Background: Thoracic surgery as one of the oldest surgical specialties to have branched off from general surgeryhas a relatively wide scope, covering the diagnosis and treatment of the diseases affecting the various regions ofthechest. The practice of this specialty and challenges affecting it in Nigeria is hereby reviewed. Aims/Objective: To review the scope of clinical thoracic surgery practice in Nigeria including its challenges and compare same with international standard. Methods: For a period of 13 years (2007-2019), the practice of clinical thoracic surgery in Nigeria was reviewed with data from the National Cardiothoracic Center of Excellence (NCTCE). The social-demography profile of the involved patients, the congenital and acquired pathologies of the various anatomic regions of the chest, diagnosis and treatmentmethodologies including outcomes and challenges were extracted from the database, reviewed and analyzed. Results: A total of 1883 general thoracic pathologies in 1200 patients were managed. Of this number, pleural pathology accounted for the highest number (n=687, 35.6%). 657 males and 543 females were involved with aM: F ratio of 1:0.8. Of 1883 cases, 1283 (68.1%) had some form of surgical interventions. Within this group, chest tube drainage± pleural biopsy/pleurodesiswasthehighest (n=611, 47.6%). Late presentations of malignant lung diseases, lack of expertise and equipment for minimal access techniques were some of the challenges. Conclusion: General thoracic surgery as a mono-specialty should be embraced, encouraged and upgraded by the training institutions in our sub-region since the workload for experts in the specialty is enormous.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 6, Issue 6) |
| DOI | 10.11648/j.ijcts.20200606.14 |
| Page(s) | 79-84 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Scope, Thoracic, Nigeria, Training Institutions, Chest
| [1] | Alesssandro B, Pierine EF. European Guidelines on study and qualification of General Thoracic Surgery, European Journal of Cardiothoracic Surgery 2014; 45: 779-786. |
| [2] | Heikki T. General Thoracic Surgery as a monospecialty – a realistic vision? European Journal of Cardiothoracic Surgery 2002; 21 (1): 1-4. |
| [3] | Eagle KA, Berger PB, Calkins H. ACC/AHA-guidelines of update for perioperative cardiovascular surgery. Executive summary. Circulation 2012; 105: 1257-67. |
| [4] | Boysen PG, Perioperative Management of the thoracotomy patient. Clin Chest Med 1993; 14: 321-33. |
| [5] | Lyer A, Yadav S. Postoperative Care and Complications after Thoracic Surgery. Principles and Practice of Cardiothoracic Surgery, Chapter 3: published June 12th 2013 by IntechOpen Access. |
| [6] | Schil V, Paul E. 12th World Conference on Lung cancer: Advances in Surgical Staging using Thoracoscopy or Video Assisted Thoracoscopy. Journal of Thoracic Oncologyn2007; 2 (8): Suppl 4. |
| [7] | Falase B, Sanusi M, Animasahun A, Mgbeijah O, Majokodunmi A, Nzewi OC, et al. The challenges of cardiothoracic surgery practice in Nigeria: 12-year institutional experience. CardiovascDiagTher 2016: 6 (suppl 1): S27-S43. |
| [8] | Kernstine KH, Robotics in Thoracic Surgery. The American Journal of Surgery 2004; 188 (4): 89-97. |
| [9] | Darling GE, Maziak DE, Clifton JC. The Practice of Thoracic Surgery in Canada. Can J Surgery 2004; 47 (6): 438-445. |
| [10] | Nwafor IA, Eze JC, Anyanwu CH, Ezemba N, Onyia UOC, Ewerem NJ. The Scope of cardiac Surgery at National Cardiothoracic Center of Excellence in Nigeria: 3-Year Review. J Vasc Med Surg 2017; 5 (308): 2. |
| [11] | Nwafor IA, Eze JC, Status of Congenital Heart Defects in Nigeria. The Role of Cardiac Surgery, World J Cardiovascular Surgery 2019: 9 (7): 63-72. |
| [12] | Yendamuri S. Thoracic Surgery in India: Challenges and Opportunities. J Thorac Dis 2016; 8 (sppl 8): S596-S600. |
| [13] | Nwafor IA, Okafor OC, Eze JC, Ezemba N. Histology of Chest wall tumours: 15 years Single Center Experience. NigJ of Medicine 2017; 26 (3): 284-289. |
| [14] | Qiongzhen Li, Xiaofeng Z, Meiying X, Jingxiang W. A retrospective analysis of 62,571 cases of perioperative adverse events in thoracic surgery at teaching hospital in a developing country. J of Cardiothoracic surgery 2019; 1498: 1-7. |
| [15] | Jing R, He S, Dai H, Lin F, Ge W, Tao G, et al. Incidence and risk factors of postoperative pulmonary complications after thoracic surgery for early non-small cell lung cancer. |
| [16] | Okumura M, Trends and current status of general thoracic surgery in Japan revealed by a review of nationwide databases. Journal of Thoracic Disease 2016; 8 (8): 2077-6624. |
| [17] | Omisore, E. O., Agbabiaka, H. I. Factors Influencing Patronage Of Medical Tourism In Metropolitan Lagos, Nigeria. International Journal of Scientific & technology Research 2016; 5 (14): 32-41. |
| [18] | Faber LP, General thoracic surgery in the year 2010. Annals of Thoracic Surgery 1993; 55 (5): 1326-31. |
| [19] | Nwafor IA, Eze JC, Nwafor MN. Establishing a sustainable Open Heart Surgery Program in Nigeria, a low-income country: Which is the best model? Cardiology in the Young 2009; 29 (12): 14-1493. |
