Article
Surgery
Zedong Bian, Yong Zhi, Xinhao Zeng, Xiaoyong Wang
Summary: This study investigated the curative effect and experience of laparoscopic surgery for congenital choledochal cysts in children. A retrospective analysis was conducted on 33 children diagnosed with this condition between January 2019 and December 2021. The results showed that laparoscopic surgery was safe, effective, and associated with rapid recovery and satisfactory aesthetic appearance.
FRONTIERS IN SURGERY
(2023)
Article
Surgery
Shui-qing Chi, Guo-qing Cao, Shuai Li, Jia-ling Guo, Xi Zhang, Ying Zhou, Shao-tao Tang
Summary: The study compared robotic-assisted and laparoscopic-assisted surgery for choledochal cyst excision and hepaticojejunostomy, finding that robotic-assisted surgery had better intraoperative and short-term postoperative outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Medicine, General & Internal
Hui Lu, Wailin Hou
Summary: The study aimed to compare open and laparoscopic outcomes of adult Type-I congenital choledochal cysts. The results showed that the laparoscopic group had lower intraoperative blood loss, shorter recovery time, less inflammation, and lower incidence of complications compared to the open group.
PAKISTAN JOURNAL OF MEDICAL SCIENCES
(2023)
Article
Surgery
Sukanta Ray, Arkadeep Dhali, Sujan Khamrui, Tuhin Subhra Mandal, Somak Das, Gopal Krishna Dhali
Summary: The purpose of this study is to review the experience of re-operation in patients who developed delayed biliary complications after choledochal cyst excision. The results showed that most patients in the re-operative group achieved satisfactory outcomes after surgery, and the development of delayed biliary complications was associated with the presence of type IV cysts.
AMERICAN JOURNAL OF SURGERY
(2023)
Article
Multidisciplinary Sciences
Chiyoe Shirota, Hiroki Kawashima, Takahisa Tainaka, Wataru Sumida, Kazuki Yokota, Satoshi Makita, Hizuru Amano, Aitaro Takimoto, Akinari Hinoki, Hiroo Uchida
Summary: Bile duct and anastomotic strictures and intrahepatic stones are common postoperative complications of congenital biliary dilatation (CBD). Double-balloon endoscopic retrograde cholangiography (DBERC) has been shown to be effective in treating these complications in CBD patients after radical surgery. The study suggests that DBERC is recommended as the first-line treatment for hepatolithiasis associated with biliary and anastomotic strictures in CBD patients, and it can be safely performed multiple times.
SCIENTIFIC REPORTS
(2021)
Article
Pediatrics
Yu-tong Chen, Ming-juan Gao, Ze-bing Zheng, Lu Huang, Qing Du, Dai-wei Zhu, Yuan-mei Liu, Zhu Jin
Summary: This study retrospectively analyzed clinical data of 32 children with hilar cysts and explored information for early diagnosis and treatment of cystic biliary atresia (CBA). The results showed significant differences in biochemical indexes and cyst size between the CBA and infantile choledochal cysts (CC) groups. Cyst width was the most accurate parameter for identifying CBA and CC. For children with early-onset severe jaundice, if the width of the cystic mass was <= 2.5 cm, a diagnosis of CBA was highly likely, and early cholangiography and surgical treatment were necessary.
FRONTIERS IN PEDIATRICS
(2022)
Article
Medicine, General & Internal
Jan B. F. Hulscher, Joachim F. Kuebler, Janneke M. Bruggink, Mark Davenport, Stefan Scholz, Claus Petersen, Omid Madadi-Sanjani, Nagoud Schukfeh
Summary: This paper discusses the controversies and common practices regarding the diagnosis, treatment and follow-up of congenital choledochal malformation (CCM) based on an international Delphi survey. The survey results show that there is agreement on the definitions of CCM, preoperative workup, surgical approach and follow-up, but significant variations still exist in actual practice.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Genetics & Heredity
Yong Lv, Xiaolong Xie, Lihui Pu, Qi Wang, Siyu Pu, Chengbo Ai, Yi Liu, Jing Chen, Bo Xiang
Summary: This study utilized RNA sequencing and bioinformatic analyses to identify differentially expressed genes and key modules associated with clinical subtypes of choledochal cyst (CC). It was found that cystic CC and fusiform CC exhibit distinct molecular mechanisms, with metabolism-related genes dysregulated in cystic CC and immune-related genes dysregulated in fusiform CC. A total of 20 candidate hub genes were identified, including ERBB2 and WNT11, which were verified to have differential expression in CC patients. These findings provide insight into the transcriptome characteristics of CC and have potential implications for personalized treatment.
