Postoperative anastomotic stricture following excision of choledochal cyst: a systematic review and meta-analysis

Contemporary trends in choledochal cyst excision: An analysis of the pediatric national surgical quality improvement program

“…13,[15][16][17][18] Although controversy remains regarding the difference in long-term complications between these reconstructions, studies have shown HD and RNYHJ to have similar short-term outcomes. 13,[18][19][20][21][22] Over recent years, HD reconstruction has become more frequently adopted for reconstruction due to the increasing use of minimally invasive surgery (MIS) in children. Laparoscopic 11,13,[20][21][22][23][24][25][26][27][28][29][30] and robotic 28,[31][32][33][34][35][36][37] approaches have been shown to be safe and effective strategies for choledochal cyst resection, including in young children less than 1 year of age.…”

“…Yet, HD has been associated with increased rates of postoperative reflux, gastritis, and pancreatitis 13,15–18 . Although controversy remains regarding the difference in long‐term complications between these reconstructions, studies have shown HD and RNYHJ to have similar short‐term outcomes 13,18–22 …”

“…Prior studies have examined outcomes of HD versus RNYHJ reconstruction, although many have been limited to meta‐analyses, small institutional studies, or international cohorts 4–12,14,15,20,21,24,33,38 . Very few utilize large national databases 13 .…”

“…13,[18][19][20][21][22] Over recent years, HD reconstruction has become more frequently adopted for reconstruction due to the increasing use of minimally invasive surgery (MIS) in children. Laparoscopic 11,13,[20][21][22][23][24][25][26][27][28][29][30] and robotic 28,[31][32][33][34][35][36][37] approaches have been shown to be safe and effective strategies for choledochal cyst resection, including in young children less than 1 year of age. 4,29,[38][39][40][41] In comparison to laparoscopic surgery, robot-assisted resection has been shown to have a longer overall operative time but shorter hospital length of stay.…”

“…19 Prior studies have examined outcomes of HD versus RNYHJ reconstruction, although many have been limited to meta-analyses, small institutional studies, or international cohorts. [4][5][6][7][8][9][10][11][12]14,15,20,21,24,33,38 Very few utilize large national databases. 13 The goal of our study was to define contemporary trends and compare outcomes stratified by type of reconstruction (HD vs. RNYHJ), use of MIS, and age at excision using a large national database to identify the practice variations and determine best practice for age, approach, and reconstruction.…”