Dr. Najjar said she doubted the American military would be able to avoid extensive civilian casualties.

In the end, both sides of the Football War suffered extensive casualties.

American landmines caused extensive casualties and amputees within among the Vietnamese civilian population.

Shanghai fell after a three-month battle during which Japan suffered extensive casualties, both in its army and navy.

Both countries reported extensive civilian casualties in missile attacks on their cities.

Some missiles caused extensive casualties, while others caused little damage.

And no reliable figures exist on what appeared to be extensive civilian casualties.

This could put American and allied forces at an unacceptable disadvantage, leading to extensive allied casualties.

Both sides of the Football War suffered extensive casualties.

America has committed no large ground forces, suffered no extensive casualties and let its allies do the hard fighting.