Hepato-pancreato-biliary surgery in West Africa: A timely capacity assessment Journal Article
| Authors: | Alatise, O. I.; Yibrehu, B.; Jackman, J.; Arije, O.; Olasehinde, O.; Keli, E.; Offei, A.; Jaiteh, L.; Aderounmu, A.; Kingham, P. T. |
| Article Title: | Hepato-pancreato-biliary surgery in West Africa: A timely capacity assessment |
| Abstract: | Background: West Africa has among the highest rates of hepato-pancreato-biliary (HPB) malignancies in the world. Although surgery is critical for treatment, the availability of HPB surgery in Africa is unknown. This cross-sectional study investigated the current HPB surgical capacity of West African hospitals. Method: The Surgeons OverSeas Personnel, Infrastructure, Procedure, Equipment, and Supplies (PIPES) survey was modified to include HPB-specific parameters and quantify capacity. The survey was completed by consultant surgeons from West Africa. A PIPES index was calculated, and a higher score corresponded to greater HPB surgical capacity. Results: The HPB PIPES survey was completed by 35 institutions from The Gambia, Ghana, Ivory Coast, and Nigeria. Most institutions (94.2%) were tertiary referral centres; five had an HPB-trained surgeon. The most commonly available procedure was an open cholecystectomy (91.4%), followed by gastric bypass (88.6%). Major hepatic resections (14.3%) and the Whipple procedure (17.1%) were rare. ICU capabilities were present at 88.6% of facilities while interventional radiology was present in 25.7%. Conclusions: This is the first HPB capacity assessment in Africa. This study showed the limited availability of HPB surgery in West Africa. These results can be used for regional quality improvement initiatives and as a baseline for future capacity assessments. © 2024 The Author(s) |
| Keywords: | liver transplantation; nuclear magnetic resonance imaging; follow up; pancreaticoduodenectomy; computer assisted tomography; questionnaire; intensive care unit; total quality management; multicenter study; surgeon; interventional radiology; liver surgery; hepatectomy; cross-sectional study; biliary tract surgery; abdominal surgery; cholecystectomy; ablation therapy; distal pancreatectomy; endoscopic retrograde cholangiopancreatography; infrastructure; africa; health care survey; peroperative echography; human; article; tertiary care center; anesthesiologist; gastric bypass surgery; hepatopancreatobiliary surgery |
| Journal Title: | HPB |
| Volume: | 26 |
| Issue: | 9 |
| ISSN: | 1365-182X |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2024-09-01 |
| Start Page: | 1123 |
| End Page: | 1130 |
| Language: | English |
| DOI: | 10.1016/j.hpb.2024.05.009 |
| PUBMED: | 38862377 |
| PROVIDER: | scopus |
| PMCID: | PMC11923760 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in PubMed and PDF -- Source: Scopus |
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