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Laparoscopic colectomy: trends in implementation in Canada and globally
Marius Hoogerboord1, James Ellsmere1, Antonio Caycedo-Marulanda1
1From the Division of General Surgery, Department of Surgery, Dalhousie University, Halifax, NS (Hoogerboord, Ellsmere); the Division of General Surgery, Department of Surgery, Northern Ontario School of Medicine, Sudbury, Ont. (Caycedo-Marulanda); the Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, BC (Brown); the Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Jayaraman, Urbach); the Department of Surgery, St. Joseph’s Health Centre, Toronto, Ont. (Jayaraman); the Department of Surgery, Women’s College Hospital, Toronto, Ont. (Urbach); and the Department of Surgery, Mayo Clinic, Rochester, MN (Cleary).
Canada lags in adopting laparoscopic colectomy (LC), a minimally invasive surgery. This study identifies barriers and proposes strategies to increase LC use for better patient care and surgical advancement.
Area of Science:
- Surgical innovation and adoption
- Health services research
Background:
- Canada shows slower adoption of laparoscopic colectomy (LC) compared to other high-income nations.
- LC offers clinical benefits for patients undergoing colon surgery.
Purpose of the Study:
- To evaluate barriers hindering laparoscopic colon surgery adoption in Canada.
- To propose intervention strategies for enhancing LC utilization.
Main Methods:
- The Canadian Association of General Surgeons initiated an evaluation of LC adoption barriers.
- Strategies for improving LC use were identified.
Main Results:
- Barriers to widespread laparoscopic colectomy adoption were identified.
- Potential intervention strategies were proposed to increase LC utilization.
Conclusions:
- Improving laparoscopic colectomy utilization is a priority for Canadian general surgery.
- Enhancing LC adoption will advance surgical specialty and patient care.
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