Robotic Cardiac Surgery in Colombia: Overcoming the Challenges of a Middle-income Setting

Andrade, Darío; Vinck, Eric E.; Parra, Juan Fernando; Balkhy, Husam H.; Núñez, Federico

doi:10.21470/1678-9741-2020-0064

Cited by 13 publications

(17 citation statements)

References 5 publications

(5 reference statements)

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“…Despite the less than ideal governmental funding, health budgets, and support, technological advances in this region of the world has managed to maintain certain developments. In 2014, the Dominican Republic launched the first robotic surgical center in the Spanish-speaking Caribbean, second only Puerto Rico [ 17 , 18 ] . Although many areas of surgery are currently being treated using robotic consoles, robotic CT surgery in the Caribbean is still non-existent.…”

Section: Discussionmentioning

confidence: 99%

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Cardiothoracic Surgery in the Caribbean

Vinck¹,

Ebels

Hittinger

et al. 2021

Braz J Cardiovasc Surg

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Introduction Despite being one of the main vacation destinations in the world, health care in the Caribbean faces many difficulties. The challenges involved in these islands’ medical care range from low-resource institutions to lack of specialized care. In the field of thoracic and cardiac surgery, many limitations exist, and these include the lack of access to cardiac surgery for many small islands and little governmental funding for minimally invasive approaches in thoracic surgery. Methods Literature review was done using PubMed/MEDLINE and Google Scholar databases to identify articles describing the characteristics of thoracic and cardiac surgery departments on Caribbean islands. Articles on the history, current states of practice, and advances in cardiothoracic surgery in the Caribbean were reviewed. Results Regardless of the middle to high-income profile of the Caribbean, there are significant differences in the speed of technological growth in cardiothoracic surgery from island to island, as well as disparities between the quality of care and resources. Many islands struggle to advance the field of cardiothoracic surgery both through lack of local cardiac surgery centers and limited financial funding for minimally invasive thoracic surgery. Conclusions Cardiac and thoracic surgery in the Caribbean depend not only on the support from local government policies and proper distribution of healthcare budgets, but efforts by the surgeons themselves to change and improve institutional cultures. Although resource availability still remains a challenge, the Caribbean remains an important region that deserves special attention with regard to the unmet needs for long-term sustainability of chest surgery.

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Section: Discussionmentioning

confidence: 99%

“…By 2017, there were 4,271 da Vinci robotic consoles worldwide with 2,770 of these being in the United States of America. In nearby developing countries, robotic CT surgery has only recently began developing [ 17 , 18 ] . Brazil began performing robot-assisted cardiac surgery in 2010, and Colombia in 2017 [ 7 , 18 ] .…”

Section: Discussionmentioning

confidence: 99%

Cardiothoracic Surgery in the Caribbean

Vinck¹,

Ebels

Hittinger

et al. 2021

Braz J Cardiovasc Surg

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“…In 2017, Andrade and colleagues performed the first 5 cases of robotic AECAB in Colombia; these cases were not published. [1][2][3]9…”

Section: Minimally Invasive Internal Mammary Artery Takedownmentioning

confidence: 99%

“…Robot-assisted cardiac surgery (RACS) in Colombia began in 2017 in Bogota. 1,9 At the time of the first cases, Colombia only had 5 robotic consoles (da Vinci, Intuitive Surgical, Sunnyvale, CA, USA) at 5 different institutions; 4 da Vinci Si consoles and one Xi console. As with MICS, a small group of surgeons from the Fundación Clínica Shaio went abroad and did traveling observerships at Chicago Medicine in addition to robotic surgery simulation training.…”

Section: Robotic Cardiac Surgerymentioning

confidence: 99%

“…At the Floridablanca Cardiovascular Institute in Bucaramanga, surgeons have adopted many techniques from Leipzig, Germany and other centers such as Leiden University Medical Center (The Netherlands) have contributed considerably to Colombian cardiac surgery trainees. 1,2,9,10 Today, Colombia's most experienced MICS center follows recommendations from both London, Ontario and Maastricht University Medical Center. For institutions looking to introduce MICS to their departments, another key driver is a strong multidisciplinary approach as MICS requires the involvement and support of the entire heart team.…”

Section: Challenges Of Developing Micsmentioning

confidence: 99%

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Minimally Invasive Cardiac Surgery in Colombia: Evolution and the Impact of International Training

Vinck

Rendón

Andrade³

et al. 2021

Innovations�(Phila)

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Emerging Opportunities for Sustainable Digital Health Enhanced Care Delivery Models for Improved Cardiovascular Surgery Outcomes

Koomson

Lang’at

2021

Sustainable Development Goals Series

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Rapid expansion of internet access and mobile technologies in low-and middle-income countries has accelerated interest in digital health strategies to improve cardiac surgery outcomes in resource-constrained areas. Several pilot studies of wearable and portable health monitoring devices, virtual reality, and telehealth platforms have shown great promise as governments strategically invest in information and communication technology expansion and costs continue to decline for internet-assisted devices. However, future research directions on digital health systems and interventions must focus on overcoming key challenges in achieving interoperability with existing health care infrastructures, ensuring coverage across diverse socio-economic regions, and user-centric design approaches that incorporate the local cultural context to increase adoption and usability.

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Robotic Cardiac Surgery in Colombia: Overcoming the Challenges of a Middle-income Setting

Cited by 13 publications

References 5 publications

Cardiothoracic Surgery in the Caribbean

Cardiothoracic Surgery in the Caribbean

Minimally Invasive Cardiac Surgery in Colombia: Evolution and the Impact of International Training

Emerging Opportunities for Sustainable Digital Health Enhanced Care Delivery Models for Improved Cardiovascular Surgery Outcomes

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