A case of traumatic false aneurysm of the right hepatic artery causing jaundice three Months after cholecystectomy is reported. A review of the recent literature, and the role of trauma in the etiology of hepatic aneurysms, including their appropriate surgical management, are discussed.
During the five‐year period from 1963 to 1968 there were 327 elective cholecystectomies, and 128 cholecystectomies carried out during an attack of acute cholecystitis. The patients in the acute group were significantly older than those in the elective group. The operative mortality was 1.2% in the elective group and 1.6% in the acute group. The only significant difference in the incidence of complications was that temporary biliary fistula which occurred only in the acute group.
A report of 16 cases of primary male breast carcinoma is presented. The average age was 70 years. Crude five-year survival was 38% overall. The aetiology and management of the disease is discussed. Special reference is made to the use of modified radical mastectomy for the early lesion and the role of orchidectomy for palliation in the advanced case.
One hundred and fifty patients have had cholecystectomy and there have been 62 common duct explorations during the last four years carried out by the members of the Professorial Surgical Unit, Repatriation General Hospital, Concord. Thirty-eight patients had duct exploration at cholecystectomy, an exploration rate of 24%. Negative exploration occurred in four patients. The indications for duct exploration, the use of cholangiography and the technique of duct exploration are discussed.
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