Evidence map›Paper›PMID 34021416›Full record

Observational studyLangenbeck's archives of surgery2021

Tactics, techniques, and challenges in the management of giant choledochal cyst in adolescents and adults: a retrospective cohort study.

Saket Kumar, Saurabh Singla, Sanjay Kumar, Rakesh Kumar Singh, Amarjit Kumar Raj, Manish Mandal

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Langenbeck's archives of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 15 citations in OpenAlex.

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  5. Laparoscopic resection of a giant choledochal cyst: A rare case report.The Journal of international medical research · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Saket KumarDepartment of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India. krsaketsingh@gmail.com.ORCID http://orcid.org/0000-0001-6556-8228
Saurabh SinglaDepartment of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.ORCID https://orcid.org/0000-0002-4673-8823
Sanjay KumarDepartment of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Rakesh Kumar SinghDepartment of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Amarjit Kumar RajDepartment of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Manish MandalDepartment of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Indira Gandhi Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCholedochal cyst is a rare congenital anomaly manifesting as cystic dilatation of the biliary tree. This study presents our 5-year experience with giant choledochal cyst in adolescents and adults, focusing primarily on its clinical presentation, operative challenges, and pragmatic solutions.

methodsA retrospective observational study was conducted on 58 adolescent and adult choledochal cyst patients who were managed at a tertiary care hospital. Giant choledochal cyst is defined as cyst with a maximum diameter of ≥ 10 cm. Demographic profile, clinical presentation, and surgical outcome of these patients were analyzed.

resultsA total of 12 patients with giant choledochal cyst were managed in our department in a duration of 5 years. The median age of patients with giant choledochal cyst was 20 years (range, 13-30 years) and male to female ratio was 1:2. Giant choledochal cysts were more symptomatic and 8 out of 12 presented with classic triad of abdominal pain, mass, and jaundice. One patient with giant choledochal cyst had metastatic cholangiocarcinoma. Eleven patients underwent surgical cyst excision. Surgery of the giant cyst was challenging and required technical modifications for safe excision.

conclusionGiant choledochal cyst is an unusual entity that is rarely encountered beyond first decade of life. These cysts pose unique surgical challenges and require modification of the standard operative technique.

Indexed as

Bile Duct NeoplasmsCholedochal CystAbdominal PainAdolescentAdultBile Ducts, IntrahepaticFemaleHumansMaleRetrospective StudiesYoung AdultAdultBiliary surgeryCholedochal cystCongenital defectGiant cyst

Identifiers

PMID34021416
OpenAlexW3161622086

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.