Role of Rouviere's sulcus as anatomic landmark in laparoscopic cholecystectomy CAIHua-jie,YE Bai-liang,HAN Yu,et al.Department of Endoscopic Surgery,the First Afiliated Hospital,Wenzhou Medical College,Wenzhou325003,China Corresponding author:HAN Yu,E-mail:tongji99@sina.com Abstract Objective To explore the role of Rouviere's sulcus as extrabiliary reference point in laparoscopiccholecystectomy.Methods The clinical data of584patients performed laparoscopic cholecystectomy from March2010to April2011in the Department of Endoscopic Surgery,the First Affiliated Hospital of Wenzhou Medical College wereanalyzed.Frequency and type of Rouviere's sulcus were documented and Rouviere's sulcus was used to guide thecommencement of dissection in hepatobiliary triangle in laparoscopic cholecystectomy.Results A total of584patientswho underwent laparoscopic cholecystectomy were included in the study.Open type of Rouviere's sulcus was visualizedin346patients and fused type of Rouviere's sulcus was visualized in102patients.Hence in a total of448(76.7%)patients had Rouviere's sulcus.There was no bile duct injury or mortality.Three patients were converted to openoperation(0.5%)and all patients recovered well.Conclusion Rouviere's sulcus is an important extrabiliary landmarkand identifiable in majority ofpatients.Its identification before commencement of Calot’s triangle dissection may help inpreventing the bile duct injury in laparoscopic cholecystectomy and should be applied widely. Keywords bile duct injury;laparoscopic cholecystectomy;Rouviere's sulcus |
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