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December 1962

Experimental Replacement of the Common Bile Duct

Author Affiliations

Asst. Resident in surgery, Perry Point Veterans Hospital; present address, Union Memorial Hospital (Dr. Hooper); Asst. Professor in surgery, Johns Hopkins University Medical School and Hospital (Dr. Shackelford).; From the Surgical Research Laboratory at the Perry Point Veterans Hospital, Perry Point, Md.

Arch Surg. 1962;85(6):1016-1020. doi:10.1001/archsurg.1962.01310060152027

The purpose of this paper is twofold: To describe a method of repairing defects in the extrahepatic biliary ducts by the use of a tube of tantalum mesh surrounded by omentum, and to present the results obtained with its experimental use in dogs.

Although it is generally agreed that the most satisfactory methods of repairing defects in the extrahepatic biliary ducts is by an end-to-end anastomosis of the remaining proximal and distal segments, or by anastomosis of the proximal segment to the duodenum or jejunum, these procedures are frequently difficult and sometimes impossible to perform. Because of this, many different experimental methods of restoring bile flow into the alimentary tract have been devised in the past, but none have proven to be satisfactory for clinical use.

The creation of a chronic external biliary fistula with later transplantation of its cutaneous stoma into the small bowel was at first successful but