ROUVIERE'S SULCUS : A NOVEL ANATOMICAL LANDMARK FOR SAFE LAPAROSCOPIC CHOLECYSTECTOMY

Author:

Yadav Parul1,Kumar Mahendra2,Mathur Anshul3,Irshad Irshad4

Affiliation:

1. 3 Year General Surgery Resident At Dr. S.N. Medical College, Jodhpur.

2. Assistant Professor At Dr. S. N. Medical College, Jodhpur.

3. Senior Resident At Dr. S. N. Medical College, Jodhpur.

4. 3 Year General Surgery Resident At Dr. S. N. Medical College, Jodhpur.

Abstract

Introduction-The information of surgical anatomy is imperative for the safe implementation of any surgical procedure. A less well-recognized xed internal anatomical landmark in laparoscopic cholecystectomy is Rouviere's sulcus. The current literature provides only scarce and heterogeneous data regarding this groove. The present study is intended to identify and study the frequency, orientation, and anatomic subtype of Rouviere's sulcus in cases of laparoscopic cholecystectomy. A prospective obse Material And Method- rvational study was conducted on 70 patients from May 2020 to October 2021 at Department of General Surgery, Dr. S. N. Medical College, Jodhpur, Rajasthan. Patients from both sex and above 18 years of age with symptomatic gall stone disease were included. Databases were searched with the following keywords: ssure or sulcus of the caudate process, incisura dextra, incisura dextra of Gans, Rouviere's sulcus, sillon du processus caudé. Statistical analysis done and results and observations were concluded. Out of 70 patients, 58 (82.86%) patients had Rouviere' Result- s sulcus. Open type of sulcus was present in 45 (64.28%) patients. Closed type of sulcus was present in 13 (18.57%) patients. Slit type was present in 5 (7.14%) patients. Scar like was present in 4 (5.71%) patients and sulcus was not identiable in 3 (4.26%) patients. We hereby concl Conclusion- ude that, Rouviere's sulcus is a consistent surgical landmark during laparoscopic cholecystectomy. Identication of the sulcus during laparoscopic cholecystectomy help us to avoid bile duct injuries

Publisher

World Wide Journals

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