Rate of surgery for gall stones is increasing

doi:10.1136/bmj.311.7012.1092

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Chi-Ming Lam,
Alfred Cuschieri,
Frank E Murray

Research fellow Professor of surgery Consultant physician Departments of Surgery and Clinical Pharmacology, Ninewells Hospital and Medical School, University of Dundee, Dundee DD1 9SY

EDITOR,--In their review on the treatment of gall stones N Tait and J M Little suggest that the selection of patients for cholecystectomy has not been changed by the introduction of laparoscopic surgery.1 Our work2 and studies by others,3 4 5 however, have shown that the total cholecystectomy rate has increased by an average of 25% since the introduction of laparoscopic cholecystectomy.

The causes for this increased rate have not …