The rapid increase during recent years in the number of operations on the gallbladder and bile ducts has been accompanied by the report of a series of cases of injuries to the ducts and of severe hemorrhage from vessels in their vicinity.
This subject is of the utmost importance to every surgeon and merits a closer study of the causes of such accidents and of their prevention in the future.
Eliot1 has recently collected all of the published case reports of injuries of the bile ducts during operation. Twenty-one of twenty-three accidents occurred during cholecystectomy, and the remaining two during pyloric resections for cancer. There were three types of injury to the hepatic and common ducts: (a) removal of a portion of the wall; (b) complete division, and (c) removal of the junction of the cystic and hepatic ducts.
The most important factors in the etiology of such injuries
EISENDRATH DN. ANOMALIES OF THE BILE DUCTS AND BLOOD VESSELS: AS THE CAUSE OF ACCIDENTS IN BILIARY SURGERY. JAMA. 1918;71(11):864–867. doi:https://doi.org/10.1001/jama.1918.02600370002002
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