The introduction of laparoscopic cholecystectomy in Canada and Australia

Marshall D, Hailey D, Hirsch N, Clark E, Menon D
Record ID 31995000096
English, French
Authors' objectives:

Describe and compare the diffusion, clinical and cost impact of laparoscopic cholecystectomy in the two countries.

Authors' results and conclusions: Introduction of laparoscopic cholecystectomy was associated with an increase in surgery rates in each country (17% Canada, 24% Australia). Cost to health programs and to patients decreased as a result of using the new method; however, the savings achieved were comparatively limited, with decreased hospital stay and time taken to return to normal activities being offset by the increase in the number of procedures. If the higher rates of surgery are maintained, there will be continued uncertainty as to the utility of some of these additional procedures.
Authors' recommendations: Introduction of laparoscopic cholecystectomy has produced benefits though these were less than optimum during the first two years that the technique was in use. Increases in surgery rates suggest the need for appropriate mechanisms to establish guidelines for use of this and other minimal access surgery techniques.
Details
Project Status: Completed
URL for project: https://www.ccohta.ca/
Year Published: 1994
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Cholecystectomy, Laparoscopic
  • Cholelithiasis
  • Laparoscopy
Contact
Organisation Name: Canadian Coordinating Office for Health Technology Assessment
Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553, Fax: +1 613 226 5392;
Contact Name: requests@cadth.ca
Contact Email: requests@cadth.ca
Copyright: Canadian Coordinating Office for Health Technology Assessment
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.