Robotic surgery in Nigeria: an uncertain possibility


  • Tunde A. Oyebamiji College of Medicine, University of Ibadan, Ibadan, Oyo state, Nigeria



Robotic surgery, Faster patient recovery, Regressive health care financing model, Poor leadership, Healthcare systems, Nigeria


Since its introduction about 2 decades ago, surgical robots are becoming increasingly used in many surgical operations. The emerging technology has increased the efficiency, reliability and precision of surgical procedures. It has minimized overall post-operative complications and led to faster patient recovery. Although there are some limitations to robotic surgery, its many advantages have generated great excitement within the surgical community. Thus, there is an exponential growth in the use of the surgical robot across numerous surgical specialties and in many developed nations of the world. In Africa, the robotic surgical system has only been adopted in South Africa and Egypt for limited surgical cases. However, there has been no documented use in Nigeria. The implementation of robotic surgery in Nigeria is been hampered by low budget allocation to health, a regressive health care financing model, epileptic power supply and most of all, poor leadership make the implementation of robotic surgery in Nigeria challenging. The cost of acquiring and maintaining the surgical robot will gradually become cheaper as more robotic surgical manufacturers enter the marketplace, thereby making it more affordable and accessible in low- and middle-income countries. Effective leadership and critical investment in health care systems and human capital, will increase the possibility of implementing a robotic surgical program in the future.


Desai GS. Robotic surgery: is it right for India? J Robot Surg. 2018;12(4):725-6.

Giri S, Sarkar DK. Current status of robotic surgery. Indian J Surg. 2012;74(3):242-7.

Rabaza J. Is the Caribbean ready for robotics? Int J Surg. 2019;72S:3-5.

Azhar RA, Elkoushy MA, Aldousari S. Robot-assisted urological surgery in the Middle East: Where are we and how far can we go? Arab J Urol. 2019;17(2):106-13.

Gadget. Robotic surgery takes off in South Africa. Available at: Accessed on: 07 March 2020.

Intuitive Surgical. Intuitive Surgical Investor Presentation. 2018. Available at: https://www. Accessed on: 19 January 2020.

World Health Organization. The Abuja Declaration: Ten Years On. Available at: /healthsystems/publications/Abuja10.pdf. Accessed on: 16 March 2020.

BudgiT Nigeria. Health Budget Analysis 2018. Available at: uploads/2018/04/Nigeria-Health-Budget-Analysis.p df. Accessed on: 02 March 2020.

Uzochukwu BS, Ughasoro MD, Etiaba E, Okwuosa C, Envuladu E, Onwujekwe OE. Health care financing in Nigeria: Implications for achieving universal health coverage. Niger J Clin Pract. 2015;18(4):437-44.

BudgiT Nigeria. Approved Budget Analysis 2020. Available at: uploads/2020/01/2020-Approved-Budget-Analysis. pdf. Accessed on: 02 March 2020.

Oleribe OO, Momoh J, Uzochukwu BS, Mbofana F, Adebiyi F, Barbera T, et al. Identifying Key Challenges Facing Healthcare Systems in Africa And Potential Solutions. Int J Gen Med. 2019;12:395-403.

Wilensky GR. Robotic Surgery: An Example of When Newer Is Not Always Better but Clearly More Expensive. Milbank Q. 2016;94(1):43-6.

Aregbeshola BS, Khan SM. Out-of-Pocket Payments, Catastrophic Health Expenditure and Poverty Among Households in Nigeria 2010. Int J Health Policy Manag. 2018;7(9):798-806.

Pereira-arias JG, Gamarra-quintanilla M, Sánchez-vázquez A, Alberto J, Urdaneta-salegui LF, Astobieta-odriozola A, et al. How to build a robotic program. Arch Esp Urol. 2019;72(3):227-38.

National Bureau Statistics. Nigeria Poverty Profile Report. 2010. Available at: http://www.nigeria Accessed on: 04 May 2020.

Balogun JA, Kayode Idowu O, Obanisola Malomo A. Challenging the myth of outpatient craniotomy for brain tumor in a Sub-Saharan African setting: A case series of two patients in Ibadan, Nigeria. Surg Neurol Int. 2019;10:71.

John E, Ndubueze E. Open-Heart Surgery in Nigeria. Texas Heart Inst J. 2007;34(1):1-3.

Grillo IA, Frcs C, Falase A, Idowu AL, Surg D, Osanyintuyi SO. Open Pulmonary Valvotomy: Report of the first successful open heart sugery at the University College Hospital, Ibadan, Nigeria. J Natl Med Assoc. 1980;72(12):1185-8.

Onakpoya UU, Adenle AD, Adenekan AT. Early experience with open heart surgery in a pioneer private hospital in West Africa: The Biket medical centre experience. Pan Africa Med J. 2017;8688:1-8.

St. Nicholas Hospital. Humble but strong start. 2019. Available at: company-overview/. Accessed on: 25 March 2020.

Vanguard. Nigeria records first successful kidney transplant. 2019. Available at: https://www.vanguar Accessed on: 25 March 2020.

This is Africa. Nigeria’s Lagos State University Teaching performs successful first ever kidney transplant and Bone Bridge Surgery. Available at: Accessed on: 04 April 2020.

Business Day. Medical feat offers potential for medical tourism into Nigeria. Available at: Accessed on 4 April 2020.






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