Smith MD, Patterson E, Wahed AS, Belle SH, Courcoulas AP, Flum D, Khandelwal S, Mitchell JE, Pomp A, Pories WJ, Wolfe B. Can technical factors explain the volume-outcome relationship in gastric bypass surgery? Surg Obes Relat Dis 2013 Sep-Oct;9(5):623-9. Epub 2012 Oct 30.
Abstract
The existence of a relationship between surgeon volume and patient outcome has been reported for different complex surgical operations. This relationship has also been confirmed for patients undergoing Roux-en-Y gastric bypass (RYGB) in the Longitudinal Assessment of Bariatric Surgery (LABS) study. Despite multiple studies demonstrating volume-outcome relationships, fewer studies investigate the causes of this relationship.