Three-Year Follow-up of a Prospective Randomized Trial Comparing Laparoscopic Versus Open Gastric Bypass.
"How does laparoscopic surgery for morbid obesity compare with open gastric bypass? The authors conducted a randomized trial involving 155 patients who were followed for a mean period of 39 months. The same Roux-en-Y gastric bypass procedure was employed for both groups. Weight loss, reduction in comorbidities, and improvement in the quality of life were similar between the 2 groups. The major difference was in the frequency of incisional hernias, which was 39 per cent in the open group, compared with only 5 per cent in the laparoscopic group. (P < .01.)"
"On the basis of this report and a previous short-term follow-up study on the same patients, the authors point out that the results of surgery for morbid obesity are similar after either open or laparoscopic surgery. The short-term advantages of laparoscopic surgery pertain to shorter hospitalization and faster recovery; the main long-term advantage is a significant reduction in the frequency of incisional hernias - a serious complication. The authors believe that laparoscopic gastric bypass should become the procedure of choice for patients with morbid obesity."
 Nguyen NT, Goldman C., Rosenquist CJ et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234:279-289.
Puzziferri N, Austrheim-Smith IT, Wolfe BM, et al, in: Ann Surg. 2006;243:181-188
Albert B. Lowenfels, MD, Medscape General Surgery. 2006;8(1) ©2006 Medscape
Albert B. Lowenfels, MD, Professor of Surgery, Department of Surgery, New York Medical College, Valhalla, New York; Staff Physician, Westchester Medical Center, Valhalla, New York.
Disclosure: "Albert B. Lowenfels, MD, has disclosed no relevant financial relationships."