Zapuhlîh Grigore, Rosseau Gail, Shlobin Nathan A, Ivanov Marcel, Matcovschi Valeriu, Dolghi Vladimir, Safta Radu, Bodiu Aurel, Vicol Valeriu, Andronachi Victor, Litovcenco Anatol, Leanca Angela, Danu Adrian, Glavan Iulian, Gaina Vioral, Lisii Dan, Guranda Viorel, Postolati Vasile, Zapuhlîh Augustin, Ribac Nicu, Costru-Tasnic Elena, Grosu Oxana
Department of Neurosurgery, State Medical and Pharmaceutical University "Nicolae Testemitanu", Chișinău, Republic of Moldova.
Department of Neurosurgery, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA; Barrow Global, Barrow Neurological Institute, Phoenix, Arizona, USA.
World Neurosurg. 2025 Jan;193:26-34. doi: 10.1016/j.wneu.2024.10.004. Epub 2024 Oct 28.
Five billion people worldwide lack access to safe, timely, and affordable surgical and anesthesia care. This deficit is greatest in low- and middle-income countries, especially for specialty surgical services including neurosurgery, due to insufficient personnel, resources, and infrastructure. The southeastern European nation of the Republic of Moldova is one such middle-income country.
Discussions with key individuals involved in neurosurgical care in Moldova were conducted to characterize the history and current state of neurosurgery in Moldova. Via a process of chain referral sampling, all practicing neurosurgeons in Moldova were invited to participate in the execution and authorship of this project.
Developing from origins in the Soviet Union, neurosurgery became part of the national health system in the 1940s, with the creation of the first neurosurgery department in 1999. Eleven hospitals, including eight public and 3 private, offer neurosurgical services, with 239 beds and 5330 cases performed in 2023. Most attending neurosurgeons and residents are male, but this is changing as women comprise over one-third of residents in training. There is one neurosurgery residency program and a 2-year fellowship in endovascular neurosurgery in Moldova, with further fellowship training received outside of the country. Computed tomography and magnetic resonance imaging are available at most centers.
This article provides the first-ever description of the history and current state of neurosurgery in Moldova and presents key recommendations to guide the international neurosurgery community in developing neurosurgical care in countries with an unmet need.
全球有50亿人无法获得安全、及时且负担得起的外科手术和麻醉护理。这种短缺在低收入和中等收入国家最为严重，尤其是对于包括神经外科在内的专科手术服务，原因是人员、资源和基础设施不足。东南欧国家摩尔多瓦共和国就是这样一个中等收入国家。
与摩尔多瓦参与神经外科护理的关键人物进行了讨论，以描述摩尔多瓦神经外科的历史和现状。通过链式转诊抽样程序，邀请了摩尔多瓦所有执业神经外科医生参与该项目的实施和撰写。
神经外科起源于苏联时期，20世纪40年代随着第一个神经外科科室的设立成为国家卫生系统的一部分。包括8家公立医院和3家私立医院在内的11家医院提供神经外科服务，2023年有239张床位，实施了5330例手术。大多数主治神经外科医生和住院医生为男性，但随着接受培训的住院医生中女性占比超过三分之一，这种情况正在改变。摩尔多瓦有一个神经外科住院医师培训项目和一个为期两年的血管内神经外科进修项目，还有在国外接受的进一步进修培训。大多数中心都配备了计算机断层扫描和磁共振成像设备。
本文首次描述了摩尔多瓦神经外科的历史和现状，并提出了关键建议，以指导国际神经外科界在有需求未得到满足的国家发展神经外科护理。
