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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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Medical Park Elazig Hospital
Elazig, Turkey
Types of Kasai Procedure in Medical Park Elazig Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Kasai Procedure (Overall) | 28336 - 39622 | 842251 - 1197011 |
| Open Kasai Procedure | 24580 - 36160 | 735658 - 1063901 |
| Laparoscopic Kasai Procedure | 31684 - 42097 | 965421 - 1305905 |
| Robotic-assisted Kasai Procedure | 34259 - 44553 | 1011222 - 1378898 |
- Address: Olgunlar, Elazig Medical Park Hospital, Atat
- Facilities related to Medical Park Elazig Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Religious Facilities
Taoufik Clinique
Tunis, Tunisia
Taoufik Clinique located in Tunis, Tunisia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Laboratory services and High end medical imaging equipment is present at this clinic.
- Emergency care services are also available.
- The clinic has a health checkup center as well as an operation theatre.
- The important disciplines at this hospital are cardiology, orthopedics, cosmetic surgery, oncology, urology, bariatric surgery, and gastroenterology among others.
- Some cardiac conditions treated here are peripheral vascular disorder, heart valves disorder, cardiac muscle diseases, and acute and chronic pericarditis.
- Orthopedic and spine surgery which also includes treatment of sports related injuries, and disorders of both upper and lower limb.
- Cancer treatment is performed in Taoufik Clinique through chemotherapy, surgery, and radiation therapy.
Hospital Ruber International
Madrid, Spain
The Hospital has a wide architectural structure that consists of-
- 90+ consultation rooms
- 108+ private rooms
- 15 suites and 3 royal suites
- 10+ operation theatres
- Neuro-Rehabilitation unit
- Popular Specialties- Epilepsy, Neuropsychology, Neuro-Ophthalmology, Neuro-Oncology, Clinical Neurology, Memory Disorders, Movement Disorders, Neuro-rehabilitation
Baskent University Istanbul Hospital
Istanbul, Turkey
Types of Kasai Procedure in Baskent University Istanbul Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Kasai Procedure (Overall) | 28671 - 39948 | 838917 - 1177838 |
| Open Kasai Procedure | 24406 - 36100 | 731287 - 1090942 |
| Laparoscopic Kasai Procedure | 31833 - 42390 | 934685 - 1302930 |
| Robotic-assisted Kasai Procedure | 33151 - 44219 | 1009372 - 1383657 |
- Address: Altunizade, BAKENT
- Facilities related to Baskent University Istanbul Hospital: SIM, TV inside room, Accommodation, Airport Transfer
The Madras Institute of Orthopedics and Traumatology
Chennai, India
Types of Kasai Procedure in The Madras Institute of Orthopedics and Traumatology and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Kasai Procedure (Overall) | 18568 - 27856 | 1511053 - 2287039 |
| Open Kasai Procedure | 17000 - 25929 | 1378355 - 2172315 |
| Laparoscopic Kasai Procedure | 20650 - 29867 | 1660973 - 2485177 |
| Robotic-assisted Kasai Procedure | 23034 - 32928 | 1898381 - 2700570 |
- Address: MIOT International, Mount Poonamallee Road, Sathya Nagar, Manapakkam, Chennai, Tamil Nadu, India
- Facilities related to The Madras Institute of Orthopedics and Traumatology: Interpreter, SIM, Airport Transfer, Accommodation
Manipal Hospital, Ghaziabad
Ghaziabad, India
Founded in 2010, Manipal Hospital-Ghaziabad (formerly Columbia Asia Hospital) is a well-known multispecialty hospital accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH). With 100 beds, the hospital is committed to providing effective and reasonably priced healthcare in a clean and safe setting. The hospital has several departments that are known for their expertise, including Orthopaedics, Internal Medicine, Gastroenterology, Plastic Surgery, Obstetrics and Gynecology, ENT, and more. Due to this recognition, the hospital is now regarded as one of the best medical establishments in the Ghaziabad area.
Quttainah Specialized Hospital
Dubai, United Arab Emirates
It is with this goal in mind that we at Quttainah Specialized Hospital provide a team of international standards and the highest level of expertise in aesthetics, plastic, and reconstructive treatment to ensure the delivery of the highest quality medical approach to appreciating and cultivating individual beauty needs. Our experts are here to handle it all.
Vinmec Hai Phong
Ha noi, Vietnam
- Vinmec Hai Phong International Hospital has been providing medical services since June 2018.
