May 1954


Author Affiliations

From the Surgical Service, Mount Sinai Hospital.

AMA Arch Surg. 1954;68(5):621-623. doi:10.1001/archsurg.1954.01260050623006

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IN THE SURGICAL therapy of chronic gall bladder disease with stones, the indications for common duct exploration are specific and clear cut. On this surgical service, the common duct is opened and explored at the time of cholecystectomy under the following circumstances: (1) concomitant obstructive jaundice at the time of operation; (2) one or more episodes of jaundice in the past history of the patient; (3) finding of a dilated common duct at the time of cholecystectomy; (4) presence of a dilated cystic duct with small calculi in the gall bladder, and (5) finding of enlargement of the head of the pancreas due to chronic pancreatitis.

In the conduct of the operation under the circumstances enumerated above, the diseased gall bladder with its contained calculi is removed, with careful individual ligation of the cystic vessels and duct under direct vision. It has been found important to excise the entire cystic

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