{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:08:10Z","timestamp":1740107290072,"version":"3.37.3"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100014820","name":"Li Ka Shing Faculty of Medicine, University of Hong Kong","doi-asserted-by":"publisher","award":["Research Internship Scheme 2021-2022"],"award-info":[{"award-number":["Research Internship Scheme 2021-2022"]}],"id":[{"id":"10.13039\/501100014820","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To evaluate factors affecting length of stay (LOS) after choledochal cyst resection in paediatric patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study on patients operated between 2004 and 2021. Associations between clinical factors and LOS were evaluated by bivariate analysis, multiple regression, and equivalence test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010two patients were included. Twenty\u2010four underwent hepaticoduodenostomy as biliary reconstruction. Five suffered from major complications. The median (25th\u201375th percentile) operation time was 279 (182\u2013378) min. Median LOS, time to enteral feeding, and time to abdominal drain removal were 8(6\u201310), 2(1\u20133), and 5(4\u20137) days, respectively. Seven factors were found significantly associated with a shorter LOS in bivariate analysis and were included in multiple regression. It revealed that early abdominal drain removal (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), early enteral feeding (<jats:italic>p<\/jats:italic>\u2009=\u20090.042), and the absence of major complications (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were significantly associated with shorter LOS. Equivalence test suggested that age and preoperative cholangitis had no practical effect on LOS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early enteral feeding, early drain removal, and avoidance of major complications are associated with a shorter LOS.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07206-y","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T17:01:52Z","timestamp":1696957312000},"page":"3012-3019","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Analysing Factors Prolonging Hospital Stay After Excision of Choledochal Cyst\u2014A Pathway Towards Enhanced Recovery After Surgery"],"prefix":"10.1002","volume":"47","author":[{"given":"Marco King In","family":"Ma","sequence":"first","affiliation":[{"name":"Division of Paediatric Surgery Department of Surgery Li Ka Shing Faculty of Medicine The University of Hong Kong Room 1540, Floor 15, Block K, Queen Mary Hospital Pokfulam Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick Ho Yu","family":"Chung","sequence":"additional","affiliation":[{"name":"Division of Paediatric Surgery Department of Surgery Li Ka Shing Faculty of Medicine The University of Hong Kong Room 1540, Floor 15, Block K, Queen Mary Hospital Pokfulam Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fanny","family":"Yeung","sequence":"additional","affiliation":[{"name":"Division of Paediatric Surgery Department of Surgery Li Ka Shing Faculty of Medicine The University of Hong Kong Room 1540, Floor 15, Block K, Queen Mary Hospital Pokfulam Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth Kak Yuen","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Paediatric Surgery Department of Surgery Li Ka Shing Faculty of Medicine The University of Hong Kong Room 1540, 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China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10798"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.346"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v25.i26.3334"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.4952"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0586"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0239857"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010021\u201004940\u2010z"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010020\u201007560\u20101"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1948550617697177"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2515245918770963"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(07)61602\u2010X"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/978\u20103\u2010030\u201033443\u20107"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010021\u201005008\u20108"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2021.04.004"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2019.97.1.21"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2020.0433"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.07.071"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.590420"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.022"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383\u2010014\u20103648\u2010x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010019\u201007004\u20105"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010021\u201002425\u2010z"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.415"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.31669"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000003946"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2015.01.012"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.10.066"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2019.08.055"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2018.07.011"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.0226"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1087\/20150211"}],"container-title":["World 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