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A Kasai operation involves removing the damaged bile ducts from the base of the liver and using part of the child's intestine to restore bile flow from the liver. Imaging tests can help if your child's physician believes they may have biliary atresia. Nonetheless, the most reliable method of diagnosis is surgery along with bile duct inspection. The bile ducts are first examined via laparoscopy or by making an incision below the ribs on the right side of the belly.
Factors affecting the cost of Kasai Procedure:
- Hospital costs: The costs levied by the hospital or medical facility where the surgery is conducted are the main elements affecting the cost of any surgical treatment. This covers costs for the use of the operating room, medical supplies, and other hospital resources during the treatment.
- Hospital Reputation and Facilities: The cost of the Kasai Procedure may be greater in hospitals with a stellar reputation for pediatric surgery or liver transplantation. Furthermore, the costs of facilities with cutting-edge amenities and equipment could be greater.
- Surgeon's Fees: Another major factor driving up the total cost is the fees that the surgeon charging for the Kasai Procedure will collect. The cost of a surgeon may differ depending on experience, area of specialization, and location.
- Fees for anesthetic: The type of anesthetic utilized and the length of the procedure will determine the cost of anesthesia, which is necessary for the Kasai Procedure. This category will contain anesthesiologist fees as well as costs for anesthesia medications and monitoring apparatus.
- Preoperative Evaluation: Before having the Kasai Procedure, patients usually go through several preoperative assessments, such as imaging exams, blood tests, and specialist consultations. These assessments will come with an additional cost on top of the total.
- Postoperative Care: Patients need postoperative care after the Kasai Procedure, which includes hospital monitoring, medication, and follow-up sessions. The price of these services will go toward the procedure's overall cost.
- Complications and more Procedures: Following the Kasai Procedure, complications may occasionally occur. In these instances, more procedures or surgeries may be required. Managing problems and any more procedures will raise the overall cost of care.
- Geographical Location: Depending on the hospital's or clinic's location, the cost of medical operations may differ. The Kasai Procedure may cost more in hospitals in metropolitan areas or places with greater cost of living than it does in rural ones.
| Country | Cost | Local_currency |
|---|---|---|
| United Kingdom | USD 25215 - 37822 | 19920 - 29879 |
| Turkey | USD 35000 | 1054900 |
| Spain | USD 40000 - 50000 | 36800 - 46000 |
| United States | ||
| Singapore | USD 41000 | 54940 |
A medical disease that affects infants' bile ducts is called biliary atresia. These ducts, which transport digestive secretions from the liver to the intestines, may be excessively small, obstructed, or undetectable. As a result, the liver endures significant damage from bile accumulation.
"A Kasai operation, also known as a "Hepatoportoenterostomy," is a surgical procedure in which the child's intestine is used to replace the damaged bile ducts at the base of the liver to restore bile flow from the liver."
The Kasai procedure (hepatoportoenterostomy) is performed to treat biliary atresia, a rare liver condition in infants where bile ducts are blocked or absent. The surgery helps restore bile flow from the liver to the intestine, preventing liver damage, jaundice, and eventual liver failure.
Parents should seek medical attention if their newborn has persistent jaundice beyond 2 weeks, pale or clay-colored stools, dark urine, enlarged liver, or poor weight gain. Early detection is critical, as the procedure is most effective when performed before 8 weeks of age.
Preparation includes blood tests, liver function tests, abdominal ultrasound, liver biopsy, and sometimes cholangiography (imaging of bile ducts). Parents are advised on the procedure, risks, and potential need for future liver transplant. The infant may need to fast before surgery.
The Kasai procedure involves:
- Removing the damaged or missing bile ducts outside the liver.
- Attaching a loop of the small intestine directly to the liver at the porta hepatis (the area where bile normally drains).
- This allows bile to drain directly from the liver into the intestine.
The surgery typically takes 4–6 hours. Depending on recovery and complications, the hospital stay is usually 1–2 weeks.
- Cholangitis (bile duct infection)
- Liver scarring (cirrhosis)
- Bleeding
- Portal hypertension
- Malnutrition
- Can restore bile flow and relieve jaundice
- May delay or avoid the need for liver transplantation
- Improves growth and nutrition in affected infants
Recovery involves antibiotics to prevent infection, nutritional support, and regular follow-ups to monitor liver function. Some children may need fat-soluble vitamin supplements. Long-term monitoring is necessary for signs of liver damage.
