Liu Xingjian, Zhu Guodong, Zhang Jiayi, Mu Yulong, Qiao Zongxing, Wang Chuan
Department of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, China.
Department of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.
Front Med (Lausanne). 2025 Jul 11;12:1611045. doi: 10.3389/fmed.2025.1611045. eCollection 2025.
INTRODUCTION: Choledochal cysts (CCs), which are congenital biliary anomalies prevalent in Asia, predominantly affect children and carry the risk of severe complications, including malignancy. Surgical intervention, evolving from open to minimally invasive (laparoscopic/robotic) techniques, remains the cornerstone of management. Despite growing research, no bibliometric analysis has mapped the global trends in CCs surgical studies. The aim of this study was to comprehensively analyze the advances in the surgical treatment of CCs since the 21st century and to predict future research directions. METHODS: Using the Web of Science Core Collection (2000-2024), we analyzed 1,064 publications on CCs surgery via Bibliometrix and CiteSpace. The search terms included surgical techniques (e.g., "laparoscop*," "Roux-en-Y") and disease terms (e.g., "choledochal cyst*"). The data encompassed authorship, citations, institutions, and keywords. RESULTS: Average Annual publications increased by 5.95%, peaking by 2023 ( = 93). China ( = 579) and Japan ( = 398) dominated the research output, yet international collaboration was limited (MCP rate <10%). High-impact studies emphasized long-term malignancy risks after Roux-en-Y anastomosis and laparoscopic superiority over open surgery. Keyword analysis revealed shifting foci: "management" ( = 241) and "children" ( = 204) were predominant, while "robotic surgery" emerged post-2010. Institutions such as Monash University and the Capital Institute of Pediatrics led productivity, with the Journal of Pediatric Surgery being the top publisher. CONCLUSION: Surging research on CCs surgery highlights evolving priorities: bibliometrics reveal a growing focus on long-term outcomes and minimally invasive techniques (laparoscopic/robotic). Enhanced preoperative and postoperative management and novel diagnostic methods are critical. Global collaboration and standardized training remain pivotal for optimizing patient prognosis.
引言:胆总管囊肿(CCs)是亚洲常见的先天性胆道畸形,主要影响儿童,并存在包括恶性肿瘤在内的严重并发症风险。手术干预从开放手术发展到微创(腹腔镜/机器人)技术,仍然是治疗的基石。尽管研究不断增加,但尚无文献计量分析描绘CCs手术研究的全球趋势。本研究的目的是全面分析21世纪以来CCs手术治疗的进展,并预测未来的研究方向。 方法:利用科学网核心合集(2000 - 2024年),我们通过Bibliometrix和CiteSpace分析了1064篇关于CCs手术的出版物。检索词包括手术技术(如“腹腔镜*”“Roux-en-Y”)和疾病术语(如“胆总管囊肿*”)。数据涵盖作者、引用、机构和关键词。 结果:年平均出版物数量增长了5.95%,在2023年达到峰值(=93)。中国(=579)和日本(=398)在研究产出方面占主导地位,但国际合作有限(MCP率<10%)。高影响力研究强调Roux-en-Y吻合术后的长期恶性肿瘤风险以及腹腔镜手术相对于开放手术的优越性。关键词分析显示研究重点发生了变化:“治疗”(=241)和“儿童”(=204)最为突出,而“机器人手术”在2010年后出现。莫纳什大学和首都儿科研究所等机构在研究产出方面领先,《小儿外科杂志》是发表量最高的期刊。 结论:CCs手术研究的激增凸显了不断变化的重点:文献计量学表明对长期结果和微创技术(腹腔镜/机器人)的关注日益增加。加强术前和术后管理以及新型诊断方法至关重要。全球合作和标准化培训对于优化患者预后仍然至关重要。
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