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A good thing if they cause symptoms Langenbuch described the first successful cholecystectomy for gall stones in 1882, and it has now become one of the safest and commonest major operations.'' More recently reliable and uninvasive investigations have shown that gall stones are very common but that they cause symptoms infrequently. So who should be advised to undergo cholecystectomy for gall stones and when should the operation be performed?
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Neil Finlayson (1989) studied this question.
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