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2, p less then 0.001). Cox model indicated no difference in OS associated with algorithm deviation (HR 1.19, p = 0.58) when controlling for age and tumor characteristics. Conclusion This literature-based algorithm helps standardize treatment protocols in patients with LG-NELM and can reduce cost and risk by minimizing unnecessary procedures. Prospective implementation and validation is required.Background The aim of this study was to determine the incidence of incisional hernia (IH) in a population-based cohort following gallstone surger