abstract: 'Surgical management of diseases is recognised as a major unmet need in

  low and middle-income countries ( LMICs). Laparoscopic surgery has been

  present since the 1980s and offers the benefit of minimising the

  morbidity and potential mortality associated with laparotomies.

  Laparotomies are often carried out in LMICs for diagnosis and

  management, due to lack of radiological investigative and intervention

  options. The use of laparoscopy for diagnosis and treatment is globally

  variable, with high-income countries using laparoscopy routinely

  compared with LMICs. The specific advantages of minimally invasive

  surgery such as lower surgical site infections and earlier return to

  work are of great benefit for patients in LMICs, as time lost not

  working could result in a family not being able to sustain themselves.

  Laparoscopic surgery and training is not cheap. Cost is a major barrier

  to healthcare access for a significant population in LMICs. Therefore,

  cost is usually seen as a major barrier for laparoscopic surgery to be

  integrated into routine practice in LMICs. The aim of this review is to

  focus on the practice, training and safety of laparoscopic surgery in

  LMICs. In addition it highlights the barriers to progress in adopting

  laparoscopic surgery in LMICs and how to address them.'
affiliation: 'Alfa-Wali, M (Corresponding Author), Epsom \& St Helier Univ Hosp, Wrythe
  Lane, Carshalton SM5 1AA, Surrey, England.

  Alfa-Wali, Maryam, Epsom \& St Helier Univ Hosp, Wrythe Lane, Carshalton SM5 1AA,
  Surrey, England.

  Osaghae, Samuel, Univ Benin, Teaching Hosp, Benin, Nigeria.'
author: Alfa-Wali, Maryam and Osaghae, Samuel
author-email: malfa5@icloud.com
author_list:
- family: Alfa-Wali
  given: Maryam
- family: Osaghae
  given: Samuel
da: '2023-09-28'
doi: 10.4240/wjgs.v9.i1.13
files: []
issn: 1948-9366
journal: WORLD JOURNAL OF GASTROINTESTINAL SURGERY
keywords: 'Laparoscopic surgery; Global surgery; Low and middle-income countries;

  Laparoscopic training; Patient safety; Laparoscopy; Minimally invasive

  surgery'
keywords-plus: 'GLOBAL HEALTH; SURGICAL CONDITIONS; TERTIARY CENTER; PUBLIC-HEALTH;

  CHOLECYSTECTOMY; COST; CARE; FEASIBILITY; APPENDECTOMY; ANESTHESIA'
language: English
month: JAN
number: '1'
number-of-cited-references: '50'
pages: 13-18
papis_id: 575b665da7b817ae65249df3c63203ad
ref: Alfawali2017practicetraining
tags:
- review
times-cited: '39'
title: Practice, training and safety of laparoscopic surgery in low and middle-income
  countries
type: article
unique-id: WOS:000393985500002
usage-count-last-180-days: '1'
usage-count-since-2013: '2'
volume: '9'
web-of-science-categories: Gastroenterology \& Hepatology; Surgery
year: '2017'