{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:34:10Z","timestamp":1786361650037,"version":"build-2736575974"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"DOI":"10.1007\/s00383-026-06556-7","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:15:41Z","timestamp":1786360541000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of laparoscopic versus open excision of choledochal cyst in preschool-aged children: analysis from a nationally representative database"],"prefix":"10.1007","volume":"42","author":[{"given":"Maria Grazia","family":"Sacco Casamassima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadeen","family":"Alturki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelle R.","family":"Noel-MacDonnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolulope A.","family":"Oyetunji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn D. St.","family":"Peter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"issue":"5","key":"6556_CR1","first-page":"434","volume":"52","author":"J Singham","year":"2009","unstructured":"Singham J, Yoshida EM, Scudamore CH (2009) Choledochal cysts: part 1 of 3: classification and pathogenesis. Can J Surg 52(5):434\u2013440","journal-title":"Can J Surg"},{"issue":"11","key":"6556_CR2","doi-asserted-by":"publisher","first-page":"1568","DOI":"10.1053\/jpsu.2002.36186","volume":"37","author":"JS de Vries","year":"2002","unstructured":"de Vries JS, de Vries S, Aronson DC, Bosman DK, Rauws EA, Bosma A et al (2002) Choledochal cysts: age of presentation, symptoms, and late complications related to Todani\u2019s classification. J Pediatr Surg 37(11):1568\u20131573","journal-title":"J Pediatr Surg"},{"issue":"6","key":"6556_CR3","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1007\/s00383-017-4083-6","volume":"33","author":"KC Soares","year":"2017","unstructured":"Soares KC, Goldstein SD, Ghaseb MA, Kamel I, Hackam DJ, Pawlik TM (2017) Pediatric choledochal cysts: diagnosis and current management. Pediatr Surg Int 33(6):637\u2013650","journal-title":"Pediatr Surg Int"},{"issue":"1","key":"6556_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/jhbp.415","volume":"24","author":"H Ishibashi","year":"2017","unstructured":"Ishibashi H, Shimada M, Kamisawa T, Fujii H, Hamada Y, Kubota M et al (2017) Japanese clinical practice guidelines for congenital biliary dilatation. J Hepatobiliary Pancreat Sci 24(1):1\u201316","journal-title":"J Hepatobiliary Pancreat Sci"},{"issue":"1","key":"6556_CR5","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.hpb.2019.07.001","volume":"22","author":"M Hukkinen","year":"2020","unstructured":"Hukkinen M, Bjornland K, Gatzinsky V, Iber T, Johansen LS, Qvist N et al (2020) Management strategies and treatment results of pediatric choledochal malformations in the Nordic countries. HPB (Oxford) 22(1):161\u2013168","journal-title":"HPB (Oxford)"},{"issue":"4","key":"6556_CR6","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1002\/wjs.12128","volume":"48","author":"TC Howell","year":"2024","unstructured":"Howell TC, Beckhorn CB, Antiel RM, Fitzgerald TN, Rice HE, Mavis A et al (2024) Contemporary trends in choledochal cyst excision: an analysis of the pediatric national surgical quality improvement program. World J Surg 48(4):967\u2013977","journal-title":"World J Surg"},{"issue":"4","key":"6556_CR7","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1016\/j.jpedsurg.2022.12.024","volume":"58","author":"WA Ramsey","year":"2023","unstructured":"Ramsey WA, Huerta CT, Ingle SM, Gilna GP, Saberi RA, O\u2019Neil CF Jr. et al (2023) Outcomes of laparoscopic versus open resection of pediatric choledochal cyst. J Pediatr Surg 