{"id":"W2991850857","doi":"10.1503/cjs.014617","title":"Safe laparoscopic subtotal cholecystectomy in the face of severe inflammation in the cystohepatic triangle: a retrospective review and proposed management strategy for the difficult gallbladder","year":2019,"lang":"en","type":"review","venue":"Canadian Journal of Surgery","topic":"Gallbladder and Bile Duct Disorders","field":"Medicine","cited_by":60,"is_retracted":false,"has_abstract":true,"ca_institutions":"St Joseph's Health Centre; University of Toronto","funders":"","keywords":"Medicine; Endoscopic retrograde cholangiopancreatography; Retrospective cohort study; Gallbladder; Surgery; Dissection (medical); Bile duct; Cholecystectomy; Cholecystitis; Cystic duct; Common bile duct; General surgery; Internal medicine; Pancreatitis","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.002636131,0.0002992085,0.001873011,0.0004527175,0.00006907541,0.00005619172,0.0003344827,0.0001414585,0.00003828913],"category_scores_gemma":[0.0005050219,0.0001356711,0.00045414,0.0008428966,0.0001127594,0.00009348016,0.00001023783,0.0006374881,0.000001594363],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002366181,"about_ca_system_score_gemma":0.001902049,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0005708813,"about_ca_topic_score_gemma":0.004967251,"domain_scores_codex":[0.997391,0.0004893466,0.001225858,0.0001999989,0.0003634558,0.0003303307],"domain_scores_gemma":[0.9976254,0.0008286057,0.0008652403,0.0003764019,0.0002003774,0.0001039891],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0002065791,0.0002398989,0.009168854,0.2892974,0.002348536,0.000963254,0.004679337,0.00002545359,0.000001279945,0.0003221229,0.02867132,0.664076],"study_design_scores_gemma":[0.006931176,0.0007433905,0.09412885,0.1757332,0.01238858,0.003951977,0.00988806,0.00001516367,0.00000108657,0.0001429116,0.6951858,0.0008897518],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.005346086,0.9869753,0.000002791374,0.001800179,0.0001684229,0.005287943,0.00004667556,0.000001568992,0.0003710575],"genre_scores_gemma":[0.06016464,0.939158,0.000005474133,0.0002956751,0.0000956952,0.00009901809,0.00004096465,0.00002509555,0.0001154223],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.6665145,"threshold_uncertainty_score":0.5532507,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.06372934981935914,"score_gpt":0.3084113204645918,"score_spread":0.2446819706452327,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}