Abstract The problem of the safe and certain removal of calculi from the common bile duct and of the restoration of its permeability is often a pressing one in the course of operation for cholelithiasis. Its solution must be by simple mechanical methods which should occur to any resourceful surgeon even though the exact problem has never presented itself before. The frequency, however, with which patients apply for the relief of symptoms due to calculi in the common duct overlooked at a previous operation leads to the conclusion that the methods in general use by surgeons are not efficient. This impression is strengthened by observations recently in twelve European clinics, in not one of which were satisfactory measures to explore the common duct apparently in routine use, and by a nearly similar experience in this country. Calculi in the common duct offer three avenues of approach, according to the part of References 1. Bevan, A. D.: The Present Status of the Surgery of the Bile Tract , Surg. Gynec. Obst. 27:49 ( (July) ) 1918. 2. McBurney, quoted by Bevan (footnote 1). 3. Robson, A. W. M.: Technique of Operations on the Biliary Passages , Surg. Gynec. Obst. 2:574, 1906. 4. McArthur, L. L.: In discussion of paper by John E. Summers on Some Modifications of Technique in the Surgery of the Gall Bladder and Bile Ducts , Tr. Am. Surg. A. 39:347, 1911. 5. Matas, Rudolph: Catheterization of the Common Duct as a Practical and Effective Upper Route for Enteroclysis Medication in Toxic Biliary Cases , Surg Gynec. Obst. 12:185, 1911. 6. Hofmeister: Die methodische Dilatation der Papilla duodeni und die Choledochoduodenaldrainage , Zentralbl. f. Chir. 40:5, 1913 7. Beitrage zur Chirurgie des Choledochus , München med. Wchnschr. 50:225, 1913. 8. Pototschnig, G.: Contributo alla chirurgia della litiasi biliare con particolare riguardo alla calcolosi del coledoco , Arch. ital. di Chir. 14:533, 1925. 9. Rost: Ueber instrumentelle Erweiterung der Papilla vateri und Naht des Choledochus nach Choledochotomie , Zentralbl. f. Chir. 54:20 ( (Jan. 1) ) 1927. 10. Haberer, H.: Die chirurgische Behandlung des Gallensteinleidens , Deutsche Ztschr. f. Chir. 195:1, 1926.Crossref 11. Enderlen, E.: Indikation und Ausführung der Gallensteinoperation , Arch. f. klin. Chir. 126:264, 1923. 12. Walzel, P.: Zur Therapie des Choledochussteines , Arch. f. klin. Chir. 126:321, 1923. 13. Lorenz, H.: Ein weitere Beitrag zur Gallenwegchirurgie , Med. Klin. 26: 669 ( (June 27) ) 1920. 14. Körte, W.: Wandlungen auf dem Gebiet der Gallensteinchirurgie , Zentralbl. f. Chir. 51:86, 1924. 15. Mayo, W. J.: Surgery of the Hepatic and Common Bile Ducts , Lancet 1:1299 ( (June 30) ) 1923.Crossref 16. Desjardins, A.: L'Instrumentation dans la chirurgie biliaire , Presse méd. 31:1059 ( (Dec. 19) ) 1923. 17. Deaver, John B., and Burden, V. G.: Surgical Biliary Drainage , M. J. & Rec. 126:201, 1927 18. Recurrence of Gall Stones , Surg. Gynec. Obst. 25:371 ( (Oct.) ) 1917. 19. Davis, Lincoln: Reflux of Duodenal Contents through the Common Bile Duct , New England J. Med. 200:313 ( (Feb. 14) ) 1929.
Archives of Surgery – American Medical Association
Published: Apr 1, 1929