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Previous Volume 330:409-419 February 10, 1994 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Over the past five years, a revolution has taken place in general surgery requiring the retraining of tens of thousands of surgeons and the retooling of their operating rooms. This startling change has come about because of the rapid acceptance of laparoscopic techniques for therapeutic intervention, particularly removal of the gallbladder. The term "laparoscopy" (from the Greek laparo, the flank, and skopein, to examine) refers to the visual examination of the abdominal cavity by means of an endoscope or telescope (the laparoscope). Laparoscopic surgery is a means of performing diagnostic and therapeutic procedures after gaining access to the abdominal cavity. . . . [Full Text of this Article]

Background

Accepted Procedures

Diagnostic Laparoscopy

            Evaluation of Abdominal Pain

            Staging of Malignant Tumors

            Evaluation of Abdominal Trauma

Laparoscopic Cholecystectomy

Operations Gaining Acceptance

            Appendectomy

            Exploration of the Common Bile Duct

            Repair of Inguinal Hernia

            Laparoscopic Colon Resection

            Operations for Gastroesophageal Reflux

            Operations for Peptic Ulcer Disease

Procedures under Development

Problems and Challenges

Source Information

From Washington University School of Medicine, Department of Surgery, 1 Barnes Hospital Plaza, Suite 6108, St. Louis, MO 63110, where reprint requests should be addressed to Dr. Soper.

References

Related Letters:

Laparoscopic Surgery
Rosati M., Soper N. J., Brunt L. M.
Extract | Full Text  
N Engl J Med 1994; 331:55-56, Jul 7, 1994. Correspondence

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