Training system for laparoscopic fundoplication.
Laparoscopic fundoplication is widely used today as a surgical standard for gastro-esophageal reflux disease (GERD). However, the procedures are complicated and require advanced laparoscopic skills. In addition, surgical complications correlate with the surgeon's technique and experience. Thus, a training course in laparoscopic fundoplication should be attended before performing surgery. This paper reports on a training course for laparoscopic Nissen fundoplication developed by our group. This course involves practice in suture knotting as part of the laparoscopic operation, practical experience in fundoplication using a porcine organ training model, and observation of a live operation in the operating room. The course improves laparoscopic skills via practical experience and contributes to the learning curve for laparoscopic fundoplication.
Yokoyama
Section for Minimally Invasive Surgery University of Tuebingen Tuebingen Germany.
Mailaender
Raestrup
Buess