Hamitoglu Ali Emir, Fawaz Violette, Elawad Shaima Omer Mohamed, Assker Mohamad Monif, Nader Thea Maria, Wellington Jack, Uwishema Olivier
Department of Research and Education Oli Health Magazine Organization Kigali Rwanda.
Department of General Medicine, Faculty of Medicine Namık Kemal University Tekirdag Turkey.
Health Sci Rep. 2024 Dec 24;7(12):e70304. doi: 10.1002/hsr2.70304. eCollection 2024 Dec.
Laparoscopic surgery (LS) has been a promising development in surgical practice globally ever since its introduction. LS has exhibited many an advantage, including bettering patient outcomes, lowering the risk of postoperative infection, and displaying economical affluence. However, its implementation in the African continent still faces various challenges. In this review, we investigated the status of laparoscopic surgery integration in Africa.
In this review, we aimed to investigate the challenges posed by the implementation of LS in low resource countries as well as critically evaluating initiatives and their impact within said domiciles. We also provide recommendations that may assist in LS prosperity in these settings by focusing efforts on improving training and financial incentives.
A comprehensive literature review was conducted to garner up-to-date evidence concerning the fate of LS adoption in low- to middle-income countries. This comprised the analysis of different case studies from countries including Nigeria and Botswana, and investigated relevant recommendations and policies provided by other African countries.
Various challenges face the implementation of LS in countries with low resources comprising poor infrastructure, scarce training programs, and expert training personnel alongside financial boundaries. The adoption of LS in Africa has proved its benefits in improving patient outcomes and reducing hospital admissions. From a perspective of policy, it is crucial to sustain strong ties amongst institutions, stressing the importance of dynamic collaboration and locally tailored policies.
It has been demonstrated that LS implementations in African nations lower infection rates and expedite recovery. A strong collaboration between governments, stakeholders, and healthcare providers is fundamental for successful integration of LS. Such extension in low-resource environments may be achieved by providing proper training programs, funding infrastructure and equipment, and fostering effective financial initiatives.
自腹腔镜手术（LS）问世以来，它在全球外科手术实践中一直是一项有前景的发展。腹腔镜手术展现出诸多优势，包括改善患者预后、降低术后感染风险以及显示出经济优势。然而，其在非洲大陆的实施仍面临各种挑战。在本综述中，我们调查了腹腔镜手术在非洲的整合状况。
在本综述中，我们旨在调查在资源匮乏国家实施腹腔镜手术所带来的挑战，并严格评估相关举措及其在这些地区的影响。我们还通过集中精力改进培训和提供财政激励措施，提出有助于腹腔镜手术在这些环境中蓬勃发展的建议。
进行了全面的文献综述，以收集关于低收入和中等收入国家采用腹腔镜手术情况的最新证据。这包括对来自尼日利亚和博茨瓦纳等国的不同案例研究进行分析，并调查其他非洲国家提供的相关建议和政策。
在资源匮乏的国家实施腹腔镜手术面临各种挑战，包括基础设施差、培训项目稀缺、专家培训人员短缺以及资金限制。在非洲采用腹腔镜手术已证明其在改善患者预后和减少住院方面的益处。从政策角度来看，维持各机构之间的紧密联系至关重要，强调动态合作和因地制宜政策的重要性。
事实证明，在非洲国家实施腹腔镜手术可降低感染率并加快康复。政府、利益相关者和医疗服务提供者之间的强有力合作是腹腔镜手术成功整合的基础。在资源匮乏的环境中实现这种推广可通过提供适当的培训项目、资助基础设施和设备以及促进有效的财政举措来实现。
