Laparoscopy in Low-Income Countries: 10-Year Experience and Systematic Literature Review.


Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
28 May 2021
Historique:
received: 04 04 2021
revised: 24 05 2021
accepted: 26 05 2021
entrez: 2 6 2021
pubmed: 3 6 2021
medline: 5 6 2021
Statut: epublish

Résumé

Laparoscopy is a procedure that ultimately reduces hospital stay time and speeds up post-operative recovery. It is mainly performed in high-income countries but its implementation in many low- and middle-income countries (LMICs) is increasing. However, no aggregate data exist regarding the outcomes of this procedure in resource-limited settings. We retrospectively reviewed all cases of laparoscopy recorded from January 2007 to March 2017 at the Department of Surgery of Beira to assess the related outcomes. Moreover, we performed a systematic review of the laparoscopic practices and outcomes in low-income countries. Data from the Department of Surgery of Beira identified 363 laparoscopic procedures, mainly relating to gynecological diseases, cholelithiasis, and appendicectomy with only a 1.6% complication rate (6 cases) and a 1.9% conversion rate (7 cases) to open surgery. The systematic review showed a pooled risk of overall complications significantly lower in laparoscopic vs. open appendicectomy (OR = 0.43; 95% CI 0.19-0.97; I

Identifiants

pubmed: 34071312
pii: ijerph18115796
doi: 10.3390/ijerph18115796
pmc: PMC8198316
pii:
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Damiano Pizzol (D)

Italian Agency for Development Cooperation, Khartoum 11111, Sudan.

Mike Trott (M)

The Cambridge Centre for Sport & Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK.
Vision and Eye Research Institute, Anglia Ruskin University, Cambridge CB1 1PT, UK.

Igor Grabovac (I)

Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna 1010, Austria.

Mario Antunes (M)

Department of Surgery, Central Hospital of Beira, Beira 13016, Mozambique.
Department of Surgery, Catholic University of Mozambique, Beira 13016, Mozambique.

Anna Claudia Colangelo (AC)

Department of Surgery and Organ Transplantation, University of Padua, 35125 Padua, Italy.

Simona Ippoliti (S)

Department of Urology, The Queen Elizabeth Hospital, King's Lynn PE30 4ET, UK.

Cristian Petre Ilie (CP)

Department of Urology, The Queen Elizabeth Hospital, King's Lynn PE30 4ET, UK.

Anne Carrie (A)

Department of Urology, The Queen Elizabeth Hospital, King's Lynn PE30 4ET, UK.

Nicola Veronese (N)

Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90121 Palermo, Italy.

Lee Smith (L)

The Cambridge Centre for Sport & Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK.

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