SynthesisTropical doctor2021
Barriers to training in laparoscopic surgery in low- and middle-income countries: A systematic review.
Synthesis in Tropical doctor, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Building Surgical Capacity in Resource-Limited Settings Through Innovative Laparoscopy Training: A Systematic Review of Educational Interventions.World journal of surgery · 2026Pooled it
- Barriers and facilitators to implementing laparoscopic surgery in low- and middle-income countries: a systematic review using the consolidated framework for implementation research.Surgical endoscopy · 2026Review
- SAGES white paper: strategic principles, operational considerations, and practical recommendations for building sustainable laparoscopic surgical training in low-resource settings: a 10-step guide.Surgical endoscopy · 2026Article
- Reconsidering the "surgery-first" paradigm in choledocholithiasis: balancing innovation with global applicability.Annals of medicine and surgery (2012) · 2026Article
- Hidden Challenges in Laparoscopic Instrument Maintenance: A Qualitative Exploration of Training and Safety Concerns.Cureus · 2026Article
- Reflux Grade Is Associated with Postoperative Outcomes After Ureteral Reimplantation in Children: A Retrospective Cohort Study from a Middle-Income Healthcare Setting.Children (Basel, Switzerland) · 2026Article
- Gasless single-port retroperitoneal laparoscopic adrenalectomy: a novel option for adrenal tumors.Translational andrology and urology · 2026Article
- Evolving management of pyogenic liver abscess: A narrative review of laparoscopic and open drainage approaches with contextual insights from Pakistan.Pakistan journal of medical sciences · 2026Review
- Optimizing the management of laparoscopic equipment in low-resource settings: a SAGES White Paper.Surgical endoscopy · 2026Article
- Current use of minimally invasive surgery in Ethiopia.Surgical endoscopy · 2026Article
- Laparoscopic versus open appendectomy for acute appendicitis in Sub-Saharan Africa.Annals of medicine and surgery (2012) · 2026Article
- Advancing laparoscopic surgery in low- and middle-income countries (LMICs): pilot implementation of the Global Laparoscopic Advancement Program (GLAP) with Fundamentals of Laparoscopic Surgery (FLS) certification in Ethiopia.Surgical endoscopy · 2025Article
- Bridging the gap: feasibility and future directions of robotic surgery in Sub-Saharan Africa-a narrative review.Journal of robotic surgery · 2025Review
- Practice of ergonomics in laparoscopic gynecological surgeries and its effects on surgeons in a low-middle income country.Scientific reports · 2025Article
- Short-term educational interventions in surgical training: measuring the knowledge gain among surgeons in Ethiopia.Surgical endoscopy · 2025Article
- A comparison of general surgery training programmes across 11 countries: improving understanding of the experience level of international medical graduates in the UK.Annals of the Royal College of Surgeons of England · 2025Article
- Global Utilization of Minimally Invasive Surgery: Practice and Challenges.The Journal of surgical research · 2025Article
- Surgical Training Profiling in Low- and Middle-Income Countries: Peru, Ecuador, and Brazil.Cureus · 2025Article
- The role of remote and virtual surgical training in expanding cardiothoracic surgical capacity in low-resource regions.BMC surgery · 2025Review
- The Language We Use to Teach Surgery: Language Inaccessibility of Minimally Invasive Surgical Training in Francophone Countries.World journal of surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Laparoscopic surgery has the potential to improve care in resource-deprived low- and-middle-income countries (LMICs). This study aims to analyse the barriers to training in laparoscopic surgery in LMICs. Medline, Embase, Global Health and Web of Science were searched using 'LMIC', 'Laparoscopy' and 'Training'. Two researchers screened results with mutual agreement. Included papers were in English, focused on abdominal laparoscopy and training in LMICs. PRISMA guidelines were followed; 2992 records were screened, and 86 full-text articles reviewed to give 26 key papers. Thematic grouping identified seven key barriers:
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.