"Tocchi A","year":"1996","unstructured":"Tocchi A, Costa G, Lepre L, Liotta G, Mazzoni G, Sita A. The long-term outcome of hepaticojejunostomy in the treatment of benign bile duct strictures. Ann Surg. 1996, 224:162-7. 10.1097\/00000658-199608000-00008","journal-title":"Ann Surg"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477-2574.2011.00356.x","article-title":"Transition from a low: to a high-volume centre for bile duct repair: changes in technique and improved outcome","volume":"13","author":"Mercado M\u00c1","year":"2011","unstructured":"Mercado M\u00c1, Franssen B, Dominguez I, et al.. Transition from a low: to a high-volume centre for bile duct repair: changes in technique and improved outcome. HPB (Oxford). 2011, 13:767-73. 10.1111\/j.1477-2574.2011.00356.x","journal-title":"HPB (Oxford)"},{"key":"ref29","article-title":"Management of bile duct injuries following laparoscopic cholecystectomy: long-term outcome and risk factors infuencing biliary reconstruction","volume":"109","author":"Hajjar NA","year":"2014","unstructured":"Hajjar NA, Tomu\u015f C, Mocan L, Mocan T, Graur F, Iancu C, Zaharie F. Management of bile duct injuries following laparoscopic cholecystectomy: long-term outcome and risk factors infuencing biliary reconstruction. Chirurgia (Bucur). 2014, 109:493-9.","journal-title":"Chirurgia (Bucur)"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50321","article-title":"Optimal timing for surgical reconstruction of bile duct injury: meta-analysis","volume":"4","author":"Schreuder AM","year":"2020","unstructured":"Schreuder AM, Nunez Vas BC, Booij KA, van Dieren S, Besselink MG, Busch OR, van Gulik TM. Optimal timing for surgical reconstruction of bile duct injury: meta-analysis. BJS Open. 2020, 4:776-86. 10.1002\/bjs5.50321","journal-title":"BJS Open"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2019.04.003","article-title":"Post cholecystectomy bile duct injury: early, intermediate or late repair with hepaticojejunostomy - an E-AHPBA multi-center study","volume":"21","year":"2019","unstructured":"Post cholecystectomy bile duct injury. early, intermediate or late repair with hepaticojejunostomy - an E-AHPBA multi-center study. HPB (Oxford). 2019, 21:1641-7. 10.1016\/j.hpb.2019.04.003","journal-title":"HPB (Oxford)"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-014-1205-7","article-title":"Biliary cirrhosis and sepsis are two risk factors of failure after surgical repair of major bile duct injury post-laparoscopic cholecystectomy","volume":"399","author":"Sulpice L","year":"2014","unstructured":"Sulpice L, Garnier S, Rayar M, Meunier B, Boudjema K. Biliary cirrhosis and sepsis are two risk factors of failure after surgical repair of major bile duct injury post-laparoscopic cholecystectomy. Langenbecks Arch Surg. 2014, 399:601-8. 10.1007\/s00423-014-1205-7","journal-title":"Langenbecks Arch Surg"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2007.07.008","article-title":"Long-term outcome of biliary reconstruction for bile duct injuries from laparoscopic cholecystectomies","volume":"142","author":"Walsh RM","year":"2007","unstructured":"Walsh RM, Henderson JM, Vogt DP, Brown N. Long-term outcome of biliary reconstruction for bile duct injuries from laparoscopic cholecystectomies. Surgery. 2007, 142:450-6; discussion 456-7. 10.1016\/j.surg.2007.07.008","journal-title":"Surgery"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2024.183","article-title":"Efficacy of endoscopic ultrasound-guided biliary drainage of malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials","volume":"58","author":"Zafar Y","year":"2025","unstructured":"Zafar Y, Azam H, Azhar MA, et al.. Efficacy of endoscopic ultrasound-guided biliary drainage of malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials. Clin Endosc. 2025, 58:533-43. 10.5946\/ce.2024.183","journal-title":"Clin Endosc"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1159\/000496432","article-title":"Long-term impact of iatrogenic bile duct injury","volume":"37","author":"Schreuder AM","year":"2020","unstructured":"Schreuder AM, Busch OR, Besselink MG, et al.. Long-term impact of iatrogenic bile duct injury. Dig Surg. 2020, 37:10-21. 10.1159\/000496432","journal-title":"Dig Surg"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13164837","article-title":"Bile duct injuries after cholecystectomy: an individual patient data systematic review","volume":"13","author":"Vincenzi P","year":"2024","unstructured":"Vincenzi P, Mocchegiani F, Nicolini D, Benedetti Cacciaguerra A, Gaudenzi D, Vivarelli M. Bile duct injuries after cholecystectomy: an individual patient data systematic review. J Clin Med. 2024, 13:10.3390\/jcm13164837","journal-title":"J Clin Med"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11123396","article-title":"Actuarial patency rates of hepatico-jejunal anastomosis after repair of bile duct injury at a reference center","volume":"11","author":"Otto W","year":"2022","unstructured":"Otto W, Sierdzi\u0144ski J, Smaga J, Kornasiewicz O, Dudek K, Zieniewicz K. Actuarial patency rates of hepatico-jejunal anastomosis after repair of bile duct injury at a reference center. J Clin Med. 2022, 11:10.3390\/jcm11123396","journal-title":"J Clin Med"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-020-01984-y","article-title":"Factors associated with patency loss and actuarial patency rate following post-cholecystectomy bile duct injury repair: long-term follow-up","volume":"405","author":"Mart\u00ednez-Mier G","year":"2020","unstructured":"Mart\u00ednez-Mier G, Moreno-Ley PI, Mendez-Rico D. Factors associated with patency loss and actuarial patency rate following post-cholecystectomy bile duct injury repair: long-term follow-up. Langenbecks Arch Surg. 2020, 405:999-1006. 10.1007\/s00423-020-01984-y","journal-title":"Langenbecks Arch Surg"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07726-x","article-title":"Outcomes and quality of life after major bile duct injury in long-term follow-up","volume":"35","author":"Koppatz H","year":"2021","unstructured":"Koppatz H, Sallinen V, M\u00e4kisalo H, Nordin A. Outcomes and quality of life after major bile duct injury in long-term follow-up. Surg Endosc. 2021, 35:2879-88. 10.1007\/s00464-020-07726-x","journal-title":"Surg Endosc"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/437319-a-time-based-and-clinical-status-stratified-protocol-for-major-bile-duct-injury-after-cholecystectomy-retrospective-single-center-outcomes-from-a-resource-limited-setting","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T20:23:33Z","timestamp":1769113413000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/437319-a-time-based-and-clinical-status-stratified-protocol-for-major-bile-duct-injury-after-cholecystectomy-retrospective-single-center-outcomes-from-a-resource-limited-setting"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":39,"URL":"https:\/\/doi.org\/10.7759\/cureus.102086","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1,22]]}}}