![]() Cattell preferred to do the procedure in his own surroundings, but there was pressure to operate in London. Cattell, who met with Eden and told him he needed another operation to repair the damage. Sir Horace Evans, Eden’s physician, called in Dr. Cattell’s reputation as a great technical surgeon, especially in the biliary tract, was recognized worldwide. Richard Cattell of the Lahey Clinic was in London in May 1953 speaking at a meeting of the Royal College of Surgeons. Fistulogram suggesting partial filling of the hepatic ducts but not of the distal bile duct or duodenum. This showed a probable connection with the hepatic ducts and no dye in the duodenum (Fig. A catheter was reinserted into this drainage tract and a sinogram obtained on May 16. ![]() His jaundice relented, but he remained febrile. ![]() A catheter was reinserted along the T-tube tract, and it drained bile for only several days. After the second operation, the T-tube did not drain bile. A T-tube was inserted into the distal duct and the operation terminated. A large subhepatic bile collection was drained and an instrument was passed freely down the distal duct into the duodenum. The official cholecystectomy operative report did not note anything amiss with the procedure, but postoperatively he developed an external bile fistula and he became jaundiced with a serum bilirubin of 15 mg/dL. On that day in 1953, his good fortune was to change. His future in 1953 seemed assured, including a probable appointment as Prime Minister to succeed Churchill and a secure place in British history. 3 All of this was achieved by unrelenting hard work and devotion to his country. Then in 1939, he abruptly resigned his post in protest of Chamberlain’s policy of appeasement of Hitler and his country’s lack of rearmament to meet the growing challenge. 1 During the pre-World War II era, he had progressed up the greasy pole of politics 2 to become the youngest Foreign Secretary ever. Born of landed gentry, he survived the trenches of World War I, a war in which 2 of 3 brothers were killed, as were one third of his class at Eton. ![]() Up to this day, he had had a spectacular political career and a fortunate life. On April 12, 1953, Robert Anthony Eden, the foreign Secretary of Great Britain, was scheduled for a cholecystectomy because of previous episodes of jaundice, abdominal pain, and the presence of gallstones. ![]()
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