{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:32:15Z","timestamp":1787758335984,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>Choledochal cyst (CDC) can present with complications such as cholangitis, perforation, pancreatitis and malignancy. Compared to the open technique for CDC, advantages of laparoscopic surgery are well known. Biliary peritonitis secondary to perforation\/rupture of CDC is rare and is described in &lt;2% of cases. In ruptured CDC, there are different approaches of management like peritioneal lavage, and biliary drainage by T-tube or Cholecystosomy\/choledochostomy or endoscopic retrograde cholangiopancreatography stenting and definitive repair after 4\u20136 weeks as two-staged procedure. Laparoscopy is a procedure of technical challenge and complexity in ruptured CDC. We discuss here our experience of single-stage laparoscopic excision and biliary reconstruction in ruptured CDC. Child was stabilised by percutaneous drain and one-stage laparoscopic reconstruction was done on day 4, reducing the burden\/morbidity of carrying biliary drain, length of stay and cost factor. To the best of our knowledge one-stage laparoscopy in ruptured CDC has not been reported earlier.<\/jats:p>","DOI":"10.4103\/jmas.jmas_206_21","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T08:40:45Z","timestamp":1667205645000},"page":"138-140","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Ruptured choledochal cyst: One-stage or two-stage, open or laparoscopic surgery?"],"prefix":"10.4103","volume":"19","author":[{"given":"Sunita","family":"Ojha","sequence":"first","affiliation":[{"name":"Department of Neonatal and Pediatric Surgery, Santokba Durlabhji Memorial Hospital and Research Institute, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Agarwala","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Santokba Durlabhji Memorial Hospital and Research Institute, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Santokba Durlabhji Memorial Hospital and Research Institute, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalit","family":"Bharadia","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Santokba Durlabhji Memorial Hospital and Research Institute, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"R1-20240828","first-page":"354","article-title":"Congenital choledochal cyst:Video-guided laparoscopic treatment","volume":"5","author":"Farello","year":"1995","journal-title":"Surg Laparosc Endosc"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"e0239857","DOI":"10.1371\/journal.pone.0239857","article-title":"Comparison of efficacy and safety of laparoscopic excision and open operation in children with choledochal cysts:A systematic review and update meta-analysis","volume":"15","author":"Sun","year":"2020","journal-title":"PLoS One"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1055\/s-2008-1071113","article-title":"Spontaneous perforation of choledochal cyst:A study of 13 cases","volume":"8","author":"Ando","year":"1998","journal-title":"Eur J Pediatr Surg"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1007\/s00383-011-2882-8","article-title":"Perforation:A rare complication of choledochal cysts in children","volume":"27","author":"Chiang","year":"2011","journal-title":"Pediatr Surg Int"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s00383-014-3461-6","article-title":"One-staged or two-staged surgery for perforated choledochal cyst with bile peritonitis in children?A single center experience with 27 cases","volume":"30","author":"Ngoc Son","year":"2014","journal-title":"Pediatr Surg Int"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_206_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:13:08Z","timestamp":1787757188000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_206_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,31]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_206_21","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,31]]},"assertion":[{"value":"2021-06-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}