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<p>To contribute to the evolving evidence guiding the optimal management of perforated choledochal cyst (PCC), a rare but serious complication of choledochal cyst. We reviewed data from 10 patients with PCC treated at our institution between 2004 and 2024. The patients were categorized into a two-stage (<i>n</i> = 5) group and a one-stage group (<i>n</i> = 5). Surgical outcomes, postoperative complications, and length of hospital stay were compared. The operative time was significantly longer in the one-stage group than in the two-stage group (353&#xa0;min vs. 282&#xa0;min, respectively; <i>p</i> = 0.006), whereas blood loss was comparable between the groups. Open surgery was more frequent in the two-stage group than the one-stage group (80% vs. 0%; <i>p</i> = 0.048). Early complications occurred in 40% and 20% of the patients in the two-stage and one-stage groups, respectively (<i>p</i> = 1.000). Anastomotic leakage occurred in one patient from each group. The hospital stay was significantly longer in the two-stage group than in the one-stage group. The late complication incidence did not differ significantly between the groups. Our findings suggest that one-stage surgery is a safe and effective option for PCC in patients who are clinically stable and when performed by experienced surgeons. These findings may assist in the management of PCC.</p>

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One-stage minimally invasive surgery is as safe and feasible as two-stage surgery for perforated choledochal cyst in pediatric patients who are hemodynamically stable

  • 期刊论文

  • 发表日期：

    2025年12月12日

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  • Takahisa Tainaka,
  • Chiyoe Shirota,
  • Satoshi Makita,
  • Hizuru Amano,
  • Yoko Kano,
  • Akihiro Yasui,
  • Yoichi Nakagawa,
  • Daiki Kato,
  • Takuya Maeda,
  • Hiroki Ishii,
  • Yui Murata,
  • Ami Utsunomiya,
  • Akinari Hinoki,
  • Hiroo Uchida

摘要

To contribute to the evolving evidence guiding the optimal management of perforated choledochal cyst (PCC), a rare but serious complication of choledochal cyst. We reviewed data from 10 patients with PCC treated at our institution between 2004 and 2024. The patients were categorized into a two-stage (n = 5) group and a one-stage group (n = 5). Surgical outcomes, postoperative complications, and length of hospital stay were compared. The operative time was significantly longer in the one-stage group than in the two-stage group (353 min vs. 282 min, respectively; p = 0.006), whereas blood loss was comparable between the groups. Open surgery was more frequent in the two-stage group than the one-stage group (80% vs. 0%; p = 0.048). Early complications occurred in 40% and 20% of the patients in the two-stage and one-stage groups, respectively (p = 1.000). Anastomotic leakage occurred in one patient from each group. The hospital stay was significantly longer in the two-stage group than in the one-stage group. The late complication incidence did not differ significantly between the groups. Our findings suggest that one-stage surgery is a safe and effective option for PCC in patients who are clinically stable and when performed by experienced surgeons. These findings may assist in the management of PCC.