Embracing robotic surgery in low- and middle-income countries: Potential benefits, challenges, and scope in the future

Mehta, Aashna; Ng, Jyi Cheng; Awuah, Wireko Andrew; Huang, Helen; Kalmanovich, Jacob; Agrawal, Aniket; Abdul‐Rahman, Toufik; Hasan, Mohammad Mehedi; Sikora, Vladyslav; Işık, Arda

doi:10.1016/j.amsu.2022.104803

Cited by 30 publications

(24 citation statements)

References 41 publications

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“…For example, implementing robotic surgery platforms incurs both hefty up‐front and maintenance costs. Although locally manufacturing certain components of these expensive systems may eventually help decrease costs, limited data on long‐term costs and feasibility call into question the sustainability of modern‐day robotic surgery in low‐resource areas 75 . Image‐guided surgery for tumor ablation is another increasingly common yet highly resource‐intensive surgical approach to cancer 76 .…”

Section: Resultsmentioning

confidence: 99%

“…Although locally manufacturing certain components of these expensive systems may eventually help decrease costs, limited data on long-term costs and feasibility call into question the sustainability of modern-day robotic surgery in lowresource areas. 75 Image-guided surgery for tumor ablation is another increasingly common yet highly resource-intensive surgical approach to cancer. 76 With advancements in this field developed in high-resource settings leading to increasing technology reliance, such as with the MRI-dependent minimally invasive image-guided ablation technique, 77 the gap to implementing new standard-of-care approaches grows.…”

Section: Unchecked Technological Advancements Risk Widening Disparitiesmentioning

confidence: 99%

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Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Sadler

Torio

Golby

2023

Cancer

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Global cancer surgery is an essential and complex component of oncologic care. This study aims to describe global cancer surgery literature since the 2015 Lancet Commission on Global Surgery and Cancer Surgery and perform a strengths, weaknesses, opportunities, and threats (SWOT) analysis. A systematic search was performed in PubMed of global cancer surgery articles. Themes were extracted from the included studies based on the following criteria: (1) performed in low‐ or low‐middle–income countries, (2) published during or after 2015, (3) published in peer‐reviewed journals, (4) written in the English language, and (5) accessible to the authors. Themes were further grouped into strengths, weaknesses, opportunities, and threats (SWOT analysis). The search strategy identified 154 articles published from 1992 to 2022. Forty‐six articles were included in the qualitative synthesis and SWOT analysis. Recurring themes included local epidemiologic studies, local innovations and feasibility studies, prioritizing quality of life outcomes, multidisciplinary team approaches, limited resources, health system gaps, lack of economic analyses, diverse cancer management strategies and priorities, inter‐setting collaboration, research expansion, the coronavirus disease 2019 pandemic, and unchecked technological advancements. These strengths, weaknesses, opportunities, and threats were described and related to the themes of research, surgical systems strengthening, economics and financing, and political framing of the 2015 Lancet Commission on Global Cancer Surgery. SWOT analyses of global cancer surgery may be helpful in suggesting future strategies for this expanding field. Plain language summary Cancer surgery is a resource‐intensive yet essential component of cancer care. In the face of projected growth of cancer burden, the present gap in cancer surgery care in low‐resource settings with stressed health care and surgical infrastructure risks further exacerbation. We present a strengths, weaknesses, opportunities, and threats analysis of recent global cancer surgery literature pertaining to low‐resource settings.

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Section: Resultsmentioning

confidence: 99%

Section: Unchecked Technological Advancements Risk Widening Disparitiesmentioning

confidence: 99%

Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Sadler

Torio

Golby

2023

Cancer

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“…69 Comparable to MIS, introducing RAS in underserved areas provides opportunities for local healthcare professionals to receive specialized training and develop advanced skills, establishing a surgical team, decreasing reliance on external surgeons, and improving local access to advanced surgical care. 69 For patients, RAS can alleviate the burden of long-distance travel and associated costs, improve patient comfort, reduce financial strain, and enhance health equity by providing equal access to advanced surgical interventions. 70 The rapid integration of AI into healthcare technologies is redefining and reshaping healthcare delivery and medicine.…”

Section: Discussionmentioning

confidence: 99%

The role of innovative technologies in reducing health system inequity

Sadri,

Fraser

2023

Healthc Manage Forum

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The scarcity of Health Human Resources (HHR), regional disparities, and decentralized healthcare systems have profoundly affected health equity in Canada. Adequate HHR allocation is essential for equitable healthcare delivery, and the COVID-19 pandemic has revealed the importance of resilient and culturally diverse organizational HHR. Geography and infrastructure shortcomings aggravate healthcare equity. This study examines the role of innovative technologies in reducing inequity and provides four practice-based examples in different therapeutic areas. Long-term solutions such as collaborative networks, infrastructure improvements, and effective HHR planning can mitigate current challenges. However, in the short and medium terms, advanced medical technologies, digital health, and artificial intelligence can reduce health inequities by improving access, reducing disparities, optimizing resource utilization, and providing skill development opportunities for healthcare professionals.

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“…Shared resources, equipment, and cloud systems can increase educational opportunities through recorded operations, didactics, wet laboratories, dry laboratories, and modular training. 23 This paradigm can be mutually beneficial as it allows for increased access to surgical care, diverse training opportunities for learners in each institution, and research opportunities.…”

Section: Future Directionsmentioning

confidence: 99%

Remote Robotic Surgery and Virtual Education Platforms: How Advanced Surgical Technologies Can Increase Access to Surgical Care in Resource-Limited Settings

Sherif,

Adam,

Imana

et al. 2023

Semin Plast Surg

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Advanced surgical technologies consist of remote and virtual platforms that facilitate surgical care and education. It also includes the infrastructure necessary to utilize these platforms (e.g., internet access, robotic systems, and simulators). Given that 5 billion people lack access to safe and timely surgical care, the appeal of these technologies to the field of global surgery lies primarily in its ability to eliminate geographical barriers and address surgeon shortages. This article discusses the use of virtual and remote technologies in resource-limited settings, the potential applications of these technologies, the possible barriers to their integration, and the impact these technologies may have on access to surgical care and education. Specifically, it will explore how robotic surgery, telesurgery, virtual education platforms, and simulations have the potential to be instrumental in enhancing worldwide access to safe surgical care.

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Embracing robotic surgery in low- and middle-income countries: Potential benefits, challenges, and scope in the future

Cited by 30 publications

References 41 publications

Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

The role of innovative technologies in reducing health system inequity

Remote Robotic Surgery and Virtual Education Platforms: How Advanced Surgical Technologies Can Increase Access to Surgical Care in Resource-Limited Settings

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