{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:25:14Z","timestamp":1787765114544,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The aim of the study was to evaluate the feasibility and outcome of laparoscopic surgery in complicated choledochal cyst (CDC) with previous interventions (laparotomy or biliary drainage).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Patients with CDC who underwent surgery from July 2014 to July 2019 were evaluated. CDC without previous interventions (Group A) was compared with CDC that had previous interventions (Group B) to assess the feasibility and outcome of laparoscopic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In 5 years\u2019 period, 38 patients were operated for CDC. The mean age was similar in both groups (3.78 \u00b1 2.27 in Group A and 4.08 \u00b1 2.73 in Group B). Out of six CDC with previous intervention (Group B), five patients were previously managed at other institutions as follows: (1) Laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography (ERCP) stenting. (2) Laparotomy for biliary peritonitis and ERCP. (3) Percutaneous drainage of the large cyst. (4) Laparoscopic cholecystectomy. (5) ERCP stenting. (6) Percutaneous drainage for biliary ascites. All patients underwent laparoscopic CDC excision and hepatico-duodenostomy. The mean duration of surgery was 160.3 \u00b1 17.22 in Group A and 169.2 \u00b1 17.5 in Group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.258). None required intraoperative blood transfusion. None had a bile leak. Drain was removed at 4.47 \u00b1 0.98 in Group A, while at 4.17 \u00b1 0.75 days in Group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.481). There was statistically no significant difference in feed starting time or length of stay. In follow-up of 6 months\u20133 years, all patients are asymptomatic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Laparoscopy in complicated CDC with previous intervention is technically tedious but is feasible. The procedure is safe and delivers a good outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_269_22","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T08:00:26Z","timestamp":1705046426000},"page":"121-126","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic choledochal cyst excision and biliary reconstruction in patients with previous surgery\/ intervention: Feasibility and outcome"],"prefix":"10.4103","volume":"20","author":[{"given":"Sunita","family":"Ojha","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, 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 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