Learning Curve of Laparoscopic Gastrectomy: A Multicenter Study

*University Medical Center Utrecht, Utrecht, The Netherlands

†Radboud University Medical Center, Nijmegen, The Netherlands

‡Dutch Institute for Clinical Auditing, Leiden, The Netherlands

§Erasmus University Medical Centre, Rotterdam, the Netherlands

∥Catharina Ziekenhuis, Eindhoven, The Netherlands

¶Ziekenhuisgroep Twente, Almelo, The Netherlands

#Amsterdam UMC, Cancer Center Amsterdam, University of Amsterdam, Amsterdam, The Netherlands

**Zuyderland Medical Center, Sittard, The Netherlands

Hylke J.F. Brenkman and Linda Claassen share first authorship.

Richard van Hillegersberg and Camiel Rosman: share last authorship.

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. This study was performed with nationwide, anonymous data; thus, informed consent or substitute for it was waived by the ethical review board of the NCR.

M.I.v.B.H. is consultant for Mylan, Johnson & Johnson, Alesi Surgical, BBraun and Medtronic, and received unrestricted research grants from Olympus and Stryker (all fees paid to institution). J.H.M.B.S. has served as faculty in an online training course for inguinal hernia repair from Medtronic. M.D.P.L. has a consulting and advisory role at Galvani and Medtronic, and received research funding from the Dutch Cancer Foundation. G.A.P.N. has received research funding from Medtronic. J.P.H.R. and R.v.H. have a consulting and advisory role at Intuitive Surgical. The remaining authors report no conflicts of interest.

[email protected].

Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's website, www.annalsofsurgery.com.

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