{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:41:05Z","timestamp":1792640465057,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,6,12]],"date-time":"2015-06-12T00:00:00Z","timestamp":1434067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,6,12]],"date-time":"2015-06-12T00:00:00Z","timestamp":1434067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Choledochal cyst (CDC) is a well described albeit rare clinical entity. Complete cyst excision with biliary\u2010enteric reconstruction is the recommended treatment for Todani type I, II, and IVA cysts to prevent complications. The aim of this study is to evaluate outcomes of laparoscopic CDC excision from a tertiary care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective analysis of prospectively collected data of 110 patients who underwent laparoscopic cyst excision and biliary\u2010enteric reconstruction for CDC type I and IVA from 1998 to 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 110 patients, 55 were children (&lt;16 years) and 55 were adults (&gt;16 years) with mean age 21.19 \u00b1 17.75 years and male:female ratio of 1:2.14. Abdominal pain was the most common presenting symptom (59.09 %). Surprisingly, 32.73 % of adults presented with incidentally detected cyst. Type I cyst was the most common (71.82 %) with mean size of 4.67 \u00b1 1.59\u00a0cm. Blood loss (56.0 \u00b1 16.62 vs. 76.55 \u00b1 26.61\u00a0ml) and operative time (199.8 \u00b1 44.66 vs. 251.6 \u00b1 54.25\u00a0min) were significantly low in pediatric group. Three adults required conversion. Overall complication rate was 10 %. Re\u2010exploration rate was 1.81 % with one patient died post\u2010operatively. Mean hospital stay was significantly low in children (5.9 \u00b1 1.39 vs. 7.0 \u00b1 2.66\u00a0days). Median follow\u2010up was 60\u00a0months (8\u2013110). Cholangitis developed in six patients with three having anastomotic stricture requiring intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic excision of CDC is safe and feasible. Surgery should be performed early as outcomes are better in pediatric age as compared to adults.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-015-3111-8","type":"journal-article","created":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T18:16:27Z","timestamp":1434046587000},"page":"2550-2556","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Laparoscopic Management of Choledochal Cyst\u2010Technical Modifications and Outcome Analysis"],"prefix":"10.1002","volume":"39","author":[{"given":"Palanisamy","family":"Senthilnathan","sequence":"first","affiliation":[{"name":"Department of HPB Surgery Gem Hospital and Research Centre 45, Pankaja mills road, Ramanathapuram 641045 Coimbatore Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikunj D.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery Gem Hospital and Research Centre 45, Pankaja mills road, Ramanathapuram 641045 Coimbatore Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun S.","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery Gem Hospital and Research Centre 45, Pankaja mills road, Ramanathapuram 641045 Coimbatore Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. 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