41. The Food and Drug Administration has so far approved diaphragm pacing via laparoscopy for 35 patients. 42. In the ensuing several decades, numerous individuals refined and popularized the approach further for laparoscopy . 43. His early interest in surgical research coincided with the introduction of laparoscopy and minimally invasive surgery. 44. Laparoscopy was used in the diagnosis of liver and gallbladder disease by Heinz Kalk in the 1930s.45. It is unclear if laparoscopy or laparotomy is better or worse for FIGO stage I ovarian cancer. 46. Additionally, laparoscopy can also diagnose metastasized cancer, as can presence of neoplastic cells on abdominocentesis. 47. Other scientific work focuses on the application of laparoscopy in diagnostics and the therapy of reflux surgery. 48. Surgical laparoscopy , endoscopy & percutaneous techniques 1999; 8 ( 6 ) : 438-44. 49. Surgical laparoscopy , endoscopy & percutaneous techniques 1997; 7 ( 2 ) : 162-5. 50. The retraction appears on page 1 of the February issue of Surgical Laparoscopy , Endoscopy and Percutanious Techniques.