Kocher incision
E91525
Kocher incision is a classic right subcostal surgical approach commonly used to access the gallbladder and biliary tract in open abdominal surgery.
Aliases (1)
Statements (50)
| Predicate | Object |
|---|---|
| instanceOf |
abdominal surgical approach
→
surgical incision → |
| advantage |
follows Langer’s lines partially
→
good exposure of gallbladder and extrahepatic bile ducts → relatively strong postoperative wound → |
| alternativeTo |
laparoscopic cholecystectomy ports
→
midline laparotomy for biliary surgery → |
| anatomicalLocation |
right subcostal region
→
right upper quadrant of abdomen → |
| approachType |
open surgery approach
→
|
| extendsToward |
right flank
→
|
| historicalUse |
standard approach for open cholecystectomy before laparoscopic era
→
|
| laterality |
right-sided
→
|
| namedAfter |
Emil Theodor Kocher
→
|
| orientation |
oblique
→
subcostal → |
| parallelTo |
right costal margin
→
|
| potentialComplication |
incisional hernia
→
postoperative pain → respiratory compromise due to pain → wound infection → |
| providesExposureTo |
common bile duct
→
common hepatic duct → duodenum (limited) → extrahepatic biliary tree → gallbladder fossa → head of pancreas (limited) → |
| startsNear |
midline
→
|
| surgicalField |
gastrointestinal surgery
→
general surgery → hepatobiliary surgery → |
| tissueLayersIncised |
anterior rectus sheath
→
external oblique aponeurosis → internal oblique muscle fibers → parietal peritoneum → rectus abdominis muscle (partial) → skin → subcutaneous tissue → transversalis fascia → transversus abdominis muscle fibers → |
| typicalPatientPosition |
supine
→
|
| usedFor |
access to biliary tract
→
access to gallbladder → common bile duct exploration → open biliary surgery → open cholecystectomy → open surgery for bile duct tumors → open surgery for choledocholithiasis → open surgery for gallbladder carcinoma → open surgery for obstructive jaundice → |
Referenced by (2)
| Subject (surface form when different) | Predicate |
|---|---|
|
Emil Theodor Kocher
→
Emil Theodor Kocher ("Kocher maneuver") → |
hasEponym |