ROUVIERES SULCUS: A SAFETY LANDMARK FOR LAPAROSCOPIC CHOLECYSTECTOMY
EAES Online Library. Zubair M. Jan 10, 2012; 18011
Dr. Muhammad Zubair
Dr. Muhammad Zubair
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Abstract
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By viewing this video one would be able to understand how Rouviere\'s Sulcus can be used as an anatomical landmark in performing simple and difficult Laparoscopic Cholecystectomy.
Objective: To determine the frequency of Rouviere’s sulcus in our population.
Methodology: 335 consecutive patients undergoing laparoscopic cholecystectomy for symptomatic cholelithiasis were included in the study. Frequency and type of Rouviere’s sulcus was documented in operative note. Open type of sulcus was defined as a cleft in which right hepatic pedicle was visualized and the sulcus was open throughout its length. Fused type was defined as one in which the pedicle was not visualized or if the sulcus was open only at its lateral end.
Result: Open type of Rouviere’s sulcus was visualized in 109 patients and 117 patients had fused type of sulcus. Hence in a total of 226(67.5%) patients Rouviere’s sulcus was visualized.
Conclusion: Rouviere’s sulcus is an important extra biliary land mark, identifiable in majority of patients either as open or fused variety. Its identification before commencement of Calot’s triangle dissection may help in preventing the bile duct injury.
KEY WORDS: Laparoscopic Cholecystectomy, Bile Duct Injury, Extrabiliary Land Mark, Rouviere’s Sulcus, Calot’s Triangle

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