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Laparoscopic Cholecystectomy: The Evolution of General Surgery

John V. White, MD
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Requests for Reprints: John V. White, MD, Department of Surgery, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140.

Temple University Medical School
Philadelphia, PA 19140

Ann Intern Med. 1991;115(8):651-653. doi:10.7326/0003-4819-115-8-651
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Laparoscopic cholecystectomy has received an immense amount of publicity as the revolutionary new method for the treatment of gallstone disease. Recent reports in newspapers and periodicals have trumpeted this procedure as a technologic breakthrough and have detailed the advantages of a marked reduction in recovery time and postoperative pain and a better cosmetic result. Rapidly escalating patient demand and the initial limited availability of instrumentation and appropriately trained surgeons combined to create an aura of uniqueness for laparoscopic cholecystectomy. Although exciting, this technique represents not the revolution but rather the evolution of surgery and the culmination of nearly 100 years


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