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Active distribution networks increasingly rely on stochastic optimization to manage uncertainties arising from renewable generation, flexible demand, distributed storage, electric vehicles, and local energy markets. These uncertainties affect voltage quality, congestion, operational cost, reliability, and the value of flexibility. This systematic review categorizes and evaluates uncertainty-aware stochastic optimization techniques for demand response, DER coordination, and flexibility provision in active distribution networks. It focuses on methodological transparency, thematic synthesis, and identification of research gaps. A PRISMA-guided systematic review of 31 peer-reviewed journal articles published from 2017 to 2023 was conducted. A structured search, screening, eligibility assessment, and data extraction process was used to organize the evidence. The review maps dominant stochastic frameworks, including two-stage stochastic programming, chance-constrained optimization, robust-stochastic formulations, and distributionally robust optimization. Five synthesis tables are used across the full manuscript to summarize study selection, article characteristics, method taxonomies, application mappings, and research gaps. Stochastic optimization supports secure and efficient operation of active distribution grids, but important gaps remain in scalability, real-world validation, interoperability, and regulatory integration. The review outlines an agenda for more adaptive, transparent, and implementation-ready optimization methods.