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George S. Ferzli, MD

Arch Surg. 2008;143(4):365.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The article titled "Complications in Antireflux Surgery: National-Based Analysis of Laparoscopic and Open Fundoplications" by Rantanen and colleagues is a retrospective analysis of 10 846 fundoplications performed in Finland from January 1992 to December 2001. Information was collected from 3 Finnish administrative databases and a questionnaire was sent to hospitals. The study compares 3987 open procedures with 6859 laparoscopic procedures.

The annual number of antireflux operations increased during this 10-year period, with all of the increase related to laparoscopy. Surgical mortality and the overall rate of serious complications did not differ between groups, but claims for injuries and dysphagia were higher with laparoscopy.

This is an excellent article despite a number of drawbacks that raise several questions. We have no information about patients except that they had a hiatal hernia. We do not know the type or size, which can contribute to the risk of recurrence. We . . . [Full Text of this Article]

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RELATED ARTICLE

Complications in Antireflux Surgery: National-Based Analysis of Laparoscopic and Open Fundoplications
Tuomo K. Rantanen, Niku K. J. Oksala, Anni K. Oksala, Jarmo A. Salo, and Eero I. T. Sihvo
Arch Surg. 2008;143(4):359-365.
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