What does Kocherized mean?
What does Kocherized mean?
(kōk″ĕ-ri-zā′shŏn) [Emil Theodor Kocher] An operative maneuver to mobilize the duodenum before performing other procedures locally or before incising the duodenum, e.g., to expose the papilla of Vater.
What is called schede Kocher operation?
Kocher manoeuvre is a surgical manoeuvre to expose structures in the retroperitoneum behind the duodenum and pancreas. In vascular surgery, it is described as a method to expose the abdominal aorta.
What does it mean to Kocherize the duodenum?
Kocherization is anterior and leftward mobilization of the second part (C loop) of the duodenum after incision of the parietal peritoneum on its right aspect; the inferior vena cava (IVC) and left renal vein (LRV) are encountered posteriorly.
What part of the duodenum is retroperitoneal?
Bowel. The duodenum is retroperitoneal, except for the bulb (1st part). The proximal jejunum is intraperitoneal. The hepatoduodenal ligament attaches the duodenum to the porta hepatis and contains the portal triad (bile duct, hepatic artery, portal vein).
Why are pancreatectomy performed?
A total pancreatectomy is a surgical procedure performed to treat chronic pancreatitis when other treatment methods are unsuccessful. This procedure involves the removal of the entire pancreas, as well as the gallbladder and common bile duct, and portions of the small intestine and stomach, and most often, the spleen.
When was the Whipple procedure invented?
The classic Whipple procedure is named after Allen Whipple, MD, a Columbia University surgeon who was the first American to perform the operation in 1935.
When does duodenum become retroperitoneal?
In humans, the duodenum is a hollow jointed tube about 25–38 cm (10–15 inches) long connecting the stomach to the jejunum. It begins with the duodenal bulb and ends at the suspensory muscle of duodenum. It can be divided into four parts….
| Duodenum | |
|---|---|
| TA98 | A05.6.02.001 |
| TA2 | 2944 |
| FMA | 7206 |
| Anatomical terminology |
What is proximal to the duodenum?
The proximal part of the duodenum (between the pylorus and major duodenal papilla) develops from the caudal foregut. The site of the major duodenal papilla on the medial wall of the second part of the duodenum marks the junction of embryological foregut and midgut.
What is a medial visceral rotation?
The medial visceral rotations are maneuvers used to expose retroperitoneal structures; the great vessels and their branches. The right and left medial visceral rotations are also known as the Cattell-Braasch and the Mattox maneuvers, respectively.
Does all bile run directly into the duodenum?
However, not all bile runs directly into the duodenum. About 50% of the bile produced by the liver is first stored in the gallbladder. This is a pear-shaped organ located directly below the liver. Then, when food is eaten, the gallbladder contracts and releases stored bile into the duodenum to help break down the fats.
How is bile collected from the gallbladder?
When the liver cells secrete bile, it is collected by a system of ducts that flow from the liver through the right and left hepatic ducts. These ducts ultimately drain into the common hepatic duct. The common hepatic duct then joins with the cystic duct from the gallbladder to form the common bile duct.
What is the function of the gallbladder and duodenum?
Then, when food is eaten, the gallbladder contracts and releases stored bile into the duodenum to help break down the fats. The biliary system’s main function includes the following: To drain waste products from the liver into the duodenum To help in digestion with the controlled release of bile
What is the biliary system and how does it work?
The biliary system consists of the organs and ducts (bile ducts, gallbladder, and associated structures) that are involved in the production and transportation of bile. The transportation of bile follows this sequence:
