ArticleAnnals of global health2020
Establishing a Sustainable Training Program for Laparoscopy in Resource-Limited Settings: Experience in Ghana.
Article in Annals of global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Building Surgical Capacity in Resource-Limited Settings Through Innovative Laparoscopy Training: A Systematic Review of Educational Interventions.World journal of surgery · 2026Pooled it
- Pediatric interventional radiology in Ethiopia: current status, challenges, and roadmap to establishment.Pediatric radiology · 2025Review
- Global Utilization of Minimally Invasive Surgery: Practice and Challenges.The Journal of surgical research · 2025Article
- Editorial response: Current status of resident simulation training curricula: pearls and pitfalls.Surgical endoscopy · 2025Article
- An innovative approach to hospital-wide interprofessional capacity building: Côte d'Ivoire National Cancer Center project.BMC medical education · 2025Article
- Analysis of implementation science strategies to train laparoscopic surgical skills among Liberian surgeons using ALL-SAFE.Surgical endoscopy · 2025Article
- Trends and Outcomes of Laparoscopic Surgery in Low-Resource Settings: Lessons From Two African Healthcare Systems-A Narrative Review.Health science reports · 2024Article
- Laparoscopy experience in East, Central, and Southern Africa: insights from operative case volume analysis.Surgical endoscopy · 2024Article
- Evidence supporting performance measures of laparoscopic appendectomy through a novel surgical proficiency assessment tool and low-cost laparoscopic training system.Surgical endoscopy · 2023Article
- Developing a novel laparoscopic training model during the Covid-19 pandemic in a resource-limited setting.Surgery in practice and science · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Healthcare equipment funded by international partners is often not properly utilized in many developing countries due to low levels of awareness and a lack of expertise. A long-term on-site training program for laparoscopic surgery was established at a regional hospital in Ghana upon request of the Ghana Health Service and local surgeons. Objective: The authors report the initial 32-month experience of implementing laparoscopic surgery focusing on the trainees' response, technical independence, and factors associated with the successful implementation of a "new" surgical practice. Methods: Curricular structure and feedback results of the trainings for doctors and nurses, and characteristics of laparoscopic procedures performed at the Greater Accra Regional Hospital between January 2017 and September 2019 were retrospectively reviewed. Findings: Comprehensive training including two weeks of simulation workshops followed by animal labs were regularly provided for the doctors. Among the 97 trainees, 27.9% had prior exposure in laparoscopic surgery, 95% were satisfied with the program. Eleven nurses attained professional competency over 15 training sessions where none had prior exposure to laparoscopic surgery. Since the first laparoscopic cholecystectomy in February 2017, 82 laparoscopic procedures were performed. The scope of the surgery was expanded from general surgery (n = 46) to gynecology (n = 33), pediatric surgery (n = 2), and urology (n = 1). The volume of local doctors as primary operators increased from 0% (0/17, February to December 2017) to 41.9% (13/31, January to October 2018) and 79.4% (27/34, November 2018 to September 2019), with 72.5% of the cases being assisted by the expatriate surgeon. There were no open conversions, technical complications, or mortalities. Local doctors independently commenced endoscopic surgical procedures including cystoscopies, hysteroscopies, endoscopic neurosurgeries and arthroscopies. Conclusion: Sensitization and motivation of the surgical workforce through long-term continuous on-site training resulted in the successful implementation of laparoscopic surgery with a high level of technical independence.
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