A team process for the introduction of the laparoscopic cholecystectomy technique to a public hospital service.

AIMS

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.

METHOD

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.

RESULTS

The process has enabled all general surgeons to gain competence in the technique, with low complication rates.

CONCLUSIONS

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.