Raphael P. Nenner, MD; Pascal James Imperato, MD; Theodore O. Will, MA
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Nenner R., Imperato P., Will T.; Questions Patients Should Ask about Laparoscopic Cholecystectomy. Ann Intern Med. 1994;120:443. doi: 10.7326/0003-4819-120-5-199403010-00033
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Published: Ann Intern Med. 1994;120(5):443.
TO THE EDITOR:
We congratulate the American College of Physicians for promulgating “Guidelines for the Treatment of Gallstones”  and Ransohoff and Gracie for their excellent review .
As New York State's Medicare peer review organization and Medicaid utilization review agent, we have studied complications from laparoscopic cholecystectomy [3, 4]. Of the observed complications in this study, 8.8% were surgical, reflecting skills, judgment, and technique defects on the part of operating surgeons.
In a hospital-based study, hospitals confirmed complications in 11.9% of 2940 Medicare and 9.7% of 1108 Medicaid patients during 1991 . These rates are much higher than those reported in several published retrospective and prospective studies . Ransohoff and Gracie  appropriately advise caution in interpreting the published series, given the small number of open cholecystectomies.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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