The medical age : a semi-monthly journal of medicine and surgery . 226 SURGERY OF THE GALLBLADDER AND LTS DUCTS ment of it. These attacks of pain and other symptoms point pretty clearly tofreqeunt obstruction of both the cystic and common ducts. This diagram-matic sketch that I have drawn will give you a fair idea of the relationship ofthe gall-bladder and its ducts to the liver, duodenum, and the stomach (Fig. 2).. Fig. 2. I feel that an operation for his relief is justifiable, rather than to leave himto a life of continued suffering and probable death from a possible acuteempyema. Experience
The medical age : a semi-monthly journal of medicine and surgery . 226 SURGERY OF THE GALLBLADDER AND LTS DUCTS ment of it. These attacks of pain and other symptoms point pretty clearly tofreqeunt obstruction of both the cystic and common ducts. This diagram-matic sketch that I have drawn will give you a fair idea of the relationship ofthe gall-bladder and its ducts to the liver, duodenum, and the stomach (Fig. 2).. Fig. 2. I feel that an operation for his relief is justifiable, rather than to leave himto a life of continued suffering and probable death from a possible acuteempyema. Experience has taught us that a properly conducted operation issomewhat safer than that for appendicitis as we are accustomed to find it. Operations upon the gall-bladder have been designated as follows: Cholecystotomy, namely, the opening of the gall-bladder either for itsdrainage or the removal of calculi, is the simplest of any of the operations. Cholecystectomy: Removal of the gall-bladder for its atrophied condition,with large encysted and adherent gall-stones or incipient malignancy—a verydifficult condition to diagnose. Choledochotomy is the term applied when a stone is to be removed fromthe common duct. Cholelithotrity signifies crushing of stones in the cystic or common ductby either rubber-covered blades of a forceps, or by pressure of the finger. Cholecystenterostomy: Anastomosis of the gall-bladder with
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectmedicine
