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April 9, 1973

More About Laparoscopy

JAMA. 1973;224(2):249. doi:10.1001/jama.1973.03220150057027

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To the Editor.—  Drs. Wadhwa and McKenzie, in their letter to the Editor of The Journal of Dec 18 (222:1558, 1972), have correctly pointed out that laparoscopy must be considered an operative procedure that is not without potential risks. It would seem unfair, however, to portray laparoscopy as being more dangerous than laparotomy or vaginal tubal ligation; both of these procedures have very significant and inherent surgical risks. In addition, they do not have those advantages of laparoscopy, of being both a sterilization and diagnostic out-patient procedure of low cost and minimal discomfort and scarring.Of the two series quoted in their letter, one is rather small and the other is concerned primarily with the gastroenterological use of laparoscopy associated with liver biopsy. Of the 19 deaths reported in the latter article, 15 were related either with the liver biopsy or the associated liver disease. Deaths associated to laparoscopy were