ArticleSurgical endoscopy2026
Risk factors for bile leakage following laparoscopic cyst excision and hepaticojejunostomy in pediatric choledochal cysts: a retrospective case-control study.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic surgery has been accepted as an effective and safe approach for the treatment in pediatric choledochal cysts (CDCs). However, bile leakage remains one of the most severe early postoperative complications. This study aims to identify risk factors for bile leakage following laparoscopic cyst excision and hepaticojejunostomy in pediatric CDCs and optimize perioperative management strategies.
methodsA retrospective study was conducted on children who underwent laparoscopic cyst excision and hepaticojejunostomy at Fujian Children's Hospital between January 2016 and January 2025. Comprehensive clinical data were extracted from institutional electronic medical records. Participants were stratified into bile leakage and non-bile leakage groups. Univariate analysis and multivariate regression models were used to identify risk factors.
resultsA total of 131 patients were included in this study. The median age of included children was 1.8 years (range: 0.1 ~ 14.3), with a male-to-female ratio of 1.0:3.6. There were 14 cases included in the bile leakage groups, with 7 cases (50%) required surgical reintervention. Univariable analysis indicated that bile leakage was associated with preoperative pancreatitis (p = 0.02), cholangitis (p = 0.03), type IV CDCs (p = 0.03), bile duct stones (p = 0.01), and prior biliary surgery (p = 0.02). Multivariable analysis showed that bile duct stones (OR = 4.4, 95% CI 1.0 ~ 18.8) and prior biliary surgery (OR = 5.1, 95% CI 1.1 ~ 23.0) were independent factors that were associated with bile leakage.
conclusionBile duct stones and prior biliary surgery significantly increase the risk of bile leakage in pediatric CDCs following laparoscopic cyst excision and hepaticojejunostomy. Proactive management of biliary inflammation, complete stone clearance, and meticulous surgical techniques are critical for the prevention of complications.
Indexed as
Identifiers
41225174What OpenQuestion holds
Registered trials
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.