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October 25, 1995

Complications of Laparoscopic Surgery

Author Affiliations

University of South Florida College of Medicine Tampa

JAMA. 1995;274(16):1313. doi:10.1001/jama.1995.03530160065039

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Complications of Laparoscopic Surgery joins a rapidly increasing list of contributions on minimally invasive operations. The title is slightly inaccurate, since thorascopic procedures are also included.

The text is generally well illustrated, and many of the operative photographs are clearer and more interpretable than one is accustomed to seeing in books on minimally invasive procedures.

The opening chapter on general considerations describes credentialing guidelines. This remains an issue, particularly as the dimension of minimally invasive operations expands. We struggle with how to introduce new procedures and how to credential people to do them. While the suggestions presented are logical, they do not address the problem of "who gets to do the first."

The section on complications of pneumoperitoneum is quite good. The authors have performed rather extensive physiologic studies. No reference is made to the effect of gasless procedures, which seem to be slowly attracting interest.

Discussion of the risks

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