Rouviere’s Sulcus Identification To Achieve Safe Laparoscopic Cholecystectomy
DOI:
https://doi.org/10.47750/pnr.2022.13.S01.222Keywords:
Bile duct injury, Critical view of safety, Laparoscopic cholecystectomy, Rouviere’s sulcus.Abstract
Background: Laparoscopic cholecystectomy is the gold standard treatment for symptomatic gall stones,continues trials are going on to minimize morbidity of this procedure.
Objective: To evaluate the value of R.S identification in reduction of complications of laparoscopic cholecystectomy after identification of Rouviere’s sulcus regarding:
1. Bile duct injury.
2. Duration of operation.
3. Hospital stay.
Materials and methods: A series of consecutive 200 patients disclosed in the department of Surgery at Al-Kindy Teaching Hospital and Saint Raphayl Private Hospital with uncomplicated symptomatic gallstones treated by laparoscopic cholecystectomy by recognizing RS and CVS.
Results: The average duration of surgery after identifying RS and attainment of CVS was 28 minutes. Female is 79% and most common type of sulcus is open type 57.5%. There was no incidence of bile duct injury after identification of RS and achievement of CVS.
Conclusion: Rouviere’s sulcus (if present) is a vital anatomical landmark for the safe laparoscopic cholecystectomy. Realization of CVS should be tried in all laparoscopic cholecystectomy.
