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Article
June 26, 1897

A NEW INCISION FOR THE SURGERY OF THE BILE TRACTS.

JAMA. 1897;XXVIII(26):1225-1227. doi:10.1001/jama.1897.02440260019001g

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Abstract

The subject of the surgery of bile tracts is of recent development. In 1867 Bobbs of Indiana performed cholecystotomy. In 1882 Langenbuch removed the gall bladder, cholecystectomy. In the same year Gaston suggested cholecystenterostomy, which was later perfected by the introduction of the anastomosis button by Murphy. In 1890 Courvoisier performed and advocated choledochotomy, and later the removal of stones from the cystic duct and hepatic duct were reported.

In the last five years the value and possibilities of the surgery of the bile tracts has been so thoroughly demonstrated, that it is today a recognized field to all men doing abdominal work.

A few years ago, when I began to do surgical work on the bile tracts, I carefully reviewed the topographic anatomy of this region. I was surprised to find how completely the subject had been neglected by both anatomists and surgeons. And here let me say a

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