Premium
Kocher maneuver to facilitate cytoreduction within the foramen of Winslow
Author(s) -
Han SungSik,
Sugarbaker Paul H.
Publication year - 2017
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24587
Subject(s) - medicine , hepatoduodenal ligament , foramen , head of pancreas , surgery , porta hepatis , duodenum , laparoscopy , general surgery , pancreas , resection
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 180°. 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.