BACKGROUND: Major @entity1157 occur infrequently after laparoscopic cholecystectomy, but may result in life-threatening complications. Few data exist on the financial implications of duct repair. This study calculated the costs of operative repair in a cohort of @entity1 who underwent reconstruction of the bile duct after major @entity130 . OBJECTIVE: To calculate the total in-hospital cost of surgical repair of @entity1 referred with major @entity1157 . METHODS: A prospective database was reviewed to identify all @entity1 referred to the University of Cape Town Private Academic Hospital, South Africa, between 2002 and 2013 for assessment and repair of major laparoscopic @entity1157 . The detailed clinical records and billing information were evaluated to determine all costs from admission to discharge. Total costs for each @entity1 were adjusted for inflation between the year of repair and 2013. Results. Forty-four @entity1 (33 @entity1 , 11 @entity1 ; median age 48 years, range 30 - 78) underwent reconstruction of a major @entity1157 . First-time repairs were performed at a median of 24.5 days (range 1 - 3,662) after initial surgery. Median hospital stay was 15 days (range 6 - 86). Mean cost of repair was ZAR215,711 (range ZAR68,764 - 980,830). Major contributors to cost were theatre expenses (22%), admission to intensive care (21%), radiology (17%) and specialist fees (12%). Admission to a general ward (10%), consumables (7%), pharmacy (5%), endoscopy (3%) and laboratory costs (3%) made up the balance. CONCLUSIONS: The cost of repair of a major laparoscopic @entity1157 is substantial owing to prolonged hospitalisation, complex surgicalintervention and intensive imaging requirements.

A cost analysis of operative repair of major laparoscopic XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile duct injury', 'bile duct injuries'] @entity130 :: ('MESH:D014947', 'Disease') :: ['ductal injury']
@entity1157 :: (MESH:D001649,Disease) :: ['bile duct injuries']
