SynthesisPediatric surgery international2022
Postoperative anastomotic stricture following excision of choledochal cyst: a systematic review and meta-analysis.
Synthesis in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 23 citations in OpenAlex.
- Laparoscopic/robotic embedding hepaticojejunostomy with FHDO for biliary tract malformations with a small-diameter hepatic duct opening: a retrospective study.Surgical endoscopy · 2026Article
- Outcomes of laparoscopic versus open excision of choledochal cyst in preschool-aged children: analysis from a nationally representative database.Pediatric surgery international · 2026Article
- MRI features of fetal type I congenital choledochal cyst and parameter measurement of hepatobiliary development.BMC medical imaging · 2026Article
- Surgical outcomes in neonates and infants with congenital choledochal malformation: analysis of the Pediatric Health Information System (PHIS) database.Pediatric surgery international · 2026Article
- Surgical management strategies and postoperative outcomes of choledochal cysts in children: the role of preoperative radiological assessment in a retrospective observational study.Frontiers in pediatrics · 2026Article
- Early Definitive Surgery for Congenital Biliary Dilatation in Children Is Associated With Lower Morbidity: Comparison of Infant and School-Age Children From 231 Consecutive Cases in a Multicenter Study in the Kyushu Area of Japan During the Past Decade.Journal of hepato-biliary-pancreatic sciences · 2025Article
- An explainable machine learning model for predicting postoperative cholangitis in pediatric surgical patients with pancreaticobiliary maljunction.BioData mining · 2025Article
- Safety and feasibility of robot-assisted laparoscopic telesurgery in pediatric surgery: a case series.Translational pediatrics · 2025Article
- Robotic excision of choledochal cysts with Roux-en-Y hepatico-jejunostomy in children: surgical technique, experience and outcomes.Journal of robotic surgery · 2025Article
- Comparison of the current characteristics and management of congenital biliary dilatation with and without a fetal diagnosis: report of 231 consecutive cases from the Kyushu Pediatric Surgery Study Group in Japan over the past decade.Pediatric surgery international · 2025Article
- A comparative study of childhood versus adult-onset biliary complications following pediatric choledochal cyst surgery.Pediatric surgery international · 2025Article
- Presentation and outcomes of surgery for choledochal cyst in children and adults: an experience of 329 cases.Updates in surgery · 2025Article
- Nomograms for postoperative complications in congenital biliary dilatation: a retrospective cohort study.Frontiers in pediatrics · 2025Article
- Biliary Reconstruction with Hepaticoduodenostomy Versus Hepaticojejunostomy After Choledochal Cyst Resection: A Narrative Review.Journal of clinical medicine · 2024Review
- Surgical aspects of choledochal cyst in children and adults: an experience of 106 cases.Pediatric surgery international · 2024Article
- The timing of minimally invasive surgery for prenatally diagnosed choledochal cysts.BMC pediatrics · 2024Article
- Prospective evaluation of common hepatic duct histopathology at the time of choledochal cyst excision ranging from children to adults.Pediatric surgery international · 2023Article
- Management of extrahepatic bile duct cysts.The British journal of surgery · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePostoperative anastomotic stricture (PAS) is a well-known complication after correcting choledochal cyst (CC). Although the exact cause of PAS is unknown, various risk factors, such as Todani classification type IV-A, hepaticoduodenostomy, and narrow anastomosis have been reported to be associated with PAS. As far as we know, there is no report with a cumulative analysis of such risk factors of PAS. This systematic review and meta-analysis aimed to investigate the risk factors of PAS following surgical correction of CC in children.
methodsA systematic literature search for relevant articles was performed in four databases using the combinations of the following terms "Congenital biliary dilatation", "Congenital choledochal cyst", "Choledochal cyst", "Stenosis", "Stricture", and "Complication" for studies published between 1973 and 2022. The relevant cohorts of PAS were systematically searched for clinical presentation and outcomes.
resultsThe search strategy identified 795 reports. Seventy studies met the defined inclusion criteria, reporting a total of 206 patients with PAS. There is no prospective study in this search. The incidence of PAS was 2.1%. The proportion of Todani classification of the patient with PAS was higher in type IV-A with significant difference (2.0% in type I and 10.1% in type IV-A (p = 0.001)). Fourteen studies reported a comparison between hepaticojejunostomy and hepaticoduodenostomy. There was no significant difference between the two groups (p = 0.36). Four studies reported the diameter of the anastomosis at the primary surgery. The mean diameter was 12.5 mm. Nine studies reported a comparison between laparoscopic surgery and open surgery. Pooled odds ratio of PAS did not show a statistical difference (p = 0.29).
conclusionsThis study suggests that close careful follow-up is important in the patients with type IV-A of CC who underwent excision surgery, considering the possibility of PAS.
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