• D R McArthur, A Sharples, M Ghallab, R Dawson, and A J Lengyel.
• Department of Colorectal Surgery, University Hospital North Staffordshire NHS Trust, Stoke-on-Trent, UK. david.mcarthur@intouchcrm.co.uk
• Colorectal Dis. 2012 Apr 1;14(4):497-501.

AimThe study investigated whether experience gained during a UK laparoscopic colorectal fellowship enabled the fellow subsequently to train consultant colleagues in laparoscopic surgery.MethodIn one unit a newly appointed post-laparoscopic fellowship consultant (PFC) mentored his other two colleagues. Prospectively collected data regarding surgical outcome were compared with those of the year preceding the PFC appointment.ResultsIn the preceding year 18.5% of 260 resections were attempted laparoscopically. This increased to 92.6% (of 270) in the year after (P < 0.0001). Respective conversion rates were 4.2% and 8.4% (P = 0.5524). In the first 6 months after PFC appointment, mentored consultants performed 23 supervised cases. In the second 6 months they carried out 58 procedures independently and trainees performed 38 supervised cases. There was no significant difference in anastomotic leakage and readmission and 30-day mortality rates between the pre- and post-PFC periods.ConclusionA laparoscopic fellowship enables the PFC to mentor consultant colleagues safely and effectively.© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.

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