Kocher maneuver to facilitate cytoreduction within the foramen of Winslow.
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
- Sugarbaker, Paul H:
- http://orcid.org/0000-0002-2431-7366
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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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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