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.