{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T07:25:44Z","timestamp":1786951544202,"version":"build-2736575974"},"reference-count":11,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Minimally invasive breast surgery (MIBS), including endoscopic and robotic\u2010assisted techniques, has demonstrated oncologic safety and favorable cosmetic outcomes in selected patients. However, adoption has been uneven globally, particularly in low\u2010 and middle\u2010income countries (LMICs), where health\u2010system constraints, training gaps, and resource limitations influence implementation. Understanding surgeons' perspectives and perceived readiness to adopt MIBS is critical for designing context\u2010appropriate adoption pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross\u2010sectional mixed\u2010methods study among surgeons attending a national MIBS\u2010focused breast surgery meeting in an LMIC. Participants completed an anonymized post\u2010event survey. Outcomes were analyzed using the Kirkpatrick Levels 1\u20133 framework, assessing perceived relevance (reaction), self\u2010reported understanding and confidence (learning), and intention to adopt or seek further training (behavior). Quantitative data were summarized descriptively, and qualitative responses underwent thematic content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy\u2010seven of 114 eligible surgeons (67.5%) responded; Of which 81.8% were consultants. Prior hands\u2010on MIBS experience was limited (19.5%). Post\u2010meeting, 84.4% reported self\u2010reported improvement in understanding of patient selection and 77.9% increased technical confidence. At the behavioral level, 59.7% expressed increased likelihood of considering MIBS, though an equal proportion preferred further structured training before independent practice. Key perceived barriers included lack of formal training pathways (89.6%), learning\u2010curve concerns (85.7%), equipment costs (85.7%), and limited institutional support (59.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this exploratory survey of selected cohort of surgeons attending a MIBS\u2010focused academic symposium in an LMIC setting, respondents reported favorable perceptions of minimally invasive breast surgery, improved self\u2010reported understanding, and interest in further structured training. However, these findings should be interpreted cautiously, as they reflect self\u2010reported perceptions and intentions from an engaged group rather than objective evidence of technical readiness, clinical adoption, or broader system\u2010level preparedness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70464","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T07:08:02Z","timestamp":1781766482000},"page":"2214-2218","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Surgeons' Perspectives and Perceived Readiness to Adopt Minimally Invasive Breast Surgery in a Low\u2010 and Middle\u2010Income Setting"],"prefix":"10.1002","volume":"50","author":[{"given":"Devam","family":"Baderiya","sequence":"first","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashutosh","family":"Kothari","sequence":"additional","affiliation":[{"name":"Breast Surgical Oncology Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0848-7158","authenticated-orcid":false,"given":"Amar Devdatta","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Breast Surgery Division Consultant Surgical Oncologist Tata Memorial Centre ACTREC  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6129-2444","authenticated-orcid":false,"given":"Raghavan","family":"Vidya","sequence":"additional","affiliation":[{"name":"Consultant Oncoplastic Breast &amp; General Surgeon The Royal Wolverhampton NHS Trust  Wolverhampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandip","family":"Bipte","sequence":"additional","affiliation":[{"name":"Consultant Breast Surgeon Apollo Jaslok &amp; Breach Candy Hospital Mumbai  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0682-4970","authenticated-orcid":false,"given":"Sanjay Kumar","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0951-8482","authenticated-orcid":false,"given":"Deepti Bala","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-8676","authenticated-orcid":false,"given":"Dhananjaya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0968-3269","authenticated-orcid":false,"given":"Chandan","family":"Jha","sequence":"additional","affiliation":[{"name":"Endocrine and Breast Surgery Jay Prabha Medanta Superspeciality Hospital  Patna India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chitresh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology AIIMS  Bilaspur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9613-8471","authenticated-orcid":false,"given":"Dileep Ramesh","family":"Hoysal","sequence":"additional","affiliation":[{"name":"Breast Surgery Division Consultant Surgical Oncologist Tata Memorial Centre ACTREC  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4194-2670","authenticated-orcid":false,"given":"Gaurav","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Endocrine and Breast Surgery SGPGIMS  Lucknow India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjit","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Senior Consultant (Breast Surgical Oncology) Tata Medical Center  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Devanhalli","sequence":"additional","affiliation":[{"name":"Consultant Surgical Oncology HCG Hospital  Ahmedabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022152"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957\u2010023\u201003191\u20107"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11837"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.6999"},{"key":"e_1_2_10_7_1","volume-title":"Evaluating Training Programs: The Four Levels","author":"Kirkpatrick D. 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