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Related Experiment Videos

Successfully establishing laparoscopic surgery programs in developing countries. Clinical results and lessons learned

H J Asbun1, R Berguer, R Altamirano

  • 1Department of Surgery, University of California Davis, 150 Muir Road (112), Martinez, CA 94553, USA.

Surgical Endoscopy
|October 1, 1996
PubMed
Summary

On-site training programs successfully established laparoscopic surgery in developing nations. Local surgeons were trained to independently teach advanced procedures, improving patient care despite financial constraints.

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Area of Science:

  • Minimally invasive surgery
  • Global surgery initiatives
  • Surgical education

Background:

  • Laparoscopic surgery adoption is limited in developing countries due to training and financial barriers.
  • On-site training programs were implemented in Nicaragua and Bolivia.
  • The goal was to efficiently teach and propagate laparoscopic surgery.

Purpose of the Study:

  • To assess the feasibility and effectiveness of on-site training for laparoscopic surgery in resource-limited settings.
  • To establish sustainable local expertise in laparoscopic procedures.
  • To overcome financial and logistical challenges in implementing surgical training.

Main Methods:

  • Identification and training of motivated local surgeons.
  • Didactic sessions, animal laboratories, and proctoring for basic and advanced laparoscopic techniques.

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  • Follow-up courses to ensure surgeons could independently teach and supervise others.

    • Main Results:

    • Eight surgeons trained in laparoscopic cholecystectomy in Nicaragua and Bolivia.
    • Seven surgeons instructed in advanced laparoscopic procedures in Bolivia.
    • Over 180 patients underwent procedures with comparable morbidity to US series.

    Conclusions:

    • Basic and advanced laparoscopic surgery can be safely and efficiently taught in developing countries despite limitations.
    • Key lessons were learned regarding efficient use of equipment and instruments under financial constraints.
    • The program demonstrated a sustainable model for surgical education in resource-limited environments.