A systematic review of surgical skills transfer after simulation-based training: laparoscopic cholecystectomy and endoscopy.

Objective: A systematic review to determine whether skills acquired through simulation-based training transfer to the operating room for the procedures of laparoscopic cholecystectomy and endoscopy.

Background: Simulation-based training assumes that skills are directly transferable to the operation room, but only a few studies have investigated the effect of simulation-based training on surgical performance.

Methods: A systematic search strategy that was used in 2006 was updated to retrieve relevant studies.

Gas-related symptoms after antireflux surgery.

Background: Gas-related symptoms such as bloating, flatulence, and impaired ability to belch are frequent after antireflux surgery, but it is not known how these symptoms affect patient satisfaction with the procedure or what determines the severity of these complaints. We aimed to assess the impact of gas-related symptoms on patient-perceived success of surgery and to determine whether the severity of gas-related complaints after antireflux surgery is associated with objectively measured abnormalities.

Methods: Fifty-two patients were studied at a median of 27 months after antireflux surgery.

Impact of surgeon experience on 5-year outcome of laparoscopic Nissen fundoplication.

Objective: To investigate the 5-year effect of surgeon experience with laparoscopic Nissen fundoplication (LNF). In 2000, a randomized controlled trial (RCT) was prematurely terminated because LNF for gastroesophageal reflux disease was associated with a higher risk to develop dysphagia than conventional Nissen fundoplication (CNF). Criticism focused on alleged bias caused by the relative lack of experience with the laparoscopic approach of the participating surgeons.

Symptomatic and objective results of laparoscopic Nissen fundoplication after failed EndoCinch gastroplication for gastro-oesophageal reflux disease.

Background: Several endoscopic techniques have been introduced to treat gastro-oesophageal reflux disease, but their effectiveness varies. Subsequent laparoscopic Nissen fundoplication (LNF) might be required because of persistence or recurrence of symptoms. The aim of this study was to evaluate the outcome of LNF after previous EndoCinch gastroplication.