Laparoscopy in Low- and Middle-Income Countries: A Survey Study

Area of Science:

• Global Surgery
• Minimally Invasive Surgery
• Healthcare Systems Research

Background:

• Non-communicable diseases and high surgical burden necessitate cost-effective laparoscopic surgery in LMICs.
• Limited laparoscopic surgery programs exist in LMICs despite benefits.
• Healthcare professionals' views on implementing laparoscopic surgery in LMICs are not well understood.

Purpose of the Study:

• To understand healthcare professionals' perceived challenges and barriers to implementing long-term laparoscopic surgery programs in LMICs.

Main Methods:

• A nine-question survey was developed and pilot-tested.
• The survey was disseminated to healthcare professionals practicing in LMICs after ethical approval.
• Thirty-four participants from 35 countries completed the survey.

Main Results:

• Responses highlighted two major themes: Laparoscopic Experience and Training Curriculum, and Challenges and Next Steps.
• Participants emphasized the potential for integrating laparoscopic surgery into existing curricula and the need for improved training.
• Barriers identified included institutional capabilities and the necessity for enhanced mentorship via surgical societies.

Conclusions:

• Government, hospital, staff, and industry buy-in are crucial for long-term laparoscopic surgery implementation in LMICs.
• Increased advocacy and dissemination of economic and social benefits are vital.
• Strengthening mentorship through surgical societies can facilitate program development.