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Building Surgical Capacity in Resource-Limited Settings Through Innovative Laparoscopy Training: A Systematic Review
Ali Yasen Mohamedahmed1,2, Shafquat Zaman3,4, Safeya Mohammed5
1Centre for Global Surgery, Stellenbosch University, Stellenbosch, South Africa.
World Journal of Surgery
|May 15, 2026
Summary
Laparoscopic surgical training in low- and middle-income countries (LMICs) is feasible and effective, utilizing diverse methods like low-cost simulators and telesimulation. Expanding these programs is crucial for enhancing surgical capacity globally.
Area of Science:
- Global Surgery
- Surgical Education
- Minimally Invasive Surgery
Background:
- Laparoscopic surgery offers advantages over open procedures.
- Structured laparoscopic training is scarce in low- and middle-income countries (LMICs).
Purpose of the Study:
- To systematically review laparoscopic training interventions, methods, and outcomes in LMICs.
Main Methods:
- Systematic search of PubMed, Embase, Scopus, and Web of Science (1990-2025).
- Included studies on laparoscopic training programs in World Bank-defined LMICs.
- Conducted a narrative synthesis due to data heterogeneity.
Main Results:
- Nineteen studies from Africa, Latin America, Asia, and the Caribbean were included.
- Diverse training methods: low-cost simulators, telesimulation, structured curricula, remote learning.
- Outcomes showed improved skills, knowledge, confidence, satisfaction; feasible and cost-effective.
Conclusions:
- Laparoscopic training in LMICs is feasible, effective, and diverse.
- Low-cost simulators, telesimulation, and structured curricula overcome resource limitations.
- Sustainable, context-appropriate programs are vital for LMIC surgical capacity.