58(4):633\u2013638","journal-title":"J Pediatr Surg"},{"issue":"12","key":"6556_CR8","doi-asserted-by":"publisher","first-page":"162558","DOI":"10.1016\/j.jpedsurg.2025.162558","volume":"60","author":"M Murakami","year":"2025","unstructured":"Murakami M, Tsuruno Y, Maeda S, Miyoshi K, Yamane Y, Kosaka T et al (2025) Laparoscopic versus open choledochal cyst excision focusing on postoperative complications: a retrospective outcomes study from Kyushu pediatric surgery study group in Japan. J Pediatr Surg 60(12):162558","journal-title":"J Pediatr Surg"},{"issue":"10","key":"6556_CR9","doi-asserted-by":"publisher","first-page":"2631","DOI":"10.1007\/s00268-017-4064-x","volume":"41","author":"MHA van den Eijnden","year":"2017","unstructured":"Nederlandse Studiegroep voor Choledochus Cm, van den Eijnden MHA, de Kleine RHJ, de Blaauw I, Peeters P, Koot BPG et al (2017) Choledochal malformation in children: lessons learned from a Dutch national study. World J Surg 41(10):2631\u20132637","journal-title":"World J Surg"},{"issue":"5","key":"6556_CR10","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1093\/bjs\/znad034","volume":"110","author":"O Madadi-Sanjani","year":"2023","unstructured":"Madadi-Sanjani O, Kuebler JF, Brendel J, Wiesner S, Mutanen A, Eaton S et al (2023) Implementation and validation of a novel instrument for the grading of unexpected events in paediatric surgery: Clavien-Madadi classification. Br J Surg 110(5):576\u2013583","journal-title":"Br J Surg"},{"issue":"5","key":"6556_CR11","first-page":"354","volume":"5","author":"GA Farello","year":"1995","unstructured":"Farello GA, Cerofolini A, Rebonato M, Bergamaschi G, Ferrari C, Chiappetta A (1995) Congenital choledochal cyst: video-guided laparoscopic treatment. Surg Laparosc Endosc 5(5):354\u2013358","journal-title":"Surg Laparosc Endosc"},{"key":"6556_CR12","doi-asserted-by":"publisher","first-page":"37","DOI":"10.21037\/tgh-20-235","volume":"6","author":"RE Jones","year":"2021","unstructured":"Jones RE, Zagory JA, Clark RA, Pandya SR (2021) A narrative review of the modern surgical management of pediatric choledochal cysts. Transl Gastroenterol Hepatol 6:37","journal-title":"Transl Gastroenterol Hepatol"},{"issue":"12","key":"6556_CR13","doi-asserted-by":"publisher","first-page":"161683","DOI":"10.1016\/j.jpedsurg.2024.08.023","volume":"59","author":"S Onishi","year":"2024","unstructured":"Onishi S, Murakami M, Ishimaru T, Miyano G, Scholz S, Perger L et al (2024) Current practice of laparoscopic surgery for choledochal cyst in children -a survey on opinion and experience among IPEG members. J Pediatr Surg 59(12):161683","journal-title":"J Pediatr Surg"},{"issue":"6","key":"6556_CR14","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1055\/s-0042-1749435","volume":"32","author":"N Schukfeh","year":"2022","unstructured":"Schukfeh N, Abo-Namous R, Madadi-Sanjani O, Uecker M, Petersen C, Ure BM et al (2022) The role of laparoscopic treatment of choledochal malformation in europe: a single-center experience and review of the literature. Eur J Pediatr Surg 32(6):521\u2013528","journal-title":"Eur J Pediatr Surg"},{"issue":"8","key":"6556_CR15","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1089\/lap.2019.0026","volume":"29","author":"Z Wen","year":"2019","unstructured":"Wen Z, Cheng W, Liang Q, Liu T, Liang J, Zhang B et al (2019) Laparoscopic management of choledochal cysts associated with aberrant hepatic ducts. J Laparoendosc Adv Surg Tech A 29(8):1060\u20131066","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"9","key":"6556_CR16","doi-asserted-by":"publisher","first-page":"e0239857","DOI":"10.1371\/journal.pone.0239857","volume":"15","author":"R