August 14, 1991

Laparoscopic Cholecystectomy

Author Affiliations

Albuquerque, NM

Albuquerque, NM

JAMA. 1991;266(6):797. doi:10.1001/jama.1991.03470060058022

To the Editor.  —The DATTA report on laparoscopic cholecystectomy1 was a disappointment in its recommendation on consent by implying that information on open cholecystectomy was the only information needed for the patient's understanding. Because an informed consent is a fundamental prerequisite to elective surgical procedures in the United States, the prospective patient for laparoscopic cholecystectomy should be told much more than was advised in the assessment.Based solely on the representations made in the DATTA article and its accompanying editorial,2I would suggest that the following information be provided to the patient due to have laparoscopic cholecystectomy in addition to that which is ordinarily provided for the open procedure:

  1. A complete description of the procedure of laparoscopic cholecystectomy.

  2. The expected benefits of laparoscopic cholecystectomy compared with the open procedure.

  3. The fact that laparoscopic cholecystectomy cannot be considered an established procedure, including information contained in the DATTA survey.

  4. That