June 26, 1954


Author Affiliations

850 W. Irving Park Rd. Chicago 13.

JAMA. 1954;155(9):858. doi:10.1001/jama.1954.03690270054027

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To the Editor:  —In the April 10, 1954, issue of The Journal, Dr. Edward W. Sickels took issue with some statements in my article on electrosurgical obliteration of the gallbladder, which appeared in The Journal for Feb. 27. Dr. Sickels does not cite personal experiences, and his statements are unsupported by the literature. He takes exception to my statement relative to mortality following cholecystectomy. "In 1933 the prevailing high mortality following operations on the gallbladder in unselected cases was 9.6%. While it is true that in selected cases without complications the mortality from removal of the gallbladder in experienced hands is around 1 or 2%, a mortality of around 10% is obviously excessive." A reduction of this mortality incidence was the objective of my paper. These statements are upheld by the majority of experienced surgeons. Enderlen and Hotz (Klin. Wchnschr.2:648, 1923) reported a series of over 12,000 unselected

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