Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	126010
DOI	10.4240/wjgs.126010
Country	Türkiye

Category	Surgery
Manuscript Type	Minireviews
Article Title	Difficult laparoscopic cholecystectomy: From risk prediction to safe bailout decision-making
Manuscript Source	Invited Manuscript
All Author List	Rahman Şenocak, Şahin Kaymak and Ali Kağan Coşkun
Funding Agency and Grant Number
Corresponding Author	Rahman Şenocak, Associate Professor, MD, Department of General Surgery, Gülhane Faculty of Medicine, University of Health Sciences, General Dr. Tevfik Sağlam Cd. No: 2 Etlik, Keçiören 06010, Ankara, Türkiye. rahmansenocak@yahoo.com
Key Words	Cholecystectomy, laparoscopic; Cholecystitis; Bile duct injuries; Critical view of safety; Subtotal cholecystectomy; Conversion to open surgery; Artificial intelligence; Machine learning; Deep learning; Tokyo Guidelines
Core Tip	Difficult laparoscopic cholecystectomy is better viewed as an operative problem than as a single clinical entity. The factors associated with difficulty are not the same in symptomatic gallstone disease, acute cholecystitis, after previous biliary intervention, or during interval surgery. Preoperative prediction can help with preparation, surgeon allocation, informed consent, and planning for bailout, but whether dissection should continue is decided by the findings at operation. If the anatomy remains unclear or the critical view of safety cannot be obtained safely, bailout should be regarded as a sound safety decision rather than a technical failure.
Citation	Şenocak R, Kaymak Ş, Coşkun AK. Difficult laparoscopic cholecystectomy: From risk prediction to safe bailout decision-making. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.126010
PDF	126010-in-press.pdf

Received	2026-07-29 07:01
Peer-Review Started	2026-08-05 07:24
First Decision by Editorial Office Director
Return for Revision	2026-09-03 08:06
Revised	2026-09-17 21:37
Publication Fee Transferred
Second Decision by Editor	2026-10-22 03:01
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-10-22 09:10
Articles in Press	2026-10-22 09:10
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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