c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Lateral Duodenectomy and Duodenojejunostomy (LDAD): 4

A D V E R T I S E M E N T

   
 

The following sequence shows a new technique called lateral duodenectomy and duodenojejunostomy (LDAD).       

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Lateral Duodenectomy and Duodenojejunostomy (LDAD): 5

A D V E R T I S E M E N T

   
 

The entire duodenum is exposed by mobilizing and de-rotating the right colon. The duodenum is Kocherized and a lateral duodenotomy is made. The ampulla of Vater is identified.       

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Lateral Duodenectomy and Duodenojejunostomy (LDAD): 6

A D V E R T I S E M E N T

   
 

The third portion of the duodenum is mobilized and the anterolateral distal duodenal wall along with the atretic segment is excised. The ampulla is preserved within an island of medial duodenal wall.       

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This page was last modified on 12/2/1999.