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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

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Published on: August 15, 2025

Current perceptions of resident training in laparoscopic nephrectomy.

Stanley A Yap¹, Sean M DeLair, Stacy T Tanaka

¹Department of Urology, University of California, Davis, Children's Hospital, Sacramento, California 95817, USA. yapsat@gmail.com

|April 28, 2009

Summary

Discrepancies exist in how attending surgeons and urology residents perceive resident involvement in laparoscopic nephrectomy training. Most agree that fellowship training is not essential for performing this common urologic procedure.

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Last Updated: Jun 23, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Area of Science:

Urology
Surgical Education
Minimally Invasive Surgery

Background:

Laparoscopic nephrectomy is a standard urologic procedure with increasing adoption.
The integration of this technique into residency training remains undercharacterized.

Purpose of the Study:

To assess urology residents' perceived training level in laparoscopic nephrectomy.
To compare resident and attending surgeon perceptions of training adequacy.

Main Methods:

An electronic survey was distributed to urology residents, recent graduates, and laparoscopic specialists.
Participants reported on resident involvement in laparoscopic nephrectomy steps and the necessity of fellowship training.
Data were analyzed using Wilcoxon rank-sum and chi(2) tests.

Main Results:

Attending surgeons reported higher resident involvement in most laparoscopic nephrectomy steps compared to residents' self-perceptions, except for hilar dissection and port closure.
12.5% of attending physicians and 5% of residents believed fellowship training is necessary for laparoscopic nephrectomy.

Conclusions:

A significant gap exists between attending and resident perceptions of laparoscopic nephrectomy training.
This discrepancy highlights potential issues in resident education for a standard procedure.
Most participants agreed that fellowship is not required, suggesting a need to re-evaluate laparoscopic training regulations.