Colorectal Surgery Practice, Training, and Research in Low-Resource Settings

Chu, Kathryn; Bust, Lynn; Forgan, Tim

doi:10.1055/s-0042-1746190

Cited by 4 publications

(3 citation statements)

References 65 publications

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“…There is a scarcity of training opportunities, a lack of dedicated units, and insufficient research funding. Moreover, a significant proportion of colorectal resections are still conducted using open surgical techniques, while the availability of laparoscopic and robotic systems remains far from universal [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

An Overview of Robotic Colorectal Surgery Adoption and Training in Brazil

Alves Martins,

Filho,

Ghezzi

et al. 2023

Medicina

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Background and Objectives: Robotic surgical systems have rapidly become integrated into colorectal surgery practice in recent years, particularly for rectal resections, where the advantages of robotic platforms over conventional laparoscopy are more pronounced. However, as with any technological advancement, the initial high costs can be a limiting factor, leading to unequal health service access, especially in middle- and lower-income countries. Materials and Method: A narrative review was conducted with the objective of providing an overview of the escalating adoption, current training programmes, and certification process of robotic colorectal surgery in Brazil. Results: Brazil has witnessed a rapid increase in robotic platforms in recent years. Currently, there are 106 robotic systems installed nationwide. However, approximately 60% of the medical facilities which adopted robotic platforms are in the Southeast region, which is both the most populous and economically prosperous in the country. The Brazilian Society of Coloproctology recently established clear rules for the training programme and certification of colorectal surgeons in robotic surgery. The key components of the training encompass theoretical content, virtual robotic simulation, observation, assistance, and supervised procedures in colorectal surgery. Although the training parameters are well established, no colorectal surgery residency programme in Brazil has yet integrated the teaching and training of robotic surgery into its curriculum. Thus far, the training process has been led by private institutions and the industry. Conclusion: Despite the fast spread of robotic platforms across Brazil, several challenges still need to be addressed to democratise training and promote the widespread use of these platforms. It is crucial to tackle these obstacles to achieve greater integration of robotic technology in colorectal surgery throughout the country.

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Section: Introductionmentioning

confidence: 99%

An Overview of Robotic Colorectal Surgery Adoption and Training in Brazil

Alves Martins,

Filho,

Ghezzi

et al. 2023

Medicina

View full text Add to dashboard Cite

show abstract

“…Currently, the only programs offering postgraduate colorectal surgery (CRS) specialty training are based in South Africa and Egypt. 5…”

mentioning

confidence: 99%

“…Currently, the only programs offering postgraduate colorectal surgery (CRS) specialty training are based in South Africa and Egypt. 5 Like other LMICs, Ghana has seen an increase in benign and malignant colorectal disorders with significant disparities in outcomes. 6 In 2011, the Ghana Ministry of Health identified CRC as an area of national interest, setting guidelines for care delivery.…”

mentioning

confidence: 99%