FRONTIERS IN GENETICS
(2021)
Article
Surgery
Xiaolong Xie, Kewei Li, Bo Xiang
Summary: This study compared the safety and effectiveness of robotic and laparoscopic surgery in treating pediatric patients with choledochal cysts associated with aberrant hepatic duct. It found that robotic surgery can achieve the same results as laparoscopic surgery while reducing the surgical difficulty and promoting faster recovery.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Pediatrics
Qingjiang Chen, Shuhao Zhang, Wenjuan Luo, Duote Cai, Yuebin Zhang, Zongwei Huang, Xiaoxiao Xuan, Qixing Xiong, Zhigang Gao
Summary: This study reviewed the clinical characteristics of mesenteric cysts and the effectiveness of robotic-assisted laparoscopic surgery. The results showed that laparoscopic cyst excision or cyst excision with bowel resection can be effectively performed in children, especially under the robot system.
FRONTIERS IN PEDIATRICS
(2023)
Article
Surgery
Chengwei Yan, Jian Cao, Chao Zheng, Baili Chen, Chunbao Guo
Summary: This multicenter case-control study identified perioperative risk factors for bile leakage in pediatric patients with choledochal cysts following Roux-en-Y hepaticojejunostomy, including low preoperative albumin levels, severe symptoms (severe cholangitis), and previous hepatobiliary procedures. These factors should be targeted for interventions to reduce the occurrence of bile leakage in this patient population.
UPDATES IN SURGERY
(2021)
Article
Surgery
Masakazu Murakami, Koji Yamada, Shun Onishi, Toshio Harumatsu, Tokuro Baba, Masaaki Kuda, Kina Miyoshi, Yoshinori Koga, Ryuta Masuya, Takafumi Kawano, Mitsuru Muto, Makoto Hayashida, Kazuhiko Nakame, Shin Shinyama, Jun Kuwabara, Kyosuke Tatsuta, Yusuke Yanagi, Ryuichiro Hirose, Takeshi Shono, Misato Migita, Tatsuru Kaji, Mitsuhisa Takatsuki, Atsushi Nanashima, Hiroshi Matsufuji, Satoshi Ieiri
Summary: In order to promote the safety and accessibility of advanced pediatric endoscopic surgery, a proctoring system was introduced to educate local pediatric surgeons. The study showed that with this system, advanced pediatric endoscopic surgery can be successfully performed at local institutions.
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2023)
Article
Pediatrics
Tong Yin, Suyun Chen, Long Li, Mei Diao, Ting Huang, Qianqing Li, XiangHui Xie
Summary: The study evaluated the efficacy of one- and two-stage single-incision laparoscopic hepaticojejunostomy for perforated CDCs with good medical conditions. The results showed no significant differences in operative time, postoperative recovery, and hospital stay between the one-stage and two-stage surgeries. The occurrence of bile leakage was higher in the two-stage group, but there were no other serious complications. Liver function normalized within one year postoperatively.
PEDIATRIC SURGERY INTERNATIONAL
(2022)
Article
Medicine, General & Internal
Jean-Baptiste Marret, Thomas Blanc, Andre Balaton, Sandro La Vignera, Guido Zanghi, Henri Bernard Lottmann, Vincenzo Bagnara
Summary: Symptomatic parapelvic cysts (PPC) are rare and can be misdiagnosed as UPJ obstruction. This study retrospectively reviewed the records of children managed between 2012-2017. The results showed that ultrasound and other imaging exams are crucial for the diagnosis of PPC.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Surgery
Guang-zhen Wu, Qing-yuan Wu, Zhi-hao Zhao, Meng Wang
Summary: Type III choledochal cysts are the rarest variant of biliary cysts and lack a gold standard treatment. This study presents an unusual case of Type III choledochal cyst and confirms the diagnosis through ERCP. The patient underwent surgical treatment with a good outcome.