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Backgrounds <p>Hepato-pancreato-biliary (HPB) services are not widely recognized in African countries. This survey seeks to assess the current status of HPB surgery in East and Southern Africa.</p> Methods <p>The Surgeons Overseas Personnel, Infrastructure, Procedure, Equipment, and Supplies (PIPES) survey assessed HPB capacity in East and South African countries. The PIPES score was calculated for hospitals; a higher score indicates greater capacity.</p> Results <p>Twenty-five responses from 10 countries completed the survey, yielding a median score of 41 (range 18–57). 80% of hospitals are government-operated. Functioning X-ray machines and pre-tested blood banks are the most commonly available resources in 23 (92%) and 20 (80%) hospitals. The most common procedure is open cholecystectomy, performed in 24 (96%) hospitals, while laparoscopic cholecystectomy, distal pancreatectomy, and non-anatomic hepatic resections were conducted in 22 (92%) hospitals. The Whipple operation and liver resection were carried out in 20 (80%) hospitals. Interventional radiology is available in 5 (20%) centers, and liver transplantation was noted in 3 (12%) hospitals. Electrosurgery is available in 25 hospitals, and energy devices are accessible in 19.</p> Conclusion <p>This study highlights the HPB surgery services in East and Southern African countries. Despite limited resources, certain HPB services are accessible.</p>

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Hepato-pancreato-biliary surgical capacity in East and South African countries: a regional assessment survey

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月24日

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  • Mohamed Daffalla Awadalla Gismalla,
  • T K Marumo,
  • Nebiat E Mekonnen,
  • Ahmed AbdElrahman-Abdalla Abd Elrahman

摘要

Backgrounds

Hepato-pancreato-biliary (HPB) services are not widely recognized in African countries. This survey seeks to assess the current status of HPB surgery in East and Southern Africa.

Methods

The Surgeons Overseas Personnel, Infrastructure, Procedure, Equipment, and Supplies (PIPES) survey assessed HPB capacity in East and South African countries. The PIPES score was calculated for hospitals; a higher score indicates greater capacity.

Results

Twenty-five responses from 10 countries completed the survey, yielding a median score of 41 (range 18–57). 80% of hospitals are government-operated. Functioning X-ray machines and pre-tested blood banks are the most commonly available resources in 23 (92%) and 20 (80%) hospitals. The most common procedure is open cholecystectomy, performed in 24 (96%) hospitals, while laparoscopic cholecystectomy, distal pancreatectomy, and non-anatomic hepatic resections were conducted in 22 (92%) hospitals. The Whipple operation and liver resection were carried out in 20 (80%) hospitals. Interventional radiology is available in 5 (20%) centers, and liver transplantation was noted in 3 (12%) hospitals. Electrosurgery is available in 25 hospitals, and energy devices are accessible in 19.

Conclusion

This study highlights the HPB surgery services in East and Southern African countries. Despite limited resources, certain HPB services are accessible.