The adoption of laparoscopic devices and minimally invasive surgical techniques in Ukraine has been steadily increasing, mirroring a global trend toward procedures that reduce recovery time, pain, and hospital stays for patients. However, the healthcare system has faced significant challenges due to the Russian invasion in February 2022, which has both strained resources and sparked innovation and adaptation in some areas. Prior to the conflict, Ukraine was progressively incorporating laparoscopic surgeries into standard practice, supported by efforts to modernize healthcare infrastructure, upgrade medical equipment, and improve surgical training. This progress is reflected in initiatives to implement standardized surgical safety protocols and the growing use of advanced diagnostic tools like staging laparoscopy, particularly in regions where access to high-resolution imaging such as CT or PET-CT scans remains limited.
Despite the pressures on healthcare facilities, many continue to operate. A nationwide survey on surgical safety practices conducted between 2023 and 2024 and published in May 2025 highlighted ongoing improvements in perioperative care. However, adoption and adherence to these protocols vary depending on hospital size. Research published in the Journal of Surgical Research in January 2025 emphasized the importance of laparoscopic staging for gastric cancer, showing high sensitivity and specificity in detecting peritoneal metastases even where advanced imaging is scarce, underscoring the vital role of laparoscopy in diagnostics and staging.
Surgical approaches for colorectal conditions have evolved amid the ongoing conflict, and gynecological surgeries remain active with an evident trend toward minimally invasive methods. A multicenter retrospective study published in late 2024 on PubMed analyzed 13,937 gynecological surgeries performed from 2021 to 2023 across 12 Ukrainian regions. The study revealed that laparoscopic procedures are associated with significantly fewer postoperative complications compared to open abdominal surgeries (adjusted odds ratio of 2.65), highlighting a clear preference for laparoscopy to enhance patient outcomes even under difficult circumstances.
The war has severely damaged healthcare infrastructure and caused displacement among medical personnel, with the World Health Organization documenting over 2,236 attacks on healthcare facilities since early 2022, with an increase observed into 2025. Nevertheless, Ukraine’s healthcare system has demonstrated resilience, introducing mobile pharmacies and primary care units in disrupted areas and leveraging the e-Health system, which holds records on over 35 million patients, to support timely clinical decisions. Demand for medical supplies, including laparoscopic instruments, persists, supported by import data showing shipments primarily from Germany and China. This reflects ongoing efforts to sustain and advance modern surgical care, including laparoscopic practices, for the benefit of patients in Ukraine despite the ongoing crisis.
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