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May 2, 1953

Chirurgie des voies biliaires de l'adulte et du nourrisson: Technique et tactique.

JAMA. 1953;152(1):102. doi:10.1001/jama.1953.03690010108041

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Abstract

This comprehensive monograph comprises numerous sections describing the following subjects: normal anatomy of the biliary system, structural anomalies, pathological lesions, preoperative and postoperative treatment, surgical technique, anesthesia, methods of resuscitation, selection of the operation according to the character of the lesion, and, finally, surgery of congenital conditions in the newborn. However, only 11 lines and one illustration are devoted to the description of variations of vascular relationships of the bile ducts.

Right transrectal incision is reserved for cholecystostomy, while right paramedian incision with displacement of the rectus muscle laterally is employed routinely. Subcostal incision parallel to the costal arch is used only for difficult procedures, for instance, when a mass is palpable before the operation, or when a second intervention is planned. Abdominothoracic incision is considered superfluous. Considerable space is devoted to the surgery of congenital conditions in the newborn, such as atresia or agenesis of the biliary tract, or

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