Thoracic surgery in Egypt

Journal of Thoracic Disease

article

Hussein Elkhayat¹  Hany Hasan Elsayed²  Waleed Adel³  Ahmed Gamal Elkhouly⁴  Amr Abdellateef⁵  Wagdy Abdel Moneim Amin⁶  Alaa Ibrahim Abd El Hafiez⁷  Hatem Beshir⁵  Yasser Ahmed Elsayed⁹  Moustafa Mohamed Elhamami^1,10  Ehab Abdel Moneim Wahby⁴  Elhusseiny Elhusseiny Gamil^1,11  Ahmed Elminshawy^1,12 

[1] Department of Cardiothoracic Surgery, Faculty of Medicine, Assiut University Heart Hospital;Department of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University;Department of Cardiothoracic Surgery, Kasr Alainy Faculty of medicine, Cairo University;Department of Cardiothoracic Surgery, Faculty of Medicine, Tanta University;Department of Cardiothoracic Surgery, Faculty of Medicine, Mansoura University;Chest Diseases Department, Ministry of Health and Population;Department of Cardiothoracic Surgery, Faculty of Medicine, Zagazig University;Department of Cardiothoracic Surgery, Egypt Ministry of Health and Population;Military Medical Academy;Department of Cardiothoracic Surgery, Faculty of Medicine, Alexandria University;Department of Cardiothoracic Surgery, Faculty of Medicine, Alazhar University;Department of Cardiothoracic Surgery, Faculty of Medicine

关键词: Video-assisted thoracic surgery (VATS);    thoracic surgery;    chest;    Egypt;    lung neoplasm;    cancer;    tuberculosis;   

DOI  :  10.21037/jtd-21-723

学科分类：呼吸医学

来源: Pioneer Bioscience Publishing Company

【 摘 要 】

General thoracic surgery operations in Egypt are performed mainly by cardiothoracic surgeons and less oftenly by dedicated thoracic surgeons and general surgeons. This is mainly due to the relatively small number of thoracic surgeons in relation to population as only 210 cardiothoracic surgery specialists and 458 consultants are registered with the Egyptian Medical Syndicate (EMS) in a country with a population of more than 100 million people. Thoracic surgeons in Egypt are faced with a number of burdens, including the need to propagate the service to advanced technology infront of the obstacle of limited resources. Other burdens include higher incidence of TB, trauma and foreign body inhalation related to cultural backgrounds. More centres now are major video-assisted thoracic surgery (VATS) providing centres and others are specialized in more complex surgeries like complicated airway procedures and radical surgery for mesothelioma. As part of the international community, the COVID-19 pandemic has put more burdens on the thoracic surgery service as most centres have reduced their elective surgery workload to less than half of usual. Interestingly, the pandemic has allowed a self-referral screening programme with widespread Computed Tomography (CT) chest being performed among the population allowing thoracic surgeons to operate more on early stage lung cancer. The academic challenges for thoracic surgeons are even more with need for developing national databases. Nevertheless, thoracic surgeons in Egypt are optimistic regarding the future. The rising interest among the younger population will push training programs to meet the interests of enthusiastic junior surgeons. While the ancient history of thoracic surgery in Egypt seems to be extraordinary, the future perspectives promise to be more rewarding.

【 授权许可】

Unknown