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In this work, which is Dr. Piragibe's thesis presented to the Faculty of Medicine of São Paulo in partial fulfilment of the right to conduct courses in operative surgery at the medical school, the author summarizes his experience in dealing with hepaticocholedochal lithiasis, besides discussing the literature. It is a concise synopsis on the subject, with 140 references.
The monograph is divided into eight chapters, on history, definition, anesthesia, surgical anatomy of the biliary ducts, access to the biliary ducts, exploration and operative technic, secondary operations and case reports, conclusions and references. In the chapter on surgical anatomy the author describes the various pitfalls that exist in operating on the gallbladder, illustrating the different anomalies that can be found in the ducts, their blood supply and their relation to the hepatic blood vessels. Dissection on cadavers substantiates the author's statements. Although no personal statistical data are given and only case
Técnica e tática na calculose do hépatocolédoco. JAMA. 1945;128(16):1193. doi:10.1001/jama.1945.02860330061031