Morton J B, Goodman A A, Coughlan J P
University of Miami.
N Z Med J. 1993 Jan 27;106(948):11-2.
To introduce the technique of laparoscopic cholecystectomy to Christchurch hospitals by a process involving all surgeons in the general surgical team. To assess prospectively the potential for cost-saving.
A visiting surgeon with experience of the procedure, demonstrated the technique and supervised operations by members of the team on twenty six informed consenting patients.
The process has enabled all general surgeons to gain competence in the technique, with low complication rates.
The process adopted in Christchurch quickly familiarised all general surgeons with the technique of laparoscopic cholecystectomy, so that it was safely and efficiently made available to all patients who could benefit. The capacity of the procedure to reduce the cost per case treated was assessed, and reduced social cost to patients demonstrated.
通过让普通外科团队的所有外科医生参与的过程，将腹腔镜胆囊切除术技术引入克赖斯特彻奇的医院。前瞻性评估成本节约的潜力。
一位有该手术经验的客座外科医生演示了该技术，并监督团队成员对26名签署知情同意书的患者进行手术。
该过程使所有普通外科医生都掌握了该技术，并发症发生率较低。
克赖斯特彻奇采用的过程使所有普通外科医生迅速熟悉了腹腔镜胆囊切除术技术，从而能够安全、高效地为所有可能受益的患者提供该手术。评估了该手术降低每例治疗成本的能力，并证明了其对患者社会成本的降低。
