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JOHN R. HILSABECK, M.D.; FREDERICK C. HILL, M.D.

Arch Surg. 1949;59(2):240-249.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IT IS DIFFICULT or impossible to determine the incidence of injuries of the hepatic or common bile ducts which occur in the course of operations on the biliary system. Kehr¹ in 1913 reported injury to the common and hepatic ducts fifteen times in one thousand cholecystectomies, or an incidence of 1.5 per cent. Jacobson² reviewed the literature up to 1914 and found only 34 cases. Since then, other injuries of this type have been described (Eliot³ and Eisendrath⁴), but the reviews do not give an accurate idea of the frequency of injury of the common duct since most cases are not reported.

Injuries to the common duct may occur as a result of inflammation of the duct or trauma to the duct. Cole and his associates⁵ reported that 76 per cent of a series of strictures were the result of operative injury, Cattell⁶ 80 . . . [Full Text PDF of this Article]

Author Affiliations
OMAHA

From the departments of physiology and experimental surgery, the Creighton University School of Medicine, Omaha.

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