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A cost analysis of operative repair of major laparoscopic bile duct injuries
Includes bibliographical references
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Surgery
2016
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| _version_ | 1867613142718087168 |
|---|---|
| access_status_str | Open Access |
| author | Hofmeyr, Stefan |
| author2 | Krige, J E J |
| author_browse | Hofmeyr, Stefan Krige, J E J |
| author_facet | Krige, J E J Hofmeyr, Stefan |
| author_sort | Hofmeyr, Stefan |
| collection | Thesis |
| description | Includes bibliographical references |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/16658 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:26.417Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Surgery |
| publisherStr | Department of Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/16658 A cost analysis of operative repair of major laparoscopic bile duct injuries Hofmeyr, Stefan Krige, J E J Surgical Gastroenterology Includes bibliographical references Major bile duct injuries occur infrequently after laparoscopic cholecystectomy but may result in life-threatening complications. Few data exist about the financial implications of bile duct repair. This study calculated the total inhospital costs of operative repair in a cohort of patients who underwent reconstruction of the bile duct after major ductal injury sustained during laparoscopic cholecystectomy. A prospective database was reviewed to identify all patients referred to the University of Cape Town Private Academic Hospital between 2002 and 2013 for assessment and repair of major laparoscopic bile duct injuries. The detailed clinical records and billing information were evaluated to determine all costs from admission to discharge. Total costs for each patient were adjusted for inflation between the year of repair and 2013. Forty four patients (33 women, 11 men, median age 48 years, range 30 - 78) underwent reconstruction of a major bile duct injury. First time repairs were performed at a median of 24.5 days (range 1 - 3662) after initial surgery. Median hospital stay was 15 days (range 6-86). Mean cost of repair was R215 711 (range R68 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. The cost of repair of a major laparoscopic bile duct injury is substantial due to prolonged admission to hospital, complex surgical intervention and intensive imaging requirements. 2016-02-01T10:15:23Z 2016-02-01T10:15:23Z 2015 Master Thesis Masters MPhil http://hdl.handle.net/11427/16658 eng application/pdf Department of Surgery Faculty of Health Sciences University of Cape Town |
| spellingShingle | Surgical Gastroenterology Hofmeyr, Stefan A cost analysis of operative repair of major laparoscopic bile duct injuries |
| thesis_degree_str | Master's |
| title | A cost analysis of operative repair of major laparoscopic bile duct injuries |
| title_full | A cost analysis of operative repair of major laparoscopic bile duct injuries |
| title_fullStr | A cost analysis of operative repair of major laparoscopic bile duct injuries |
| title_full_unstemmed | A cost analysis of operative repair of major laparoscopic bile duct injuries |
| title_short | A cost analysis of operative repair of major laparoscopic bile duct injuries |
| title_sort | cost analysis of operative repair of major laparoscopic bile duct injuries |
| topic | Surgical Gastroenterology |
| url | http://hdl.handle.net/11427/16658 |
| work_keys_str_mv | AT hofmeyrstefan acostanalysisofoperativerepairofmajorlaparoscopicbileductinjuries AT hofmeyrstefan costanalysisofoperativerepairofmajorlaparoscopicbileductinjuries |