Preferred anastomosis following choledochal cyst excision: A cross-sectional survey among pediatric surgeons

Background: Choledochal cyst (CC) is a cystic dilatation of various parts of the biliary tract that requires surgical intervention. Excision of the CC with biliary enteric anastomosis is the standard line of treatment. There are two types of biliary enteric anastomosis, hepaticojejunostomy (HJ), and hepaticoduodenostomy (HD). However, there is no consensus among surgeons regarding the preferred anastomosis technique. Aims and Objectives: In this study, we conducted a survey among pediatric surgeons in India to determine their preferred anastomosis technique following CC excision. Materials and Methods: A cross-sectional survey was conducted among pediatric surgeons in India by circulating a Google™ form containing information about their demographics and their preferred choice of anastomosis in the Indian Association for Pediatric Surgeons Official Telegram™ group called “Pediatric Surgery Academics.” The survey was done in June and July 2019. Results: A total of 53 (9.96%) pediatric surgeons responded to the survey. Among them, 47 (88.7%) were male and 6 (11.3%) were female pediatric surgeons. The mean age of the surgeons was 46.21, and the mean number of cases operated by pediatric surgeons was 28.49. Experience-wise, 8 (15.1%) had