Examining the learning curve of laparoscopic fundoplications at an urban community hospital

There is a definable learning curve in laparoscopic fundoplication in terms of operative time. However, an acceleration of the personal learning curve in terms of dysphagia was observed with a two-surgeon collaborative approach. With careful patient selection conversion, reoperation, readmission, and complication rates equivalent to experienced centers can be achieved in the community setting early in the personal and institutional experience.