Sun","year":"2020","unstructured":"Sun R, Zhao N, Zhao K, Su Z, Zhang Y, Diao M et al (2020) Comparison of efficacy and safety of laparoscopic excision and open operation in children with choledochal cysts: a systematic review and update meta-analysis. PLoS ONE 15(9):e0239857","journal-title":"PLoS ONE"},{"issue":"5","key":"6556_CR17","doi-asserted-by":"publisher","first-page":"1567","DOI":"10.1007\/s00464-010-1435-x","volume":"25","author":"M Diao","year":"2011","unstructured":"Diao M, Li L, Cheng W (2011) Laparoscopic versus open Roux-en-Y hepatojejunostomy for children with choledochal cysts: intermediate-term follow-up results. Surg Endosc 25(5):1567\u20131573","journal-title":"Surg Endosc"},{"issue":"6","key":"6556_CR18","doi-asserted-by":"publisher","first-page":"739","DOI":"10.3109\/00365521003675054","volume":"45","author":"JW Kim","year":"2010","unstructured":"Kim JW, Moon SH, Park DH, Lee SS, Seo DW, Kim MH et al (2010) Course of choledochal cysts according to the type of treatment. Scand J Gastroenterol 45(6):739\u2013745","journal-title":"Scand J Gastroenterol"},{"issue":"6","key":"6556_CR19","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1089\/lap.2012.0018","volume":"22","author":"NT Liem","year":"2012","unstructured":"Liem NT, Pham HD, Dung le A, Son TN, Vu HM (2012) Early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 patients. J Laparoendosc Adv Surg Tech A 22(6):599\u2013603","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"8","key":"6556_CR20","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1007\/s00383-019-04489-y","volume":"35","author":"B Zhang","year":"2019","unstructured":"Zhang B, Wu D, Fang Y, Bai J, Huang W, Liu M et al (2019) Early complications after laparoscopic resection of choledochal cyst. Pediatr Surg Int 35(8):845\u2013852","journal-title":"Pediatr Surg Int"},{"issue":"7","key":"6556_CR21","doi-asserted-by":"publisher","first-page":"3402","DOI":"10.1007\/s00464-018-6047-x","volume":"32","author":"M Diao","year":"2018","unstructured":"Diao M, Li L, Cheng W (2018) Single-incision laparoscopic hepaticojejunostomy for children with perforated choledochal cysts. Surg Endosc 32(7):3402\u20133409","journal-title":"Surg Endosc"},{"issue":"1","key":"6556_CR22","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1007\/s00383-023-05622-8","volume":"40","author":"MV Stern","year":"2024","unstructured":"Stern MV, Boroni G, Parolini F, Torri F, Calza S, Alberti D (2024) Long-term outcome for children undergoing open hepatico-jejunostomy for choledochal malformations: a 43-year single-center experience. Pediatr Surg Int 40(1):36","journal-title":"Pediatr Surg Int"},{"issue":"6","key":"6556_CR23","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1097\/MPG.0000000000003054","volume":"72","author":"I Hyvarinen","year":"2021","unstructured":"Hyvarinen I, Hukkinen M, Kivisaari R, Parviainen H, Makisalo H, Koivusalo A et al (2021) Long-term morbidity of choledochal malformations in children. J Pediatr Gastroenterol Nutr 72(6):820\u2013825","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"12","key":"6556_CR24","doi-asserted-by":"publisher","first-page":"2169","DOI":"10.1016\/j.jpedsurg.2012.09.001","volume":"47","author":"N Urushihara","year":"2012","unstructured":"Urushihara N, Fukumoto K, Fukuzawa H, Mitsunaga M, Watanabe K, Aoba T et al (2012) Long-term outcomes after excision of choledochal cysts in a single institution: operative procedures and late complications. J Pediatr Surg 47(12):2169\u20132174","journal-title":"J Pediatr Surg"},{"issue":"1","key":"6556_CR25","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1007\/s00383-022-05293-x","volume":"39","author":"R