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October 1, 1932

Reconstruction of the Biliary Tract: A Review of All the Methods That Have Been Employed.

JAMA. 1932;99(14):1197-1198. doi:10.1001/jama.1932.02740660075038

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The subject treated in this timely monograph constitutes one of the most difficult chapters in surgery. While it is true that early operations for gallstone disease have done away to a great extent with extensive pathologic states leading to fibrosis of the extrahepatic bile ducts, the popularization of cholecystectomy has added materially to the list of traumatic strictures requiring some form of reconstruction. A successful method of repair for the more serious cases has not been evolved. The particular merit of Dr. Horgan's monograph is the careful review of clinical literature dealing with the subject. The author has gone to the original sources and emphasized certain obscure points as regards priorities of certain surgical procedures. The weakness of the monograph is the absence of a critical attitude toward related methods. Two phases of the subject have not received the emphasis they merit: postmortem evidence and experimental data. A lack of