Don J SelzerMD and Keith D LillemoeMD

Laparoscopic cholecystectomy, reported by Reddick in 1989, began a revolution in surgical practice. Improvements in video imaging and instrumentation, in addition to changing patient expectations, have fueled an explosion in the breadth, availability, and number of laparoscopic procedures. A videoscopic minimally invasive approach is available for treatment of diseases ranging from parathyroid adenoma to morbid obesity to varicose veins. Benefits of a laparoscopic approach over a traditional open technique include less pain, shorter hospital stay, faster return to activities of daily living, and improved cosmesis.

since the National institutes of Health consensus Statement in 1992, the laparoscopic approach has become the preferred technique for cholecystectomy. Laparoscopic cholecystectomy is now the most commonly performed elective abdominal procedure in the United States. During the last decade, significant experience gained in preoper-ative selection, surgical technique, and intraoperative decision making has dramatically improved results. However, complications continue to occur and controversies remain. indications, surgical technique, and outcomes for laparo-scopic cholecystectomy are reviewed.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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