Abstract
RELEVANCE OF ROUVIERE’S SULCUS IN LAPAROSCOPIC CHOLECYSTECTOMY: AN OBSERVATIONAL STUDY

Mohd Riyaz Lattoo* and Nadeem Rashid

ABSTRACT

Aim: Bile duct injury is one of the most devastating complications of laparoscopic Cholecystectomy. Safe dissection of callots triangle can be achieved by commencing the dissection anterior to Rouviere’s sulcus .The purpose of our study is to determine the frequency of Rouviere’s sulcus in our population and it relevance in safe dissection of laparoscopic cholecystectomy. Patient and methods: An observational descriptive study of patients who underwent Laparoscopic cholecystectomy from September 2016 to September 2018 was conducted at our hospital. Presence of Rouviere’s sulcus was noted and classified according to the classification proposed by Singh and Prasad. Results: Out of a total of 382 patients Rouviere’s sulcus was visualized in 242 patients (63.35%). 178 patients had a deep sulcus. 58 patients (23.96%) had a slit. 6 patients (2.48%) had a scar. No patient had bile duct injury. Conclusion: Rouviere’s sulcus is a frequently present important extra biliary reference point to commence safe desection of callots triangle.

Keywords: Laproscopic cholecystectomy, Rouviere’s sulcus, Bile duct injury.


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