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November 1992

Laparoscopic SurgeryA Difference

Author Affiliations

Rome, Italy; Taipei, Taiwan; Los Angeles, Calif

Arch Surg. 1992;127(11):1269-1270. doi:10.1001/archsurg.1992.01420110011002

Laparoscopic surgery, particularly in cholecystectomy, has made a difference. Perhaps even a big difference. It is heartening to see the patient wake up hungry after operation, get up and walk about in apparent ease, and go home and then back to work in short order. The differences between what was and what is real are easily observed. Small wonder then that patients expect the difference and ask for the operation by name, proudly, as something they deserve.

It is fair to say that surgeons perceive a difference too. The operative field is a television screen, the magnification tenfold, our hands and fingers only remotely touching the field, sensing the patient through steel probes sliding through cannulas. The operation is so precise, so controlled, so clean. Once prepared, so little is required for its completion. The magnification enlarges and exaggerates everything, perhaps even our sense of accomplishment. Open cholecystectomy was often

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