Annals of surgery
-
Randomized Controlled Trial Comparative Study
Three-year follow-up of a prospective randomized trial comparing laparoscopic versus open gastric bypass.
To analyze long-term weight loss, changes in comorbidities and quality of life, and late complications after laparoscopic and open gastric bypass. ⋯ In this randomized trial with a 3-year follow-up, we found that laparoscopic gastric bypass was equally effective as open gastric bypass with respect to weight loss and improvement in comorbidities and quality of life. A major advantage at long-term follow-up for patients who underwent laparoscopic gastric bypass was the reduction in the rate of incisional hernia.
-
To identify risk factors for complications after resection for esophageal or cardia cancer. ⋯ High-volume esophageal surgeons seem to lower the risk of anastomotic leakage. More large-scale studies are warranted to establish the roles of the other potentially important risk factors suggested in our study.