HVS performing PD have significantly better outcomes than LVS in terms of decreased mortality, morbidity, LOS, and hospital costs. Efforts toward increased regionalization of care should be discussed. Consensus regarding definition of HVS needs to be undertaken.
Our survey demonstrated significant heterogeneity in perioperative management between HPB surgeons across different regions worldwide. Further studies are warranted to assess the impact of these variations on outcomes of patients undergoing PD. Efforts should be directed towards standardization of perioperative management of PD.
Laparoscopic HH repair offers a safe and feasible approach in the management of persistent GERD after LSG in well-selected bariatric patients. Larger prospective studies are warranted to investigate the effectiveness of HH repair in this population as 22% of our patients did not demonstrate postoperative symptomatic improvement.
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