{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:07Z","timestamp":1782956647416,"version":"3.54.5"},"reference-count":12,"publisher":null,"issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>\n                      Choledochal cyst (CHC) is one of the most common causes of surgical jaundice in infants. In 1955, Farello\n                      <jats:italic toggle=\"yes\">et al<\/jats:italic>\n                      . were the first to introduce the laparoscopic approach for treatment of CHC.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim of the Study:<\/jats:title>\n                    <jats:p>Minimally invasive approaches to the management of CHC excision have been done in pre-schoolers and above but have not yet been described in toddlers, let alone infants. Herein, we review the results of 10 consecutive children &lt;1 year managed with laparoscopic CHC excision and hepaticoduodenostomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study investigated 10 infants who underwent laparoscopic resection of a CHC with creation of a hepaticoduodenostomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>This study was performed on 10 consecutive patients &lt;1 year. Liver fibrosis was found in 4 patients. We had 7 cases with Type 1 CHCs and 3 cases with Type IV A cysts. Total cyst excision was done in all patients, no cases needed blood transfusion and the mean operative time was 200 min. The mean hospital stay was 6 days. Overall, morbidity occurred in 20% of the cases presenting with bouts of cholangitis that resolved without any intervention, once at 6 months, the other at 1-year post-operative. There were neither anastomotic strictures nor biliary fistula formation; magnetic resonance cholangiopancreatography was done to these two cases revealed no stricture and mortality at 30 and 90 days was nil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laparoscopic hepaticoduodenostomy in CHC in children &lt;1 year is safe, with satisfactory short-term results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajps.ajps_164_20","type":"journal-article","created":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T23:49:36Z","timestamp":1639698576000},"page":"36-39","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Laparoscopic Hepaticoduodenostomy for Choledochal Cysts in Children &lt;1 Year"],"prefix":"10.67481","volume":"19","author":[{"given":"Ahmed","family":"Arafa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moutaz","family":"Ragab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamal Hassan","family":"Eltagy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-9-20240829","first-page":"1","article-title":"Congenital choledochal cyst, with a report of 2, and an analysis of 94, cases","volume":"108","author":"Alonso-Lej","year":"1959","journal-title":"Int Abstr Surg"},{"key":"R3-9-20240829","first-page":"354","article-title":"Congenital choledochal cyst: Video-guided laparoscopic treatment","volume":"5","author":"Farello","year":"1995","journal-title":"Surg Laparosc 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