Tanaka","year":"2022","unstructured":"Tanaka R, Nakamura H, Yoshimoto S, Okunobo T, Satake R, Doi T (2022) Postoperative anastomotic stricture following excision of choledochal cyst: a systematic review and meta-analysis. Pediatr Surg Int 39(1):30","journal-title":"Pediatr Surg Int"},{"key":"6556_CR26","doi-asserted-by":"publisher","first-page":"1149484","DOI":"10.3389\/fmed.2023.1149484","volume":"10","author":"X Zhang","year":"2023","unstructured":"Zhang X, Yan JQ, Gao YY, Song Z, Lou C (2023) Non-cirrhotic portal hypertension secondary to cholangiointestinal anastomotic stricture after choledochal cyst excision: a case report. Front Med (Lausanne) 10:1149484","journal-title":"Front Med (Lausanne)"},{"issue":"11","key":"6556_CR27","doi-asserted-by":"publisher","first-page":"936","DOI":"10.1007\/s00383-005-1521-7","volume":"21","author":"T Koshinaga","year":"2005","unstructured":"Koshinaga T, Hoshino M, Inoue M, Gotoh H, Sugito K, Ikeda T et al (2005) Pancreatitis complicated with dilated choledochal remnant after congenital choledochal cyst excision. Pediatr Surg Int 21(11):936\u2013938","journal-title":"Pediatr Surg Int"},{"issue":"10","key":"6556_CR28","doi-asserted-by":"publisher","first-page":"1417","DOI":"10.1016\/S0022-3468(96)90843-X","volume":"31","author":"T Miyano","year":"1996","unstructured":"Miyano T, Yamataka A, Kato Y, Segawa O, Lane G, Takamizawa S et al (1996) Hepaticoenterostomy after excision of choledochal cyst in children: a 30-year experience with 180 cases. J Pediatr Surg 31(10):1417\u20131421","journal-title":"J Pediatr Surg"},{"issue":"5","key":"6556_CR29","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1080\/13651820701646198","volume":"9","author":"J Singham","year":"2007","unstructured":"Singham J, Schaeffer D, Yoshida E, Scudamore C (2007) Choledochal cysts: analysis of disease pattern and optimal treatment in adult and paediatric patients. HPB (Oxford) 9(5):383\u2013387","journal-title":"HPB (Oxford)"},{"issue":"1","key":"6556_CR30","doi-asserted-by":"publisher","first-page":"162779","DOI":"10.1016\/j.jpedsurg.2025.162779","volume":"61","author":"C Jiang","year":"2026","unstructured":"Jiang C, Shao Y, Gao R, Dong C, Hong Y, Yang K et al (2026) Risk factors for anastomotic stenosis after congenital choledochal cyst surgery and efficacy analysis of laparoscopic reoperation. J Pediatr Surg 61(1):162779","journal-title":"J Pediatr Surg"},{"issue":"11","key":"6556_CR31","doi-asserted-by":"publisher","first-page":"2403","DOI":"10.1007\/s00268-009-0184-2","volume":"33","author":"OJ Shah","year":"2009","unstructured":"Shah OJ, Shera AH, Zargar SA, Shah P, Robbani I, Dhar S et al (2009) Choledochal cysts in children and adults with contrasting profiles: 11-year experience at a tertiary care center in Kashmir. World J Surg 33(11):2403\u20132411","journal-title":"World J Surg"},{"issue":"7","key":"6556_CR32","doi-asserted-by":"publisher","first-page":"1097","DOI":"10.1016\/S0022-3468(97)90407-3","volume":"32","author":"A Yamataka","year":"1997","unstructured":"Yamataka A, Ohshiro K, Okada Y, Hosoda Y, Fujiwara T, Kohno S et al (1997) Complications after cyst excision with hepaticoenterostomy for choledochal cysts and their surgical management in children versus adults. J Pediatr Surg 32(7):1097\u20131102","journal-title":"J Pediatr Surg"},{"issue":"5","key":"6556_CR33","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1007\/s11605-007-0415-5","volume":"12","author":"JH Kim","year":"2008","unstructured":"Kim JH, Choi TY, Han JH, Yoo BM, Kim JH, Hong J et al (2008) Risk factors of postoperative anastomotic stricture after excision of choledochal cysts with hepaticojejunostomy. J Gastrointest Surg 