Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	107351
Country	China

Category	Medicine, General & Internal
Manuscript Type	Case Report
Article Title	Treatment of giant choledochal cysts with combined surgery and percutaneous transhepatic cholangial drainage: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Dong-Dong Wang, Yong-Yue Du, Yong-Zhao Li, Wei Wang, Tian-Long Ma, Xue-Chao Xu, Chen Mi, Si-Yang Wang, Feng Cui, Yuan-Hua She, Man-Cai Wang and Han-Teng Yang
Funding Agency and Grant Number	Funding Agency Grant Number National Natural Science Foundation of China 8246100060 Gansu Provincial Natural Science Foundation Project 24JRRA331 Traditional Chinese Medicine Research Project of Gansu Province GZKZ-2024-26
Corresponding Author	Han-Teng Yang, Chief Physician, Lecturer, MD, Department of General Surgery, Lanzhou University Second Hospital, No. 82 Cuiying Gate, Chengguan District, Lanzhou 730030, Gansu Province, China. yanghanteng@126.com
Key Words	Choledochal cyst; Giant; Surgery; Percutaneous transhepatic cholangial drainage; Diagnosis; Case report
Core Tip	Giant choledochal cysts are exceedingly rare in clinical practice. Here, we report a case of an 18-year-old female with a massive choledochal cyst complicated with acute cholangitis. Magnetic resonance cholangiopancreatography was performed, which facilitated the attainment of a confirmatory diagnosis, while percutaneous transhepatic cholangial drainage combined with definitive surgical intervention resulted in successful clinical outcomes. The present case highlights the critical significance of advanced imaging modalities in the diagnosis of giant choledochal cysts and highlights the efficacy of staged management (drainage followed by excision) for giant choledochal cysts. And the benefits of artificial intelligence systems for surgery are also discussed. These results provide crucial insights that can be used to optimize future diagnostic and therapeutic strategies for this rare biliary disorder.
Citation	Wang DD, Du YY, Li YZ, Wang W, Ma TL, Xu XC, Mi C, Wang SY, Cui F, She YH, Wang MC, Yang HT. Treatment of giant choledochal cysts with combined surgery and percutaneous transhepatic cholangial drainage: A case report. World J Gastrointest Surg 2025; In press

Received	2025-03-30 10:00
Peer-Review Started	2025-03-30 10:00
To Make the First Decision
Return for Revision	2025-04-09 12:24
Revised	2025-04-18 12:52
Second Decision	2025-05-09 02:46
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-05-09 07:54
Articles in Press	2025-05-09 07:54
Publication Fee Transferred	2025-04-26 00:55
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com