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Invited Critique
March 1999

Invited Critique: Transition From Open to Laparoscopic Fundoplication

Arch Surg. 1999;134(3):282. doi:10.1001/archsurg.134.3.282

This article is an excellent overview of the results of the introduction of laparoscopic fundoplication to university and Veterans Affairs academic programs. It is always encouraging to see advanced procedures practiced, taught, and evaluated in these settings. This introduction contrasts sharply with the introduction of laparoscopic cholecystectomy, which was mainly championed by community-based surgical pioneers, while academics were slow to recognize its potential dramatic effect on the practice of surgery. The authors must be commended for their heroic efforts to establish resident proficiency in performing this procedure. Unfortunately, this level of commitment and implementation has not been observed universally.

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