- It is located at a strategic intersection in Le Chan District, Hai Phong, offering convenient access for patients.
- The hospital covers nearly 30,000 square meters and includes eight stories above ground and one basement level.
- With a capacity of 200 inpatient beds, it delivers modern and comfortable care in a well-designed facility.
- The hospital serves thousands of outpatients annually, providing comprehensive consultations and treatments.
- The hospital performs a wide range of minimally invasive surgeries, including laparoscopic colectomy, joint replacement, and bronchoscopy, promoting faster recovery and less pain.
- It handles complex emergency procedures like resuscitation for cardiac arrest, severe trauma, and critical care conditions with high success rates.
- Specialised obstetric and gynaecological surgeries are conducted, such as hysterectomy and fertility procedures, using advanced laparoscopic techniques for improved outcomes.
- Patients benefit from a private, respectful environment with attentive care focused on their well-being.
- The medical staff includes highly skilled and compassionate doctors, known for their dedication and professionalism.
- Physicians regularly undergo training and collaborate internationally to keep up with the latest medical advancements.
- The hospital is equipped with cutting-edge diagnostic tools, including a 640-slice CT scanner, a 3.0 Tesla MRI, multifunctional ventilators, and a Cath Lab with 2D DSA technology.
- Vinmec Hai Phong is part of the Vinmec Healthcare System, the only private network in Vietnam with JCI-accredited hospitals.
- It plays a vital role in Northern Vietnam, setting a high standard for healthcare delivery in the region.
- The emergency and intensive care teams have successfully treated complex, life-threatening conditions like cardiac arrest and multiple trauma cases.
- The hospital has pioneered several critical procedures in the region, particularly in the intensive care unit (ICU) and resuscitation care.
- Its surgical department performs minimally invasive procedures such as laparoscopic colectomy, orthopaedic surgeries, and bronchoscopies.
- In women’s health, the hospital has managed high-risk cases like placental complications and eclampsia, with excellent outcomes.
- It also offers advanced laparoscopic gynecologic surgeries, including hysterectomies and infertility treatments.
- Vinmec Hai Phong consistently achieves a patient satisfaction rate above 95%.
- In a government health quality audit, the hospital earned an impressive 4.4 out of 5 rating.
- During the COVID-19 crisis, the hospital swiftly implemented safety protocols and resumed operations within 24 hours of sanitisation.
- Patient testimonials highlight positive experiences, including pain-free recovery after hernia surgery, effective cancer care, and safe childbirth procedures.
Vinmec Ha Long Hospital
Ha noi, Vietnam
- Vinmec Ha Long International Hospital has been providing excellent medical care since 2014 as part of the Vinmec Healthcare System under Vingroup.
- Situated in Ha Long City, Quang Ninh Province, the hospital offers easy access for both residents and visitors to the area.
- The facility spans 12,768 square meters and comprises an 8-story building with an underground level for comprehensive services.
- With 150 patient beds, the hospital serves around 200,000 outpatients annually, ensuring quality care for all.
- A full range of medical specialities is available, including internal medicine, surgery, paediatrics, obstetrics, and gynaecology.
- Patients receive treatment in a safe, comfortable, and hygienic environment that meets strict healthcare standards.
- A team of highly trained doctors, nurses, pharmacists, and technicians delivers care, with many having completed advanced training programs both locally and internationally.
- The hospital maintains close partnerships with other Vinmec hospitals and collaborates with global medical experts for specialised treatments.
- State-of-the-art medical equipment enables accurate diagnostics and effective therapies for patients.
- High patient satisfaction rates reflect the hospital's commitment to compassionate, personalised healthcare services.
- As a member of the Vinmec network, the hospital adheres to international quality benchmarks, offering care that matches global standards.
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Apollo Hospital International Limited
Ahmedabad, India
Types of Kasai Procedure in Apollo Hospital International Limited and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Kasai Procedure (Overall) | 20389 - 30553 | 1658719 - 2485933 |
| Open Kasai Procedure | 18189 - 28368 | 1497986 - 2325002 |
| Laparoscopic Kasai Procedure | 22391 - 32463 | 1826456 - 2662414 |
| Robotic-assisted Kasai Procedure | 25338 - 35660 | 2082209 - 2913153 |
- Address: Apollo Hospital, Prabhat Chowk, 61, Ghatlodiya, Chanakyapuri, Ahmedabad, Gujarat, India
- Facilities related to Apollo Hospital International Limited: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, 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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