The impact of pre-operative cholecystostomy on laparoscopic excision of choledochal cyst in paediatric patients

This retrospective study of 61 pediatric patients identifies pre-operative cholecystostomy as a significant risk factor for conversion to open surgery during laparoscopic choledochal cyst excision (conversion rate 39.3%). The finding suggests that cholecystostomy placement for cholangitis management may complicate subsequent minimally invasive definitive repair.