Orienting global surgery initiatives toward advancing minimally invasive surgery in Africa: a commentary based on continent-wide reviews.

IF 1.6 3区 医学 Q2 SURGERY
Adebayo Falola, Abdourahmane Ndong, Ademola Adeyeye
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Abstract

Surgical care has advanced with the introduction of minimally invasive surgery (MIS) techniques, which have resulted in a reduced length of hospital stay and improved patient outcomes with regard to morbidity, mortality, and aesthetics. Implementation in Africa remains limited due to economic, infrastructural, and training-related issues. Our previous reviews show that adoption of MIS in Africa has been highly variable. Only Egypt and South Africa, for example, have significantly reported robotic surgery programs. Despite present challenges, recent developments show that progress is being made. Advantages of MIS in resource-limited settings include fewer postoperative complications and shorter hospital stays, crucial for African patients who cannot afford unexpectedly extensive postoperative care and are also reliant on daily earnings. In the future, tele-robotic surgery can improve access to surgical care in under-served regions of the continent. Implementation barriers include the high cost of equipment, inadequate healthcare infrastructure, and limited training opportunities. Investment in the development of low-cost innovations, such as MIS equipment suited for resource-limited settings, local manufacturing or assembly of MIS equipment, and the establishment of training programs within the continent, is necessary to overcome these challenges. Policies supporting the integration of MIS into national healthcare plans are also required. The development of more robust MIS programs in Africa will not only enhance surgical care but will also contribute to the improvement of healthcare and economic outcomes across the continent. We present this commentary on the current state, challenges, and opportunities for the wider adoption of MIS across Africa, based on recent continent-wide reviews.

将全球外科行动导向推进非洲微创手术:基于全大陆审查的评论。
随着微创手术(MIS)技术的引入,外科护理得到了进步,这减少了住院时间,改善了患者在发病率、死亡率和美观方面的预后。由于经济、基础设施和与培训有关的问题,非洲的执行仍然有限。我们以前的审查表明,非洲采用管理信息系统的情况变化很大。例如,只有埃及和南非显著地报道了机器人手术项目。尽管目前存在挑战,但最近的事态发展表明正在取得进展。在资源有限的情况下,管理信息系统的优势包括术后并发症较少,住院时间较短,这对非洲患者至关重要,因为他们无法负担出乎意料的广泛术后护理,而且还依赖日常收入。在未来,远程机器人手术可以改善非洲大陆服务不足地区的外科护理。实施障碍包括设备成本高、医疗基础设施不足和培训机会有限。为克服这些挑战,必须投资开发低成本创新,例如适合资源有限环境的管理信息系统设备、管理信息系统设备的本地制造或组装以及在非洲大陆建立培训方案。还需要制定支持将管理信息系统纳入国家保健计划的政策。在非洲开发更强大的管理信息系统项目不仅可以加强外科护理,还将有助于改善整个非洲大陆的医疗保健和经济成果。基于最近的全非洲范围的审查,我们对在整个非洲更广泛地采用管理信息系统的现状、挑战和机遇发表评论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Surgery
BMC Surgery SURGERY-
CiteScore
2.90
自引率
5.30%
发文量
391
审稿时长
58 days
期刊介绍: BMC Surgery is an open access, peer-reviewed journal that considers articles on surgical research, training, and practice.
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