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Article |

Biliary Tract Surgery and Cholangiography

Arch Surg. 1974;108(2):251. doi:10.1001/archsurg.1974.01350260103036.
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This is a modest volume of convenient size to hold and read casually. The type is large and the text requires little effort. The author describes this work as "my own personal experience over many years as a teacher and a surgeon," and that is what it is. He wants to encourage operative cholangiography, and begins with a chapter expounding its merits. He favors passing a very fine needle directly into the common duct to introduce dye. There is a list of other methods and the various opaque media he has used. However, recent papers describing techniques for avoiding air bubbles, overlying shadows, and the importance of dilute media are virtually ignored. Editing has not been precise and leaves many fuzzy statements. One page 9 there appears, "We have previously stated our own studies reduced the number of second operations from 18.5 percent to a low of 3.5 percent in


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