|
KMID : 1033220230130010010
|
|
Journal of Acute Care Surgery
2023 Volume.13 No. 1 p.10 ~ p.12
|
|
|
Rouviere’s Sulcus: A Guide to Safe Laparoscopic Cholecystectomy
|
|
Reetesh Pathak
Lakshya Mittal
Ghaus Mohd Chouhan
Apoorva Tripathi
|
|
|
Abstract
|
|
|
Purpose: Rouviere’s sulcus (RS) serves as an important anatomical landmark to avoid bile duct injuriesduring a laparoscopic cholecystectomy. However, there is significant paucity in literature regarding itssurgical importance during laparoscopic surgeries. The aim of this study was to identify cases where RSwas identified before dissection of the Calot’s triangle.
Methods: For this retrospective observational study, 500 patients who underwent a laparoscopiccholecystectomy at our hospital and who were operated on between September 2017 to August 2022 werereviewed. Identification of RS and its types were analyzed.
Results: Among all 500 cases, RS was present in 465 (93%) cases whereas it was absent in only 35 (7%)cases. RS was present in different forms of cholelithiasis. Open, closed, slit like, and scar type of RS wasfound in 75.29%, 12.90%, 3.21%, and 8.20%, respectively. Identification of RS along with achieving acritical view of safety in antero-superior direction to RS resulted in no injury to the bile duct in all 465cases.
Conclusion: Identification of RS along with achieving a critical view of safety should be the aim in alllaparoscopic cholecystectomy procedures. The RS is as an important landmark to reduce biliary tractinjuries.
|
|
|
KEYWORD
|
|
|
biliary tract, cholecystectomy, injury
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|