One- versus two-stage single-incision laparoscopic cyst excision and hepaticojejunostomy in patients with completely perforated choledochal cysts and good medical conditions

Retrospective study of 57 patients comparing one-stage versus two-stage single-incision laparoscopic hepaticojejunostomy for perforated choledochal cysts found similar operative outcomes and complication rates. One-stage approach proved safe and effective in experienced hands for patients with complete perforations and stable medical conditions.