The Role of Laparoscopic Treatment of Choledochal Malformation in Europe: A Single-Center Experience and Review of the Literature

Single-center European study of 57 pediatric patients undergoing laparoscopic choledochal malformation resection shows a 30% conversion rate and 16% major complication rate, with outcomes improving over time. The study reveals a geographic disparity, with Asian centers reporting lower complication rates than non-Asian institutions, suggesting centralization may be beneficial given the procedure's rarity and learning curve.