{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:14Z","timestamp":1753877174093,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A choledochal cyst is a rare condition that requires surgical treatment to prevent complications, such as obstructive jaundice, cyst rupture, cholangitis, and the risk of malignancy. Complete cyst excision is considered the best option, as it reduces the risk of inflammation and the development of cholangiocarcinoma. Therefore, cholecystectomy and complete cyst resection followed by reconstruction with a Roux-en-Y hepaticojejunostomy is the treatment of choice. We present a case (with video) that shows the complete resection of a type I choledochal cyst with Roux-en-Y reconstruction of two separate ducts since the right posterior duct reached the cyst independently. The laparoscopic approach offers all the advantages of mini-invasive surgery and better visualization of the structures; however, biliary reconstruction to fine ducts implies a surgical challenge that requires high training in mini-invasive surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjae543","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T04:41:30Z","timestamp":1724906490000},"source":"Crossref","is-referenced-by-count":0,"title":["Type I choledochal cyst. Total laparoscopic resection and Roux-en-Y reconstruction to two separated ducts"],"prefix":"10.1093","volume":"2024","author":[{"given":"Natalia","family":"Reyes","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Surgery, Hospital Cl\u00ednico Universidad Cat\u00f3lica , Santiago 8330024, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camila","family":"Sotomayor","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Hospital Cl\u00ednico Universidad Cat\u00f3lica , Santiago 8330024, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart\u00edn","family":"Inzunza","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Hospital Cl\u00ednico Universidad Cat\u00f3lica , Santiago 8330024, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Brice\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Hospital Cl\u00ednico Universidad Cat\u00f3lica , Santiago 8330024, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Vi\u00f1uela","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Hospital Cl\u00ednico Universidad Cat\u00f3lica , Santiago 8330024, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Hospital Cl\u00ednico Universidad Cat\u00f3lica , Santiago 8330024, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00e1s","family":"Jarufe","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Hospital Cl\u00ednico Universidad Cat\u00f3lica , Santiago 8330024, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"key":"2024082904365815700_ref1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.hpb.2022.09.010","article-title":"Diagnosis and management of choledochal cysts","volume":"25","author":"Brown","year":"2023","journal-title":"HPB (Oxford)"},{"key":"2024082904365815700_ref2","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1097\/01.sle.0000213768.70923.99","article-title":"Laparoscopic resection of type I choledochal cyst in an adult and Roux-en-Y hepaticojejunostomy: a case report and literature review","volume":"16","author":"Abbas","year":"2006","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2024082904365815700_ref3","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1007\/s00423-023-02952-y","article-title":"An audit of complicated choledochal cysts- 15-years' experience at a tertiary care 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Endosc"},{"key":"2024082904365815700_ref7","doi-asserted-by":"crossref","first-page":"115","DOI":"10.9738\/INTSURG-D-14-00165.1","article-title":"Laparoscopic excision versus open excision for the treatment of choledochal cysts: a systematic review and meta-analysis","volume":"100","author":"Zhen","year":"2015","journal-title":"Int Surg"},{"key":"2024082904365815700_ref8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00595-021-02425-z","article-title":"Roux-en-Y hepaticojejunostomy or hepaticoduodenostomy for biliary reconstruction after resection of congenital biliary dilatation: a systematic review and meta-analysis","volume":"53","author":"Ai","year":"2023","journal-title":"Surg Today"},{"key":"2024082904365815700_ref9","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1002\/wjs.12128","article-title":"Contemporary trends in choledochal cyst excision: an analysis of the pediatric national surgical quality improvement program","volume":"48","author":"Howell","year":"2024","journal-title":"World J Surg"},{"key":"2024082904365815700_ref10","doi-asserted-by":"crossref","DOI":"10.1155\/2011\/458915","article-title":"Aberrant right hepatic duct draining into the cystic duct: clinical outcomes and management","volume":"2011","author":"Sofi","year":"2011","journal-title":"Gastroenterol Res Pract"},{"key":"2024082904365815700_ref11","doi-asserted-by":"crossref","first-page":"2376","DOI":"10.1007\/s00464-019-06807-w","article-title":"Laparoscopic management for aberrant hepatic duct in children with choledochal cysts","volume":"33","author":"Diao","year":"2019","journal-title":"Surg Endosc"},{"key":"2024082904365815700_ref12","doi-asserted-by":"crossref","first-page":"4186","DOI":"10.1016\/j.asjsur.2022.11.006","article-title":"Robotic versus laparoscopic surgery for choledochal cyst in children with aberrant hepatic ducts: a retrospective 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