| [20] | Nwafor IA, Eze JC, Ezemba N, Chinawa JM, Onyekwulu Fa, Nwafor MN, Changes in Open Heart Surgery Protocol and Outcome in a Nigeria National Cardiothoracic Center of Excellence over 42 years. Therapeutic Advances in Cardiology 2017; 1 (2): 97-104. |
APA Style
Ikechukwu Nwafor, John Eze, Bolaji Akanni, Ikponmwosa Gold. (2020). The Scope of Clinical Thoracic Surgery Practice in Nigeria: 13-Year Single Center Review. International Journal of Cardiovascular and Thoracic Surgery, 6(6), 79-84. https://doi.org/10.11648/j.ijcts.20200606.14
ACS Style
Ikechukwu Nwafor; John Eze; Bolaji Akanni; Ikponmwosa Gold. The Scope of Clinical Thoracic Surgery Practice in Nigeria: 13-Year Single Center Review. Int. J. Cardiovasc. Thorac. Surg. 2020, 6(6), 79-84. doi: 10.11648/j.ijcts.20200606.14
AMA Style
Ikechukwu Nwafor, John Eze, Bolaji Akanni, Ikponmwosa Gold. The Scope of Clinical Thoracic Surgery Practice in Nigeria: 13-Year Single Center Review. Int J Cardiovasc Thorac Surg. 2020;6(6):79-84. doi: 10.11648/j.ijcts.20200606.14
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcts.20200606.14,
author = {Ikechukwu Nwafor and John Eze and Bolaji Akanni and Ikponmwosa Gold},
title = {The Scope of Clinical Thoracic Surgery Practice in Nigeria: 13-Year Single Center Review},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {6},
number = {6},
pages = {79-84},
doi = {10.11648/j.ijcts.20200606.14},
url = {https://doi.org/10.11648/j.ijcts.20200606.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20200606.14},
abstract = {Background: Thoracic surgery as one of the oldest surgical specialties to have branched off from general surgeryhas a relatively wide scope, covering the diagnosis and treatment of the diseases affecting the various regions ofthechest. The practice of this specialty and challenges affecting it in Nigeria is hereby reviewed. Aims/Objective: To review the scope of clinical thoracic surgery practice in Nigeria including its challenges and compare same with international standard. Methods: For a period of 13 years (2007-2019), the practice of clinical thoracic surgery in Nigeria was reviewed with data from the National Cardiothoracic Center of Excellence (NCTCE). The social-demography profile of the involved patients, the congenital and acquired pathologies of the various anatomic regions of the chest, diagnosis and treatmentmethodologies including outcomes and challenges were extracted from the database, reviewed and analyzed. Results: A total of 1883 general thoracic pathologies in 1200 patients were managed. Of this number, pleural pathology accounted for the highest number (n=687, 35.6%). 657 males and 543 females were involved with aM: F ratio of 1:0.8. Of 1883 cases, 1283 (68.1%) had some form of surgical interventions. Within this group, chest tube drainage± pleural biopsy/pleurodesiswasthehighest (n=611, 47.6%). Late presentations of malignant lung diseases, lack of expertise and equipment for minimal access techniques were some of the challenges. Conclusion: General thoracic surgery as a mono-specialty should be embraced, encouraged and upgraded by the training institutions in our sub-region since the workload for experts in the specialty is enormous.},
year = {2020}
}
TY - JOUR T1 - The Scope of Clinical Thoracic Surgery Practice in Nigeria: 13-Year Single Center Review AU - Ikechukwu Nwafor AU - John Eze AU - Bolaji Akanni AU - Ikponmwosa Gold Y1 - 2020/12/22 PY - 2020 N1 - https://doi.org/10.11648/j.ijcts.20200606.14 DO - 10.11648/j.ijcts.20200606.14 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 79 EP - 84 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20200606.14 AB - Background: Thoracic surgery as one of the oldest surgical specialties to have branched off from general surgeryhas a relatively wide scope, covering the diagnosis and treatment of the diseases affecting the various regions ofthechest. The practice of this specialty and challenges affecting it in Nigeria is hereby reviewed. Aims/Objective: To review the scope of clinical thoracic surgery practice in Nigeria including its challenges and compare same with international standard. Methods: For a period of 13 years (2007-2019), the practice of clinical thoracic surgery in Nigeria was reviewed with data from the National Cardiothoracic Center of Excellence (NCTCE). The social-demography profile of the involved patients, the congenital and acquired pathologies of the various anatomic regions of the chest, diagnosis and treatmentmethodologies including outcomes and challenges were extracted from the database, reviewed and analyzed. Results: A total of 1883 general thoracic pathologies in 1200 patients were managed. Of this number, pleural pathology accounted for the highest number (n=687, 35.6%). 657 males and 543 females were involved with aM: F ratio of 1:0.8. Of 1883 cases, 1283 (68.1%) had some form of surgical interventions. Within this group, chest tube drainage± pleural biopsy/pleurodesiswasthehighest (n=611, 47.6%). Late presentations of malignant lung diseases, lack of expertise and equipment for minimal access techniques were some of the challenges. Conclusion: General thoracic surgery as a mono-specialty should be embraced, encouraged and upgraded by the training institutions in our sub-region since the workload for experts in the specialty is enormous. VL - 6 IS - 6 ER -
Email: