Choledochal Cyst Resection
Conditions
Keywords
choledochal cyst, postoperative flatus, Roux-en-Y hepaticojejunostomy, pediatric surgery
Brief summary
This retrospective study aims to systematically analyze the factors influencing short-term rehabilitation and liver function recovery after radical surgery for pediatric common bile duct cysts, identify independent risk factors, construct a risk prediction model, and provide an evidence-based basis for optimizing perioperative management.
Interventions
None listed
Sponsors
Wuhan Children's Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Weeks to 16 Years
Healthy volunteers
No
Inclusion criteria
1\) Age between 0-16 years, meeting the age-based classification criteria for pediatric patients; 2) Diagnosis of common bile duct cyst confirmed by imaging studies (liver and gallbladder ultrasonography, MRCP, or CT), with histological typing performed according to the Todani classification system; 3) First-time surgical resection of the common bile duct cyst combined with radical Roux-en-Y hepatojejunal anastomosis; 4) Complete clinical medical records, preoperative laboratory test data, intraoperative surgical documentation, postoperative rehabilitation and follow-up data; 5) The study cases are affiliated with respective participating research centers, and inpatient and follow-up data can be readily retrieved.
Exclusion criteria
1\) Children with severe end-stage liver cirrhosis, irreversible liver failure, or malignant biliary tract tumors; 2) Children with severe multi-organ failure (e.g., cardiac, pulmonary, or renal failure) who cannot be adequately assessed for surgical prognosis; 3) Children undergoing secondary surgery or those with recurrent choledochal cysts; 4) Children who have only undergone palliative stoma creation or percutaneous drainage without receiving radical surgical intervention; 5) Cases in which critical perioperative clinical data are missing, making it impossible to meet the requirements for data analysis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First flatus time (hours) | From the date of surgery until the date of first flatus, assessed up to 7 days postoperatively. |
| First defecation time | From the date of surgery until the date of first defecation, assessed up to 7 days postoperatively. |
| Postoperative length of hospital stay (days) | From the date of surgery until the date of hospital discharge, assessed up to 3 months postoperatively. |
Countries
China
Contacts
STUDY_CHAIRXueqiang Yan, Doctor
Wuhan Children's Hospital
PRINCIPAL_INVESTIGATORLiang Ge
Tianjin Children's Hospital
PRINCIPAL_INVESTIGATORChen Yu
Anhui Provincial Children's Hospital
PRINCIPAL_INVESTIGATORZhu Jin
Zunyi Medical College
PRINCIPAL_INVESTIGATORXiaoxia Wu
Shanxi Provincial Maternity and Children's Hospital
Outcome results
None listed