{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:03:06Z","timestamp":1792000986870,"version":"4.4.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T00:00:00Z","timestamp":1602892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T00:00:00Z","timestamp":1602892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To compare the efficacy of total and conventional laparoscopic hepaticojejunostomy (TLH and CLH) in children with choledochal cysts (CDCs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from patients undergoing TLH and CLH between August 2017 and December 2018 were retrospectively analyzed. Intraoperative blood loss, time for jejunum-cojejunum anastomosis, time to oral intake, postoperative hospital stay, hospitalization expenses, and postoperative complications were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 55 patients (TLH\u2009=\u200930, CLH\u2009=\u200925) were successfully treated without conversion to open surgery. In the TLH and CLH groups, the time to oral intake was 3.57\u2009\u00b1\u20090.19 d and 4.56\u2009\u00b1\u20090.27 d, respectively (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20093.07,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01), the postoperative hospital stay was 5.50\u2009\u00b1\u20090.28 d and 7.00\u2009\u00b1\u20090.74 d (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20092.03,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05), and the hospitalization expenses were CNY 40,085\u2009\u00b1\u20092447 and CNY 26,084\u2009\u00b1\u20092776 (\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20093.79,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). There were no significant differences in intraoperative blood loss (9.57\u2009\u00b1\u20093.28\u00a0ml vs 8.2\u2009\u00b1\u20091.13\u00a0ml,\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20090.37,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.72) or time for jejunum-cojejunum anastomosis (80.5\u2009\u00b1\u20092.46\u00a0min vs 75.00\u2009\u00b1\u20092.04\u00a0min,\n                      <jats:italic>t<\/jats:italic>\n                      \u2009=\u20091.68,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.10). The median follow-up periods of the TLH and CLH groups were 17 and 16\u00a0months, respectively. Overall complication rates were comparable between the two groups (10% vs 8%,\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.07,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.79).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>TLH in children with CDCs has the advantages of rapid gastrointestinal functional recovery and a short hospitalization. However, hospitalization is relatively expensive.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-020-00906-5","type":"journal-article","created":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T03:03:23Z","timestamp":1602903803000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Total versus conventional laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy in children with choledochal cysts: a case\u2013control study"],"prefix":"10.1186","volume":"20","author":[{"given":"Fei","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaogang","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menglong","family":"Lan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boyuan","family":"Tao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Le","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengwei","family":"Chai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jixiao","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,10,17]]},"reference":[{"key":"906_CR1","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1080\/13651820310001144","volume":"5","author":"HDE Atkinson","year":"2003","unstructured":"Atkinson HDE, Fischer CP, De Jong CHC, Madhavan KK, Parks RW, Garden OJ. 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