Evaluation of Anatomical Parameters of the Rouviere’s Sulcus for Laparoscopic Cholecystectomy: An Institutional Based Study

Authors

  • Rohin Garg Associate Professor, Department of Anatomy, Teerthanker Mahaveer Medical College & Research Centre, TMU, Moradabad, Uttar Pradesh, India. Author
  • S K Jain Professor & Head, Department of Anatomy, Teerthanker Mahaveer Medical College & Research Centre, TMU, Moradabad, Uttar Pradesh, India. Author
  • Nidhi Sharma Associate Professor, Department of Anatomy, Teerthanker Mahaveer Medical College & Research Centre, TMU, Moradabad, Uttar Pradesh, India. Author

DOI:

https://doi.org/10.21276/n8eps789

Keywords:

Rouviere’s Sulcus, Cholecystectomy, Adult Liver

Abstract

Background: The knowledge of surgical anatomy is important for the safe carrying out of any surgical procedure. Therefore, the researchers have focused on many approaches to avoid complications during laparoscopic cholecystectomy. The present study was conducted to assess anatomical parameters of the Rouviere’s sulcus for laparoscopic cholecystectomy.

Materials and Methods: The present study included the gross anatomical examination of 90 formalin-fixed adult livers. The direction and type of Rouviere’s sulcus was recorded. The length, breadth and depth of Rouviere’s sulcus were recorded. Thereafter, an average of each measurement was calculated.

Results: In the present study out of the 90 livers dissected, the Rouviere’s sulcus was present in 78.89% cases. Type 1A was found in 45% cases. Type 1B was found in 7.22 % of cases studied. Type 2 which occurred in 23.33% of the specimens. Type 3 was occurred in 3.33% of the livers dissected. The direction of the sulcus was horizontal in 32.22% of cases and oblique in 46.67% cases. The average length of sulcus was 2.87 cm, the average breadth was 0.23cm and the average depth was 0.69 cm.

Conclusion: The study concluded that the Rouviere’s sulcus was present in 78.89% cases. Type 1 was found in 52.22% cases, Type 2 in 23.33%, Type 3 was occurred in 3.33% of the livers dissected.

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References

Singh K, Ohri A. Anatomical landmarks: their usefulness in safe laparoscopic cholecysectomy. Surg Endosc 2006;20:1754-8.

W. Reynolds Jr. The first laparoscopic cholecystectomy. JSLS 2001; 5(1):89-94.

Arora, Rachit, and Bhavinder Arora. Six anatomical landmarks for safe Laparoscopic Cholecystectomy. International Journal of Enhanced Research in Medicine and Dental Care 2014; 1: 30-4.

Connor, S., and O.J. Garden. Bile duct injury in the era of laparoscopic cholecystectomy. British Journal of Surgery 2006; 93(2): 158-68.

Wu, Yuhsin V., and David C. Linehan. Bile duct injuries in the era of laparoscopic cholecystectomies. Surgical Clinics of North America 2010; 90(4): 787-802.

MacFadyen, B.V., et al. Bile duct injury after laparoscopic cholecystectomy. Surgical Endoscopy 1998; 12(4): 315-21.

Galketiya KP, Beardsley CJ, Gananadha S, Hardman DT. Rouviere’s sulcus: review of an anatomical landmark to prevent common bile duct injury. Surg Pract 2014; 18: 136-9.

Peti N, Moser MA. Graphic reminder of Rouviere’s sulcus: a useful landmark in cholecystectomy. ANZ J Surg. 2012; 82(5): 367-8.

Ichimura K. Can Rouvie`re’s lymph nodes in non-malignant subjects be identified with MRI? Auris Nasus Larynx. 1993; 20(2):117e123.

Hugh TB, Kelly MD, Mekisic A. Rouviere’s sulcus: a useful landmark in laparoscopic cholecystectomy. Br J Surg 1997; 84(9): 1253-54.

Nagral S. Anatomy relevant to cholecystectomy. J Minim Access Surg 2005; 1(2): 53-8.

Singh M, Prasad N. The anatomy of Rouviere’s sulcus as seen during laparoscopic cholecystectomy: a proposed classification. J Minim Access Surg 2017; 13: 89-95.

Rouviere MH. Sur la configuration et la signification du sillon du processus caude. Bull Soc Anat Paris 1924; 94: 355-8.

Gans H. Introduction to Hepatic Surgery. Elsevier, Netherlands, 1955; 50-53; 220-224.

Reynaud BH, Coucoravas GO, Giuly JA. Basis to improve several hepatectomy techniques involving the surgical anatomy of incisura dextra of Gans. Surg Gynecol Obstet 1991; 172(6): 490-2.

Zubair M, Lubnar H, Memon F, Mirza MR, Khan MA, Quraishy MS. Rouviere’s sulcus: a guide to safe dissection in laparoscopic cholecystectomy. Pak J Surg 2009; 25(2): 119-21.

Dahmane R, Morjane A, Starc A. Anatomy and surgical relevance of Rouviere’s sulcus. Scientific World J 2013; 254-87. doi: 10.1155/2013/254287.

Thapa PB, Maharjan DK, Tamang TY, Shrestha SK. Visualisation of Rouviere’s sulcus during laparoscopic cholecystectomy. J Nepal Med Assoc 2015; 53 (199): 188-91.

Kim JK, Kim JY, Park JS, Yoon DS. Clinical significance of Rouviere’s sulcus during laparoscopic cholecystectomy. HPB 2016; 18: 515-6.

Al-Naser MKH. Rouviere’s sulcus: a useful anatomical landmark for safe laparoscopic cholecystectomy. IJMRHS 2018; 7(1): 158-61.

Lelika Lazarus, JS Luckrajh, S. Mewa Kinoo, Bhugwan Singh. Anatomical parameters of the Rouviere’s sulcus for laparoscopic cholecystectomy. Eur. J. Anat. 2018; 22(5): 389-95.

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Published

20.03.2024

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Section

ORIGINAL ARTICLES ~ Human Anatomy

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