April 20, 1963


JAMA. 1963;184(3):248-249. doi:10.1001/jama.1963.03700160124023

Surgical Accidents in Biliary Lithiasis.  —Alipio C. Netto, of the Medical School of the São Paulo State University (Rev Ass Med Brasil8:99, 1962), reported on the accidents that occur in the surgical treatment of biliary lithiasis on the basis of his observations on a series of patients operated on by him at the University Hospital. During the last years, in 367 cases of biliary lithiasis operated on by him, there were 151 different accidents in 100 patients (27.2% of the total number of patients).There were 19 deaths among the 367 patients operated on, or a general fatality rate of 5.2%. Broadly speaking, these accidents were the following: lesion of the choledochus duct in 20 cases; lesion of the hepatic, cystic, and aberrant ducts in 13 cases; lesion of the hepatic parenchyma in 4 cases; accidental opening of the gall bladder in 27 cases; residual choledocholithiasis in 39

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