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Accidental Trauma to the Bile Ducts: Causes and Prevention

Accidental Trauma to the Bile Ducts: Causes and Prevention Abstract Fully 90% of all strictures affecting the larger bile ducts are man-made. It is the surgeon and his traumatizing procedures which prepare the soil for these cicatricial obstructions. In addition to patients who live with these chronic strictures, there are many who die from bile peritonitis, internal biliary fistulas, subhepatic abscesses, and liver necrosis because of the accidental ligation or division of the major hepatic bile ducts or blood vessels. It is most difficult to determine the true incidence of such accidents because surgeons hesitate to admit their errors for fear of legal reprisals. A review of the records of five major hospitals in Salt Lake City, from 1952 to 1957, revealed 3,728 operations on the extrahepatic biliary system, of which 97, or 2.8%, were for strictures of the bile ducts. In only 44 instances, however, did the final diagnosis indicate that surgical trauma was the etiological factor, and in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Accidental Trauma to the Bile Ducts: Causes and Prevention

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320010005001
Publisher site
See Article on Publisher Site

Abstract

Abstract Fully 90% of all strictures affecting the larger bile ducts are man-made. It is the surgeon and his traumatizing procedures which prepare the soil for these cicatricial obstructions. In addition to patients who live with these chronic strictures, there are many who die from bile peritonitis, internal biliary fistulas, subhepatic abscesses, and liver necrosis because of the accidental ligation or division of the major hepatic bile ducts or blood vessels. It is most difficult to determine the true incidence of such accidents because surgeons hesitate to admit their errors for fear of legal reprisals. A review of the records of five major hospitals in Salt Lake City, from 1952 to 1957, revealed 3,728 operations on the extrahepatic biliary system, of which 97, or 2.8%, were for strictures of the bile ducts. In only 44 instances, however, did the final diagnosis indicate that surgical trauma was the etiological factor, and in

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jan 1, 1959

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