(2024). Importance of Rouviere's Sulcus in Laparoscopic Cholecystectomy. The Egyptian Journal of Hospital Medicine, 94(1), 1104-1108. doi: 10.21608/ejhm.2024.346922
. "Importance of Rouviere's Sulcus in Laparoscopic Cholecystectomy". The Egyptian Journal of Hospital Medicine, 94, 1, 2024, 1104-1108. doi: 10.21608/ejhm.2024.346922
(2024). 'Importance of Rouviere's Sulcus in Laparoscopic Cholecystectomy', The Egyptian Journal of Hospital Medicine, 94(1), pp. 1104-1108. doi: 10.21608/ejhm.2024.346922
Importance of Rouviere's Sulcus in Laparoscopic Cholecystectomy. The Egyptian Journal of Hospital Medicine, 2024; 94(1): 1104-1108. doi: 10.21608/ejhm.2024.346922
Importance of Rouviere's Sulcus in Laparoscopic Cholecystectomy
Background: For gallstones, laparoscopic cholecystectomy is the accepted standard technique. Objectives: This work aimed to ascertain Rouviere's sulcus' frequency and significance as a marker in laparoscopic cholecystectomy procedures. Patients and methods: 155 patients with symptomatic gallstone disease who had laparoscopic cholecystectomy at Menoufia University's National Liver Institute were included in this prospective research. Results: In 20 instances, adhesions were seen, and in 127 cases, the sulcus was apparent. In 109 instances, calot dissection was performed above the level of the Rouviere's sulcus; in 46 cases, it was done at that level. Two cases suffered from biliary complications and another two suffered from blood loss. A total of 46 instances (30%) had the dissection performed at the level of Rouviere's sulcus, and 3 cases (6.5%) had problems. Regarding postoperative data in the study participants, collection was present in 5 cases, biliary leak in 2 cases. Postoperative wound infection occurred in 4 cases and drain in 148 cases. Patients whose Rouviere's Sulcus (RS) was not visible had much longer hospital stays and surgery times than patients whose RS was evident (p <0.001, =0.008, respectively). Conclusion: Rouviere’s sulcus was present in (82%) of the total cases. It could be concluded that a safe laparoscopic cholecystectomy requires a clear identification of this anatomical landmark.