Exploring the current provision of pancreatic transplantations in low- and middle-income countries: Current landscape, challenges, future prospects

Table 3 Summary of future prospects for improving pancreatic transplant provisions in low- and middle-income countries

Area	Summary
Advancements in surgical techniques	Continuous refinement of surgical methodologies is crucial for the evolution of pancreas transplantation. Initiatives focusing on minimally invasive surgical techniques show potential for enhancing donor organ retrieval, reducing complications, and improving outcomes
Enhanced focus on research	State-of-the-art technologies, including gene editing and regenerative medicine, have the potential to revolutionize pancreas transplantation. Advances in laparoscopic biopsies showcase safety and diagnostic efficacy, aiding research in identifying prognostic indicators and developing precision medicine
Telemedicine implementation	Telemedicine's extensive implementation is expected to augment post-operative care in low- and middle-income countries. Remote monitoring and consultations overcome geographical barriers, facilitating timely interventions and collaborative knowledge exchange among specialists
International collaborations	Fostering international collaborations is paramount for addressing healthcare infrastructure gaps and the shortage of skilled professionals. Shared expertise, knowledge transfer, and collaborative research initiatives can increase access to transplantation services in low- and middle-income countries
Robust funding network and policies	A robust funding network is essential for various aspects of pancreas transplantation, including equipment acquisition, skills enhancement, and technological upgrades. Comprehensive policies addressing unique challenges in low- and middle-income countries, including financial support mechanisms, streamlined organ procurement processes, and targeted specialist training programs, create a sustainable ecosystem
Increasing availability of pancreas organs	Strategies to increase the availability of pancreas organs for transplants should be incorporated into future plans. Efforts to overcome sociocultural and legislative obstacles, including community engagement and educational campaigns, are essential for cultivating a positive perception of organ donation
Legal frameworks and ethical considerations	Addressing legislative ambiguities surrounding organ extraction procedures is crucial for streamlining the donation process. Models like the "Iranian" government-sponsored living unrelated donor transplant program, while raising ethical concerns, demonstrate increased deceased donor transplants with proper legislation