{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:17:54Z","timestamp":1787807874060,"version":"build-2784847793"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study evaluates clinical and health\u2010related\u2010quality\u2010of\u2010life (HRQOL) outcomes following robotic choledochal cyst (CDC) excision with intracorporeal Roux\u2010en\u2010Y hepaticojejunostomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Prospectively maintained data from 17 consecutive patients undergoing robotic CDC excision with the da Vinci Xi system (January 2017\u2013October 2024) were retrospectively analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen patients were female; median age was 22\u00a0year. Cyst types included Ia(6), Ic(3), IVa(5), II(1), and VIb(2). Median operative time was 360\u00a0min, blood loss 50\u00a0mL, and hospital stay 4\u00a0days. Postoperative complications occurred in three patients, including one clinically\u2010relevant grade\u2010B postoperative\u2010pancreatic\u2010fistula requiring image\u2010guided drainage (Clavien\u2013Dindo IIIa), one biochemical POPF, and one episode of mild acute\u2010pancreatitis. At a median follow\u2010up of 36.5\u2010month (IQR 35\u201343), no anastomotic strictures, malignancy, or biliary complications were noted. At 12\u2010month, the median Gastrointestinal\u2010Quality\u2010of\u2010Life\u2010Index (GIQLI) score was 135 (IQR 133.5\u2013136).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robotic CDC excision with intracorporeal reconstruction appears feasible and safe in selected patients, with favourable perioperative and functional outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70199","type":"journal-article","created":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T16:30:47Z","timestamp":1782577847000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Choledochal Cyst Excision With Intracorporeal Roux\u2010en\u2010Y Hepaticojejunostomy in Adolescent and Adult Patients: Clinical and Quality\u2010of\u2010Life 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