2023-09-28 14:46:10 +00:00
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abstract: 'Surgical management of diseases is recognised as a major unmet need in
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low and middle-income countries ( LMICs). Laparoscopic surgery has been
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present since the 1980s and offers the benefit of minimising the
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morbidity and potential mortality associated with laparotomies.
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Laparotomies are often carried out in LMICs for diagnosis and
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management, due to lack of radiological investigative and intervention
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options. The use of laparoscopy for diagnosis and treatment is globally
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variable, with high-income countries using laparoscopy routinely
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compared with LMICs. The specific advantages of minimally invasive
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surgery such as lower surgical site infections and earlier return to
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work are of great benefit for patients in LMICs, as time lost not
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working could result in a family not being able to sustain themselves.
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Laparoscopic surgery and training is not cheap. Cost is a major barrier
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to healthcare access for a significant population in LMICs. Therefore,
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cost is usually seen as a major barrier for laparoscopic surgery to be
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integrated into routine practice in LMICs. The aim of this review is to
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focus on the practice, training and safety of laparoscopic surgery in
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LMICs. In addition it highlights the barriers to progress in adopting
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laparoscopic surgery in LMICs and how to address them.'
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affiliation: 'Alfa-Wali, M (Corresponding Author), Epsom \& St Helier Univ Hosp, Wrythe
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Lane, Carshalton SM5 1AA, Surrey, England.
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Alfa-Wali, Maryam, Epsom \& St Helier Univ Hosp, Wrythe Lane, Carshalton SM5 1AA,
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Surrey, England.
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Osaghae, Samuel, Univ Benin, Teaching Hosp, Benin, Nigeria.'
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author: Alfa-Wali, Maryam and Osaghae, Samuel
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author-email: malfa5@icloud.com
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author_list:
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- family: Alfa-Wali
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given: Maryam
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- family: Osaghae
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given: Samuel
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da: '2023-09-28'
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doi: 10.4240/wjgs.v9.i1.13
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files: []
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issn: 1948-9366
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journal: WORLD JOURNAL OF GASTROINTESTINAL SURGERY
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keywords: 'Laparoscopic surgery; Global surgery; Low and middle-income countries;
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Laparoscopic training; Patient safety; Laparoscopy; Minimally invasive
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surgery'
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keywords-plus: 'GLOBAL HEALTH; SURGICAL CONDITIONS; TERTIARY CENTER; PUBLIC-HEALTH;
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CHOLECYSTECTOMY; COST; CARE; FEASIBILITY; APPENDECTOMY; ANESTHESIA'
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '50'
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pages: 13-18
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papis_id: 575b665da7b817ae65249df3c63203ad
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ref: Alfawali2017practicetraining
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tags:
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- review
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times-cited: '39'
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title: Practice, training and safety of laparoscopic surgery in low and middle-income
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countries
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000393985500002
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '9'
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web-of-science-categories: Gastroenterology \& Hepatology; Surgery
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year: '2017'
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