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November 20, 1915


Author Affiliations

Fellow of the American College of Surgeons; Surgeon-in-Chief, St. Elizabeth's Hospital

JAMA. 1915;LXV(21):1794-1795. doi:10.1001/jama.1915.02580210028008

Ochsner,1 in his "New Manual of Surgery," states: "Cholecystotomy is the operation of choice for removal of stones from the gallbladder." Experiences in the past year convince me that cholecystectomy is the operation of election for cholelithiasis. In 1887 the first excision of the gallbladder was performed by Langenbuch for carcinoma. Since that time the operation has been performed by ever increasing numbers of surgeons. The presentation of a plea for its even more frequent performance is the object of this paper.

In approaching the subject a brief review of the facts known about the gallbladder is of value. The gallbladder, with the liver and pancreas, develops from that part of the fore intestine which later becomes the duodenum. The bile duct and the pancreatic duct drain conjointly into the duodenum at the ampulla of Vater; hence the gallbladder, pancreas and duodenum are anatomically closely related. The bile and