The maneuver begins with an incision of the paraduodenal peritoneum approx. 1 cm from the lateral margin. In doing so, the assistant tensions the intestinal tube medially. The parietal peritoneum is elevated at the mid-height of the duodenum and incised with scissors. The dissection proceeds longitudinally and retroduodenally in the loose layer of the tela subserosa.
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Incision of the paraduodenal peritoneum
![Incision of the paraduodenal peritoneum]()
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Mobilization of the Duodenum
The mobilization of the duodenum is usually performed from laterally. It first leads to the exposur
The mobilization of the duodenum is usually performed from laterally. It first leads to the exposur
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