The Israeli military said on Thursday that it killed more than 50 Palestinian gunmen over the past day in fighting around the Gaza Strip's Shifa hospital.
The military said it was continuing with its "precise operational activity in the Shifa hospital” in Gaza city.
Since the start of the operation, over 140 gunmen have been “eliminated in the area of the hospital," it said.
Gaza officials said thousands of Palestinian patients, medical staff and others were trapped inside the sprawling complex, although the military said it allowed passage for those who wanted to leave.
The Israeli military said Wednesday it has arrested 350 Palestinians in its raid on the hospital.
The Shifa medical complex had only partially resumed operations after a destructive Israeli raid in November.