12(5):822\u2013828","journal-title":"J Gastrointest Surg"},{"issue":"1","key":"6556_CR34","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/j.jpedsurg.2010.09.092","volume":"46","author":"MT Santore","year":"2011","unstructured":"Santore MT, Behar BJ, Blinman TA, Doolin EJ, Hedrick HL, Mattei P et al (2011) Hepaticoduodenostomy vs hepaticojejunostomy for reconstruction after resection of choledochal cyst. J Pediatr Surg 46(1):209\u2013213","journal-title":"J Pediatr Surg"},{"issue":"5","key":"6556_CR35","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/0002-9610(81)90431-1","volume":"142","author":"T Todani","year":"1981","unstructured":"Todani T, Watanabe Y, Mizuguchi T, Fujii T, Toki A (1981) Hepaticoduodenostomy at the hepatic hilum after excision of choledochal cyst. Am J Surg 142(5):584\u2013587","journal-title":"Am J Surg"},{"issue":"1","key":"6556_CR36","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s00383-004-1252-1","volume":"21","author":"A Shimotakahara","year":"2005","unstructured":"Shimotakahara A, Yamataka A, Yanai T, Kobayashi H, Okazaki T, Lane GJ et al (2005) Roux-en-Y hepaticojejunostomy or hepaticoduodenostomy for biliary reconstruction during the surgical treatment of choledochal cyst: which is better? Pediatr Surg Int 21(1):5\u20137","journal-title":"Pediatr Surg Int"},{"issue":"10","key":"6556_CR37","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1007\/s00383-021-04940-z","volume":"37","author":"DE Hinojosa-Gonzalez","year":"2021","unstructured":"Hinojosa-Gonzalez DE, Roblesgil-Medrano A, Leon SUV, Espadas-Conde MA, Flores-Villalba E (2021) Biliary reconstruction after choledochal cyst resection: a systematic review and meta-analysis on hepaticojejunostomy vs hepaticoduodenostomy. Pediatr Surg Int 37(10):1313\u20131322","journal-title":"Pediatr Surg Int"},{"issue":"1","key":"6556_CR38","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1007\/s00383-024-05777-y","volume":"40","author":"P Achatsachat","year":"2024","unstructured":"Achatsachat P, Intragumheang C, Srisan N, Decharun K, Rajatapiti P, Reukvibunsi S et al (2024) Surgical aspects of choledochal cyst in children and adults: an experience of 106 cases. Pediatr Surg Int 40(1):183","journal-title":"Pediatr Surg Int"},{"issue":"1","key":"6556_CR39","doi-asserted-by":"publisher","first-page":"162524","DOI":"10.1016\/j.jpedsurg.2025.162524","volume":"61","author":"P Castro","year":"2026","unstructured":"Castro P, Lin AM, Asti L, Berman L, Boelig M (2026) Open versus minimally invasive surgery for pediatric choledochal cyst in a propensity score matched cohort. J Pediatr Surg 61(1):162524","journal-title":"J Pediatr Surg"}],"container-title":["Pediatric Surgery International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-026-06556-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00383-026-06556-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-026-06556-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:15:42Z","timestamp":1786360542000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00383-026-06556-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":39,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6556"],"URL":"https:\/\/doi.org\/10.1007\/s00383-026-06556-7","relation":{},"ISSN":["1437-9813"],"issn-type":[{"value":"1437-9813","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]},"assertion":[{"value":"22 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was exempt from our Institutional Review Board review and approval, as data were obtained from a de-identified database.","order":2,"name":"Ethics","label":"Institutional review board","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"334"}}