{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001702274,0.0002902259,0.0006220031,0.003535723,0.0003744181,0.0007577069,0.0005552579,0.0005340498,0.0007498512],"category_scores_gemma":[0.004106888,0.0003325199,0.0008687029,0.004324082,0.000526708,0.0008511072,0.0004426506,0.0003046142,0.0001565817],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004178056,"about_ca_system_score_gemma":0.001210421,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001468104,"about_ca_topic_score_gemma":0.002361836,"domain_scores_codex":[0.9985682,0.0003229053,0.0006483065,0.0001680947,0.000224128,0.00006836965],"domain_scores_gemma":[0.9957348,0.001275706,0.002147846,0.0001502982,0.0005436991,0.0001477078],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0003950899,0.00007183391,0.9119409,0.01211496,0.001055475,0.01617914,0.001179999,0.0001135342,0.000826844,0.0004036716,0.001921094,0.05379754],"study_design_scores_gemma":[0.0000984711,0.0006984142,0.8523574,0.008723919,0.003961746,0.1114915,0.005809759,0.0003830072,0.0005760432,0.0002534871,0.01555947,0.00008672252],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"review","genre_scores_codex":[0.6395781,0.3560227,0.0008723644,0.0007295407,0.0001359729,0.0002892183,0.0005757789,0.00001283068,0.001783468],"genre_scores_gemma":[0.8511943,0.1469921,0.0006148897,0.0003470511,0.0001887558,0.0001086377,0.0004176541,0.000005250317,0.0001313961],"genre_candidate":"review","genre_consensus":null,"teacher_disagreement_score":0.003535723,"threshold_uncertainty_score":0.009002626,"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."}}