duodenotomy
Pronunciation: doo-oh-den-OT-oh-mee
A surgical incision made into the duodenum to access its interior for examination or treatment.
Full Definition
Duodenotomy refers to the surgical creation of an opening or incision into the duodenum, typically performed to remove impacted stones, foreign bodies, or small tumors from the duodenal lumen. This procedure is often used during exploration of the common bile duct or when direct visualization of the ampulla of Vater is required. The duodenotomy is usually closed primarily with sutures after the intended procedure is completed. Care must be taken to avoid injury to the pancreatic duct and surrounding structures during this delicate procedure.
Usage
Usage note: Distinguish from duodenectomy (removal) and duodenostomy (permanent opening).
In Context
- "A longitudinal duodenotomy was performed to extract the impacted gallstone." — operative report
- "The surgeon closed the duodenotomy with interrupted absorbable sutures." — procedure note