首页   按字顺浏览 期刊浏览 卷期浏览 Het Regeneratie Vermogen En De Reserve Capaciteit Van De Lever En Het Mogelijk Nut Daar...
Het Regeneratie Vermogen En De Reserve Capaciteit Van De Lever En Het Mogelijk Nut Daarvan Voor De Chirurgie Der Galwegen Door

 

作者: SchalmL.,  

 

期刊: Acta Clinica Belgica  (Taylor Available online 1952)
卷期: Volume 7, issue 2  

页码: 156-164

 

ISSN:1784-3286

 

年代: 1952

 

DOI:10.1080/17843286.1952.11717208

 

出版商: Taylor&Francis

 

数据来源: Taylor

 

摘要:

Summary1°It is experimentally demonstrated that by stopping the bile-flow from a great part of the liver to the bowel in pigs and rabbits no icterus is produced, and that this condition is compatible with normal life.2°Furthermore it is established that the bile (eventually produced in these obstructed parts of the liver) cannot possibly escape through intrahepatic anastomoses of bile ducts (or biliary ducts ?).3°The parts of the liver in which the bile flows freely, become hyper- functional and assume entirely the assimilation of bilirubine.4°Is was established that the parts with obstructed bile ducts undergo atrophy, while a compensatory hypertrophy occurs in those where the bile can5°It is likely that these facts apply equally to man.6 This aspect of hepatic physiology has its surgical applications :a) it is possible to ligature high up in the hepatic hilus and a branch can be used for plastic interventions on the common bileduct;b) anastomosis with one of the branches of the hepatic duct is a very satisfactory intervention;c) when circumstances require it absolutely, one is justified to sacrifice one branch of the hepatic duct.

 

点击下载:  PDF (4875KB)



返 回