Nuffield Centre for International Health and Development, 4468University of Leeds, Leeds, UK.
Leeds Institute of Medical Research at St. James's, 4468University of Leeds, Leeds, UK.
Trop Doct. 2021 Jul;51(3):408-414. doi: 10.1177/0049475521998186. Epub 2021 Apr 13.
Laparoscopic surgery has the potential to improve care in resource-deprived low- and-middle-income countries (LMICs). This study aims to analyse the barriers to training in laparoscopic surgery in LMICs. Medline, Embase, Global Health and Web of Science were searched using 'LMIC', 'Laparoscopy' and 'Training'. Two researchers screened results with mutual agreement. Included papers were in English, focused on abdominal laparoscopy and training in LMICs. PRISMA guidelines were followed; 2992 records were screened, and 86 full-text articles reviewed to give 26 key papers. Thematic grouping identified seven key barriers: ; availability and maintenance of ; local access to experienced laparoscopic ; ; lack of knowledge on effective ; and for trainees. In low-resource settings, technological advances may offer low-cost solutions in the successful implementation of laparoscopic training and improve access to surgical care.
腹腔镜手术有可能改善资源匮乏的中低收入国家（LMICs）的医疗服务。本研究旨在分析腹腔镜手术培训在 LMICs 中面临的障碍。使用“LMIC”、“腹腔镜”和“培训”，在 Medline、Embase、全球健康和 Web of Science 上进行了搜索。两名研究人员通过共同协议筛选结果。纳入的论文为英文，重点关注腹部腹腔镜和 LMIC 培训。遵循 PRISMA 指南；共筛选了 2992 条记录，并对 86 篇全文文章进行了回顾，得出 26 篇关键论文。主题分组确定了七个关键障碍：腹腔镜设备的可用性和维护、当地获得有经验的腹腔镜医生的机会、缺乏有效的培训方法和策略、培训者对腹腔镜技术的认识有限、缺乏合适的培训场所、缺乏培训资金和资源、以及文化和社会因素的影响。在资源匮乏的环境中，技术进步可能为腹腔镜培训的成功实施提供低成本解决方案，并改善获得手术护理的机会。
