ArticleFrontiers in pediatrics2026
Surgical management strategies and postoperative outcomes of choledochal cysts in children: the role of preoperative radiological assessment in a retrospective observational study.
Article in Frontiers in pediatrics, 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
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Choledochal cysts (CCC) are common congenital biliary malformations in children. Early diagnosis and standardized surgery are critical for prognosis. Preoperative imaging is essential for classification and surgical planning, but the value of different modalities remains unclear. Purpose: This study aimed to investigate the value of preoperative imaging in guiding surgical strategies for pediatric CCC, analyze its prognostic predictive efficiency, and explore related risk factors to provide evidence for individualized clinical management. Methods: A retrospective study enrolled 104 children with choledochal cysts surgically treated from January 2022 to December 2024. All diagnoses were confirmed by preoperative imaging, intraoperative exploration and postoperative pathology. Cysts were classified by the Todani system. Preoperative imaging included abdominal ultrasound (US), computed tomography (CT), magnetic resonance imaging/magnetic resonance cholangiopancreatography (MRI/MRCP) and intraoperative cholangiography (IOC). Key radiological features were collected. We analyzed the correlation between imaging features and surgical strategy. Primary outcomes were early postoperative complications and mid-term liver function abnormalities; secondary outcomes included operative time, blood loss, hospital stay and reoperation rate. Univariate and multivariate Logistic regression identified independent risk factors. A combined predictive model was constructed, and ROC curves evaluated its predictive performance (95% CI). Results: The most common types were Todani type I (65.4%) and type IVa (24.0%). Magnetic resonance cholangiopancreatography achieved a classification accuracy of 96.2% and exhibited higher detection rates of pancreaticobiliary maljunction and intrahepatic bile duct dilatation than ultrasound and computed tomography ( Conclusion: Preoperative imaging is essential for pediatric choledochal cyst management, and the combination of ultrasound and MRCP enables precise surgical planning and better prognosis.
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.