Success depends on the age at surgery and the degree of liver damage. If performed early (ideally before 8 weeks), bile flow is restored in about 30–60% of cases. However, over 50% of patients eventually require liver transplantation, usually by early childhood.
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Get Help Explore Hospitals ( 125 )
Medicana Sivas Hospital
Sivas, Turkey
Types of Kasai Procedure in Medicana Sivas Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Kasai Procedure (Overall) | 27553 - 39449 | 834846 - 1170839 |
| Open Kasai Procedure | 24748 - 35492 | 759841 - 1088658 |
| Laparoscopic Kasai Procedure | 32094 - 42512 | 948787 - 1296029 |
| Robotic-assisted Kasai Procedure | 33391 - 45774 | 1024530 - 1345195 |
- Address: Kızılırmak Mahallesi, Medicana Sivas, Merkez/Sivas Merkez/Sivas, Turkey
- Facilities related to Medicana Sivas Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Max Super Speciality Hospital, Saket
Delhi, India
Max Smart Super Speciality Hospital, Saket, is a 250-bed tertiary care hospital awarded NABH accreditation, which provides advanced medical care in various specialities such as Cardiac Sciences, Orthopaedics, Neurology, Urology, Kidney Transplant, Paediatrics, and Obstetrics & Gynaecology. The hospital provides quality, safe, integrated, and patient-centric medical care using modular OTs, ICUs, Cath Labs, CT, MRI and Dialysis units.
Manipal Hospital, Hebbal
Bangalore, India
Types of Kasai Procedure in Manipal Hospital, Hebbal and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Kasai Procedure (Overall) | 20363 - 30582 | 1658562 - 2495456 |
| Open Kasai Procedure | 18246 - 28345 | 1495769 - 2338711 |
| Laparoscopic Kasai Procedure | 22340 - 32493 | 1839870 - 2650512 |
| Robotic-assisted Kasai Procedure | 25270 - 35500 | 2078716 - 2915978 |
- Address: Columbia Asia Hospital, Rajaji Nagar, Bengaluru, Karnataka, India
- Facilities related to Manipal Hospital, Hebbal: Choice of Meals, SIM, TV inside room, Accommodation, Airport Transfer
Bai Jerbai Wadia Hospital for Children
Mumbai, India
Types of Kasai Procedure in Bai Jerbai Wadia Hospital for Children and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Kasai Procedure (Overall) | 20394 - 30370 | 1670885 - 2505990 |
| Open Kasai Procedure | 18328 - 28560 | 1491313 - 2335609 |
| Laparoscopic Kasai Procedure | 22293 - 32521 | 1837305 - 2669840 |
| Robotic-assisted Kasai Procedure | 25275 - 35396 | 2072159 - 2907660 |
- Address: Bai Jerbai Wadia Hospital for Children, Acharya Donde Marg, Parel, Mumbai, Maharashtra, India
- Facilities related to Bai Jerbai Wadia Hospital for Children: SIM, Accommodation, Airport Transfer
Acibadem Altunizade Hospital
Istanbul, Turkey
Types of Kasai Procedure in Acibadem Altunizade Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Kasai Procedure (Overall) | 28073 - 39537 | 829394 - 1185359 |
| Open Kasai Procedure | 24313 - 36732 | 750987 - 1100211 |
| Laparoscopic Kasai Procedure | 31354 - 42169 | 968989 - 1297967 |
| Robotic-assisted Kasai Procedure | 33225 - 45705 | 1039786 - 1331006 |
- Address: Altunizade, Acbadem Hastanesi - Altunizade, Yurtcan Soka,
- Facilities related to Acibadem Altunizade Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Acibadem University Hospital Atakent
Istanbul, Turkey
Types of Kasai Procedure in Acibadem University Hospital Atakent and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Kasai Procedure (Overall) | 28403 - 38519 | 843041 - 1180169 |
| Open Kasai Procedure | 25246 - 35913 | 761120 - 1105554 |
| Laparoscopic Kasai Procedure | 30824 - 42072 | 967092 - 1289732 |
| Robotic-assisted Kasai Procedure | 33131 - 45767 | 1012775 - 1331253 |
- Address: Halkal Merkez Mahallesi, Acibadem University Hospital Atakent, Halkal Altnehir stanbul Caddesi, K
- Facilities related to Acibadem University Hospital Atakent: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Iranian Hospital
Dubai, United Arab Emirates
