World Journal of Laparoscopic Surgery

Register      Login

VOLUME 14 , ISSUE 1 ( January-April, 2021 ) > List of Articles

Original Article

Minimal Access Surgical Experience in Developing Economy: A Young Trainee Stimulant

Patrick Okechukwu Igwe

Citation Information : Igwe PO. Minimal Access Surgical Experience in Developing Economy: A Young Trainee Stimulant. World J Lap Surg 2021; 14 (1):20-22.

DOI: 10.5005/jp-journals-10033-1433

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Background: The utilization of minimal access surgery (MAS) is rising in developing countries. Robotic surgery is rarer. The mirage surrounding operating with a telescope is completely changing the dimension of surgery. A young trainee finds it difficult to properly perform this surgery. Aim and objective: This study aimed to elucidate an experience of minimal access surgeons practicing in a developing economy with the hope of stimulating a young trainee surgeon in the same field of study. Materials and methods: This was a review of prospectively collected data of cases performed, stored electronically in an Excel spreadsheet and statistical software, Epi info, from December 2017 to March 2020. This review included laparoscopic procedures, colonoscopies, and esophagogastroduodenoscopies (OGD) performed by the author in a tertiary hospital and two private centers. It excluded all cases assisted by the author. The results were analyzed using statistical software, SPSS version 23. Results: A total of 195 cases were performed. Esophagogastroduodenoscopies consisted of a maximum of 114 cases. This was followed by colonoscopies (52 cases), and laparoscopy (29 cases). The laparoscopic cases consisted of laparoscopic cholecystectomy (6), diagnostic laparoscopy (11), laparoscopic appendectomies (8), laparoscopic fundoplication (1), and foreign body retrieval (1). This study showed a gradual shift from mild to more complex minimal access procedures. Conclusion: Performing minimal access procedures requires extensive training. Findings from this study will guide a young trainee in a developing economy to perform the easily available surgery procedures.


HTML PDF Share
  1. Adisa AO, Lawal OO, Arowolo OA, et al. Local adaptations aid establishment of laparoscopic surgery in a semiurban Nigeria Hospital. Surg Endosc 2013;27:390–393. DOI: 10.1007/s00464-012-2463-5.
  2. Mishra RK. Ergonomics in laparoscopy. In: Mishra RK (editor) Textbook of practical laparoscopic surgery, third edition. Jaypee Brothers Medical Publishers (P) Ltd; 2013.
  3. Igwe PO. Laparoscopy in developing countries: a resident-friendly endo-lap training device. World J Lap Surg 2018;11(1):54–57. DOI: 10.5005/jp-journals-10007-1335.
  4. Dennis R. A simple and cheap home built laparoscopic trainer. J Min Access Surg 2008;4(3):88. DOI: 10.4103/0972-9941.43095.
  5. van Duren BH, van Boxel GI. Use your phone to build a simple laparoscopic trainer. J Minim Access Surg 2014;10(4):219–220. DOI: 10.4103/0972-9941.141534.
  6. Mishra RK. Mastery of laparoscopy. In: Mishra RK (editor) Textbook of practical laparoscopic surgery, Third edition. Jaypee Brothers Medical Publishers (P) Ltd; 2013.
  7. Igwe PO, Diri ON. Laparoscopic cholecystectomy for giant gall stone: Report of two cases. J Surg Case Rep 2020;67:207–210. DOI: 10.1016/j.ijscr.2020.01.055.
  8. Carver D, Bruckschwaiger V, Martel G, et al. Laparoscopic retrieval of a sewing needle from the liver: a case report. Int J Surg Case Rep 2018;51:376–378. DOI: 10.1016/j.ijscr.2018.09.012.
  9. Antonacci AC, Rosser J. The Laparoscopic Retrieval of an Orthopedic Fixation Pin from the Liver with Repair of an Associated Diaphragmatic Laceration. JSLS 2001;5(2):191–195.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.