{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:03:01Z","timestamp":1792000981201,"version":"4.4.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Single-port laparoscopic choledochal cyst (CDC) excision and Roux-en-Y hepaticoenterostomy (SPCH) exhibits several advantages over conventional laparoscopic techniques in the management of CDCs. However, performing small-diameter hepaticojejunostomy during single-port laparoscopy presents significant challenges, thereby increasing the risk of anastomotic complications. In this study, we employed the mucosal eversion (ME) technique to alleviate the difficulties associated with executing small-diameter hepaticojejunostomy during SPCH and report the preliminary outcome of a prospective case cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients diagnosed with CDC and found common hepatic duct diameter was smaller than 5 mm during SPCH were included. ME was performed on these patients. Clinical information, Magnetic resonance imaging\u00a0image data, and surgical information data were collected, and patients were followed up for at least 1 year to assess surgical outcomes and postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A consecutive cohort of 16 patients was included from August 2020 to July 2023. All 16 patients successfully underwent ME during SPCH. The median age at surgery was 14.25 months, with an average hepaticojejunostomy diameter of 6.75 mm (ranging from 5 to 8 mm). The mean operation time was 266.25 minutes, and the average posthospital stay was 6.31 days (ranging from 4 to 9 days). During a follow-up period of 12\u201347 months, no cases of anastomotic leakage or stenosis were observed in this cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The ME technique is easy to execute and outcomes are reliable. It constitutes an efficacious approach to enhancing the prognosis of small-diameter biliary-enteric anastomosis in patients with CDCs undergoing SPCH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2024.0379","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:20:35Z","timestamp":1740169235000},"page":"506-511","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Single-Port Laparoscopic Choledochal Cyst Radical Surgery Using Mucosal Eversion Technique in Small-Diameter Hepaticojejunostomy"],"prefix":"10.1177","volume":"35","author":[{"given":"Wen-Feng","family":"Tang","sequence":"first","affiliation":[{"name":"Neonatal Surgery Department, Guangzhou Women and Children\u2019s Medical Center, Guangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi-Si","family":"Guan","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Department, Guangzhou Women and Children\u2019s Medical Center, Guangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Li","family":"Xie","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Department, Guangzhou Women and Children\u2019s Medical Center, Guangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia-Kang","family":"Yu","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Department, Guangzhou Women and Children\u2019s Medical Center, Guangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7428-9834","authenticated-orcid":false,"given":"Wei","family":"Zhong","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Department, Guangzhou Women and Children\u2019s Medical Center, Guangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9116-9722","authenticated-orcid":false,"given":"Zhe","family":"Wang","sequence":"additional","affiliation":[{"name":"Neonatal Surgery Department, Guangzhou Women and Children\u2019s Medical Center, Guangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.415"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-015-3705-0"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.9738\/INTSURG-D-14-00165.1"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2020.06.013"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2021.100.3.186"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.10.012"},{"issue":"43","key":"e_1_3_4_8_2","first-page":"220","article-title":"Mid-term outcomes of laparoscopic versus open choledochal cyst excision in a tertiary paediatric hospital","volume":"4","author":"Jia Lin Ng MTS","year":"2014","unstructured":"Jia Lin Ng MTS, , Low Y. Mid-term outcomes of laparoscopic versus open choledochal cyst excision in a tertiary paediatric hospital. Ann Academy Med Singapore, 2014; 4(43):220\u2013224.","journal-title":"Ann Academy Med Singapore"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2024.08.023"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-2110-6"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2012-y"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2014.0268"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.24343"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.04.069"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.21037\/tp-22-557"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2010.0375"},{"issue":"21","key":"e_1_3_4_17_2","first-page":"4530","article-title":"Clinical effects in resection of congenital choledochal cyst of children and jejunum Roux-Y anastomosis by laparoscope","volume":"20","author":"Yu BH","year":"2016","unstructured":"Yu BH, , Lin F. Clinical effects in resection of congenital choledochal cyst of children and jejunum Roux-Y anastomosis by laparoscope. Eur Rev Med Pharmacol Sci, 2016; 20(21):4530\u20134534.","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0239857"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2013.07.020"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-015-1348-y"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-06635-4"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-2133-5202"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2019.0192"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2024.0379","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2024.0379","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2024.0379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:00:44Z","timestamp":1777665644000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2024.0379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,1]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6,1]]}},"alternative-id":["10.1089\/lap.2024.0379"],"URL":"https:\/\/doi.org\/10.1089\/lap.2024.0379","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,1]]}}}