Types of Kasai Procedure in Iranian Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (AED) |
|---|---|---|
| Kasai Procedure (Overall) | 28497 - 39833 | 106322 - 144628 |
| Open Kasai Procedure | 26153 - 34981 | 93686 - 128412 |
| Laparoscopic Kasai Procedure | 31376 - 41481 | 116651 - 149122 |
| Robotic-assisted Kasai Procedure | 32956 - 42910 | 120543 - 160927 |
- Address: Iranian Hospital - Al Wasl Road - Dubai - United Arab Emirates
- Facilities related to Iranian Hospital: SIM, TV inside room, Airport Transfer, Choice of Meals
Istinye University Bahcesehir - LIV Hospital
Istanbul, Turkey
Types of Kasai Procedure in Istinye University Bahcesehir - LIV Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Kasai Procedure (Overall) | 27555 - 39698 | 865279 - 1208340 |
| Open Kasai Procedure | 24237 - 36774 | 745656 - 1095164 |
| Laparoscopic Kasai Procedure | 31145 - 42892 | 958179 - 1263564 |
| Robotic-assisted Kasai Procedure | 33441 - 45938 | 1000958 - 1362662 |
- Address: Ak Veysel Mah, stinye
- Facilities related to Istinye University Bahcesehir - LIV Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Medical Park Goztepe Hospital
Istanbul, Turkey
Types of Kasai Procedure in Medical Park Goztepe Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Kasai Procedure (Overall) | 28624 - 39066 | 830746 - 1210833 |
| Open Kasai Procedure | 24407 - 36159 | 750338 - 1062990 |
| Laparoscopic Kasai Procedure | 32014 - 43518 | 931017 - 1290374 |
| Robotic-assisted Kasai Procedure | 33633 - 45689 | 1037457 - 1340049 |
- Address:
- Facilities related to Medical Park Goztepe Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer
VM Medical Park Bursa Hospital
Bursa, Turkey
Types of Kasai Procedure in VM Medical Park Bursa Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Kasai Procedure (Overall) | 28068 - 38672 | 843070 - 1201462 |
| Open Kasai Procedure | 25188 - 35975 | 730441 - 1062630 |
| Laparoscopic Kasai Procedure | 32037 - 43129 | 928442 - 1280232 |
| Robotic-assisted Kasai Procedure | 33471 - 45233 | 1020262 - 1342965 |
- Address: Krcaali, Medical Park Hastanesi, Fevzi
- Facilities related to VM Medical Park Bursa Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Religious Facilities
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+99Process Involved for Kasai Procedure
- Pre-Operative Evaluation: Blood tests, liver function tests, and an abdominal ultrasound for confirmation of biliary atresia with liver biopsy.
- Surgical Procedure: Anastomosis of a segment of the small bowel to the liver to restore bile flow and replace the obstructed extrahepatic bile ducts.
- Post-Operative Recovery: The patient stays in the hospital for observation, assessment of bile flow, administration of medications to prevent infection, and long-term evaluation of liver function.
- Traditional Kasai Procedure (Hepatoportoenterostomy): The blocked bile duct is removed and creates a connection between the liver and small intestine.
- Modified Kasai: Additional bile duct remnants are removed or altered to enable better bile drainage.
- Biliary atresia should be diagnosed in infants before two to three months of age.
- Symptoms are persistent jaundice in most cases, with possible pale stools, dark urine, and hepatomegaly.
- There should not be other major congenital malformations that may add surgical risks.
- Abdominal Ultrasound
- HIDA Scan (Cholescintigraphy)
- Endoscopic Retrograde Cholangiopancreatography (ERCP)
- Liver Function Tests (LFTs)
- If successful, it would provide some delay or sometimes even negate the need for a liver transplant.
- Improving bile drainage decreases jaundice and aids digestion.
- If bile flow is restored, normal growth and development may proceed.
- In some cases, it may prolong a child's life for several years before a transplant is warranted.
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- Pediatric Hepatologist
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