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All those disorders of the biliary apparatus dependent upon obstruction of the hepatic, cystic and common bile ducts, call for surgical relief. Not alone the trouble from gall-stones, but those resulting from aneurism of the hepatic vessels, indurated tumors and adhesive inflammation of the coats of the ducts, come within the scope of progressive surgery. The field of investigation has been greatly enlarged in this department in a comparatively brief period and many derangements of the gall-bladder and ducts, which were formerly intractable, are now within the domain of the aggressive surgeon.
The space allotted to this undertaking does not permit me to enter upon the consideration of many of the points involved in biliary obstruction, and my attention will be directed chiefly to the measures indicated in occlusion of the common duct. In regard to the procedures heretofore adopted, I would refer those who may be interested to my
GASTON JM. SURGERY OF THE GALL-BLADDER AND DUCTS.Opening address of the Chairman of the Section of Anatomy and Surgery of the American Medical Association, at the meeting in Detroit, Mich., June, 1892. JAMA. 1893;XX(13):349–353. doi:10.1001/jama.1893.02420400001001
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