Division of Cardiothoracic Surgery, C-31012631 E. 17th Avenue, Aurora, CO 80045, USA.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Thorac Surg Clin. 2022 Aug;32(3):405-412. doi: 10.1016/j.thorsurg.2022.04.003.
The burden of respiratory and upper-gastrointestinal diseases especially affects low- and middle-income countries. Five billion people lack access to safe, timely, and affordable surgical care, including thoracic surgical care. Minimally invasive thoracic surgery (MITS) has been shown to reduce complications, shorten hospital lengths of stay, and minimize health care costs, thereby enabling patients to pay less out-of-pocket and/or limit time away from work and families. Experiences with MITS exist but are limited in low- and middle-income countries; professional societies, academic institutions, policymakers, and industry can facilitate scale-up of MITS by increasing financing, expanding surgical training, and optimizing surgical supply chains.
呼吸道和上消化道疾病的负担尤其影响低收入和中等收入国家。有 50 亿人无法获得安全、及时和负担得起的外科护理，包括胸部外科护理。微创胸腔外科 (MITS) 已被证明可以减少并发症，缩短住院时间，并最大限度地降低医疗保健成本，从而使患者支付更少的自付费用和/或限制离开工作和家庭的时间。MITS 在低收入和中等收入国家已有经验，但有限；专业协会、学术机构、政策制定者和行业可以通过增加融资、扩大外科培训和优化外科供应链来促进 MITS 的扩大。
