ArticleTranslational pediatrics2026
Risk factors for complications after laparoscopic surgery in children with congenital choledochal cysts.
Article in Translational pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Comparison of Robot-Versus Laparoscopy-Assisted Resection of Choledochal Cysts in Infants Aged Less than 3 Months.Journal of clinical medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Laparoscopic Roux‑en‑Y hepaticojejunostomy is the standard treatment for pediatric congenital choledochal cysts (CCCs). However, postoperative complications remain a significant clinical challenge. This study aimed to identify independent risk factors and develop a predictive model for complications following laparoscopic CCC excision in children. Methods: We conducted a retrospective cohort study of 362 pediatric patients who underwent laparoscopic surgery for CCC between August 2019 and July 2024 at two tertiary centers. Preoperative variables were systematically collected. Univariable and multivariable logistic regression analyses identified predictors of complications, with significant variables (P<0.05) incorporated into a nomogram for risk stratification. Subgroup and Cox regression analyses were used to evaluate factors for specific complications and time-to-event outcomes. Results: Postoperative complications occurred in 34 patients (9.39%). The most common were biliary-intestinal anastomotic stricture (35.3%), choledocholithiasis (23.5%), and pancreatitis (20.6%). Independent predictors included: cyst wall thickness >5 mm [odds ratio (OR) =4.23, 95% confidence interval (CI): 1.26-6.75; P<0.001], chronic cholecystitis (OR =6.42, 95% CI: 3.39-9.24; P<0.001), Todani type I (OR =6.13, 95% CI: 2.74-10.38; P=0.002), elevated C-reactive protein (CRP) (OR =1.52, 95% CI: 1.12-2.16; P=0.04), and elevated direct bilirubin (DB; OR =2.05, 95% CI: 1.23-4.17; P=0.04). Subgroup analysis confirmed cyst wall thickness, chronic cholecystitis, Todani type I, and CRP consistently predicted all complications, while DB was specifically linked to choledocholithiasis (P=0.02). Cox regression further associated cyst wall thickness >5 mm with higher complication risk (P=0.04). Conclusions: Cyst wall thickness >5 mm, chronic cholecystitis, Todani Type I, elevated CRP, and elevated DB were selected as factors to assess the prognosis of children with choledochal cysts, providing important reference value for the prognostic evaluation and clinical management of children with choledochal cysts.
Indexed as
Identifiers
What 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.