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October 26, 1929, Vol 93, No. 17 >
ARTICLE | October 26, 1929

FAILURES AFTER CHOLECYSTECTOMY

RICHARD B. CATTELL, M.D.; EVERETT D. KIEFER, M.D.
JAMA. 1929;93(17):1270-1273. doi:10.1001/jama.1929.02710170002002.
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[Editorial Note.—This paper, together with the paper of Dr. Mentzer, concludes the symposium on hepatic and biliary disease. In our last issue we published the papers of Dr. Ravdin and Dr. Wangensteen.]

It is commonly accepted that patients with symptoms due to gallstones are relieved by removal of the gallbladder. However, even after such a valuable procedure as cholecystectomy, there are times when the results are disappointing. In the Lahey Clinic we have recently determined the end-results following 634 operations on the biliary tract after an interval of from one to fifteen years.1 Follow-up data have been procured in 535 patients. In sixty-five patients in whom cholecystostomy was done, results were unsatisfactory in forty-three, leaving only 28 per cent that were relieved by cholecystostomy. Since this group is so generally found to be unsatisfactory, it would seem that cholecystostomy should be reserved for exceptional circumstances. This paper will be

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