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Updated: Sep 1, 2025

Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

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Minimally Invasive Thoracic Surgery for Low- and Middle-Income Countries.

Yihan Lin¹, Dominique Vervoort², Bibhusal Thapa³

¹Division of Cardiothoracic Surgery, C-31012631 E. 17th Avenue, Aurora, CO 80045, USA.

Thoracic Surgery Clinics

|August 12, 2022

Summary

This summary is machine-generated.

Minimally invasive thoracic surgery (MITS) offers significant benefits like reduced complications and costs, particularly for low- and middle-income countries. Expanding access requires increased financing, training, and optimized supply chains.

Keywords:

Global health Global surgery Lung cancer Lung surgery Minimally invasive thoracic surgery Thoracic surgery Video-assisted thoracoscopic surgery

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Area of Science:

Global Health
Surgical Innovation
Public Health Policy

Background:

Respiratory and upper-gastrointestinal diseases disproportionately impact low- and middle-income countries (LMICs).
A significant global population (5 billion) lacks access to essential surgical care, including thoracic procedures.
Minimally invasive thoracic surgery (MITS) presents a solution to improve patient outcomes and reduce healthcare burdens.

Purpose of the Study:

To highlight the benefits of MITS in reducing complications, hospital stays, and costs.
To address the limited adoption of MITS in LMICs.
To propose strategies for scaling up MITS globally.

Main Methods:

Review of existing literature on MITS outcomes and LMIC healthcare challenges.
Analysis of factors hindering MITS implementation in resource-limited settings.
Identification of key stakeholders and actionable recommendations for MITS expansion.

Main Results:

MITS demonstrably reduces patient complications, shortens hospital stays, and lowers healthcare expenses.
Patients undergoing MITS experience less out-of-pocket cost and reduced time away from work and family.
Current MITS experience in LMICs is limited, indicating a substantial gap in access.

Conclusions:

MITS offers a cost-effective and patient-centered approach to managing thoracic diseases.
Scaling up MITS in LMICs is crucial for improving global surgical equity.
Collaborative efforts involving professional societies, academia, policymakers, and industry are essential for MITS expansion through financing, training, and supply chain optimization.