Kocher maneuver to facilitate cytoreduction within the foramen of Winslow.

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Citation: Journal of Surgical Oncology. 115(7):788-790, 2017 JunPMID: 28475818Institution: Washington Cancer InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cytoreduction Surgical Procedures/mt [Methods] | *Peritoneal Cavity/su [Surgery] | *Peritoneal Neoplasms/su [Surgery] | Duodenum | Humans | Pancreas | Peritoneal Neoplasms/sc [Secondary] | Peritoneum/su [Surgery] | RotationYear: 2017ISSN:
  • 0022-4790
Name of journal: Journal of surgical oncologyAbstract: A potential site for incomplete cytoreduction in patients with peritoneal metastases is the foramen of Winslow, especially the posterior aspect of the hepatoduodenal ligament. The Kocher maneuver can be used to rotate the duodenum, head of pancreas, and portal structures 180degree. In so doing, the foramen of Winslow is clearly exposed for peritonectomy. Residual tumor at this site is a prominent cause of unnecessary treatment failure in the management of patients with mucinous appendiceal neoplasms.Copyright (c) 2017 Wiley Periodicals, Inc.All authors: Han SS, Sugarbaker PHFiscal year: FY2017Digital Object Identifier: ORCID: Date added to catalog: 2017-05-24
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Journal Article MedStar Authors Catalog Article 28475818 Available 28475818

A potential site for incomplete cytoreduction in patients with peritoneal metastases is the foramen of Winslow, especially the posterior aspect of the hepatoduodenal ligament. The Kocher maneuver can be used to rotate the duodenum, head of pancreas, and portal structures 180degree. In so doing, the foramen of Winslow is clearly exposed for peritonectomy. Residual tumor at this site is a prominent cause of unnecessary treatment failure in the management of patients with mucinous appendiceal neoplasms.

Copyright (c) 2017 Wiley Periodicals, Inc.

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