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Article
May 1950

SURGICAL ANATOMY OF THE CHOLEDOCHAL NERVES

Author Affiliations

NEW YORK
From the departments of anatomy and surgery, New York University—Bellevue Medical Center.

Arch Surg. 1950;60(5):944-952. doi:10.1001/archsurg.1950.01250010967009
Abstract

THE ANATOMY of the nerves of the biliary system has aroused surgical interest because of its potential importance in connection with the pain syndrome occurring after cholecystectomy and during biliary dyskinesia. Womack and Crider1 have successfully treated patients with persistent symptoms of biliary disease following cholecystectomy by section of the choledochal nerves in the region of the cystic duct remnant. Denervation of the ductus choledochus has been proposed as a method of treatment for biliary dyssynergia, but the operation has been attempted by relatively few surgeons.2 Differences in the operative descriptions of biliary denervation, variations in the accounts of the anatomy of the biliary nerves and the scantiness of the available literature on this subject have made it desirable to restudy the nerves of the choledochus.

Although the nerves of the biliary system have been studied by many anatomists, emphasis has been placed mainly on the topography of

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