Duodenal Mobilization
Duodenal Mobilization - Related Videos
06:43
Robotic Duodenal Sleeve Resection for Gastrointestinal Stromal Tumor with Rare Exon 8 KIT Mutation Following Neoadjuvant Imatinib
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2026
This video case report demonstrates the unique management of a duodenal gastrointestinal stromal tumor with a rare, understudied, exon 8 KIT mutation. Neoadjuvant therapy resulted in a 30% reduction in tumor size, making the patient a candidate for a robotic-assisted duodenal sleeve resection instead of the more morbid pancreaticoduodenectomy.
06:57
Electrophoretic Mobility Shift Assay (EMSA)
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01:26
Mobile Marketing
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08:40
Using a Cyclic Ion Mobility Spectrometer for Tandem Ion Mobility Experiments
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Cited by 2 •
2022
Ion mobility spectrometry (IMS) is an interesting complement to mass spectrometry for the characterization of biomolecules, notably because it is sensitive to isomerism. This protocol describes a tandem IMS (IMS/IMS) experiment, which allows the isolation of a molecule and the generation of the mobility profiles of its fragments.
10:41
Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
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2023
This protocol presents a case of a robotic partial duodenal resection with primary side-to-side duodeno-jejunal reconstruction in a patient with a 5 cm duodenal stenosis. This is done at the third duodenal segment (D3) after an endoscopic mucosal resection (EMR) for a duodenal polyp.
FAQs
The key release occurs along the lateral peritoneal reflection beside the duodenal sweep. Incising this reflection and separating the underlying connective tissue removes the restraint that limits medial movement. This creates a wider operative corridor toward upper abdominal and retroperitoneal structures, while the surgeon maintains awareness of nearby vessels and ducts that must remain protected.
The mobilization can include the pancreatic head because the operative release may extend beyond the duodenal surface. Moving these structures medially can improve access to pancreatic, biliary, and adjacent retroperitoneal regions. The extent is not automatically the same in every operation; it depends on the intended target and the individual anatomical arrangement.
The maneuver is adjusted rather than performed to a fixed extent. A limited release may provide the access required for one target, whereas a broader release may be selected when evaluation or treatment involves adjacent pancreatic, biliary, duodenal, or retroperitoneal structures. Individual anatomy also guides how far tissue is separated while nearby vessels and ducts are protected.
The surgeon typically identifies the lateral peritoneal reflection along the duodenal sweep, incises that reflection, and separates the connective tissue beneath it. This permits the duodenum, and sometimes the pancreatic head, to move medially. Throughout the maneuver, protection of nearby vessels and ducts remains an essential part of achieving useful access safely.
This approach supports evaluation and treatment when disease involves the pancreas, duodenum, biliary region, or retroperitoneum. It can also be useful during abdominal trauma operations, when improved access to these areas is needed. The specific release is selected according to the operative objective and the anatomy encountered rather than applied identically in every case.
Duodenal mobilization is commonly associated with the Kocher maneuver, linking the named maneuver to the broader operative goal of gaining access around the duodenum and nearby structures. In practice, its value lies in the resulting medial movement and exposure of relevant upper abdominal or retroperitoneal anatomy, with the extent tailored to disease, trauma, and anatomy.