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.
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