海地新型腹腔镜妇科课程的经验：实施中的教训。
Experience with a novel laparoscopic gynecologic curriculum in Haiti: lessons in implementation.
机构信息
Division of Minimally Invasive Gynecology, Department of Obstetrics & Gynecology, Vanderbilt University Medical Center, 1161 21st Ave South, B-1100 Medical Center North, Nashville, TN, 37232-2521, USA.
Global Health Section, Department of Obstetrics & Gynecology, Vanderbilt University Medical Center, Nashville, USA.
出版信息
Surg Endosc. 2020 May;34(5):2035-2039. doi: 10.1007/s00464-019-06983-9. Epub 2019 Jul 22.
BACKGROUND
An estimated one-third of the world's burden of disease requires surgical treatment. In many high-income nations, a large proportion of critical surgical procedures are performed laparoscopically due to a number of advantages the technique offers. There is forward progress in the global surgery field to increase access to laparoscopic techniques in low and middle-income settings (LMIC), with potential benefits to both patients and surgeons.
METHODS
A week long laparoscopic surgery curriculum for surgeons and hospital staff was designed and implemented in a low-resource setting. An iterative design was used to adapt the curriculum on the ground.
RESULTS
The local laparoscopic team was able to independently perform two laparoscopic procedures since the course was administered.
CONCLUSIONS
Implementing laparoscopic surgery programs may be feasible in many LMIC settings. Access to this care may benefit patients. Lessons learned for the global laparoscopist are described.
背景
全球约有三分之一的疾病负担需要手术治疗。在许多高收入国家，由于该技术具有许多优势，大量的关键手术都是通过腹腔镜进行的。全球外科领域正在取得进展，以增加在中低收入国家获得腹腔镜技术的机会，这对患者和外科医生都有潜在的好处。
方法
在资源匮乏的环境中，为外科医生和医院工作人员设计并实施了为期一周的腹腔镜手术课程。在实地采用迭代设计来调整课程。
结果
自课程实施以来，当地的腹腔镜团队已经能够独立进行两项腹腔镜手术。
结论
在许多中低收入国家，实施腹腔镜手术项目可能是可行的。提供这种治疗可能使患者受益。描述了全球腹腔镜医师的经验教训。
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