Page 20 - World Journal of Laparoscopic Surgery
P. 20
Anatomical Variations of Rouviere’s Sulcus in Egyptian Patients
misleading of the vascular and biliary structures. With obscured RS 8. Mogahed M, El-Atrebi K, Elwakeel B. Prevalence of gallstone
or with frozen Calot triangle, meticulous dissection of vascular and disease in Egyptian patients with hepatitis C virus infection. AAMJ
biliary structures, adequate exposure of the cystic duct and artery, 2014;12(1):257–265.
remain the cornerstone for safe LC. 19–21 9. Bluth EI. Ultrasound: A Practical Approach to Clinical Problems, 2nd
edition. New York: Thieme, 2008.
In this study, RS was visualized in 92% of cases with healthy 10. de’Angelis N, Catena F, Memeo R, et al. WSES guidelines for
livers, while it was visualized in only 50% of cases with cirrhotic the detection and management of bile duct injury during
livers during LC. We believe that the current study is one of the cholecystectomy. World J Emerg Surg 2021;16(1):30. DOI: 10.1186/
first works discussing the RS in cirrhotic livers and we did not find s13017-021-00369-w.
studies discussing RS in cirrhotic livers to compare to our study. 11. Pesce A, Palmucci S, La Greca G, et al. Iatrogenic bile duct injury: impact
and management challenges. Clin Exp Gastroenterol 2019;12:121–
128. DOI: 10.2147/CEG.S169492.
conclusIon 12. Gans H. Study of anatomy of the intrahepatic structures and its
Identification of RS provides an easy landmark for starting dissection repercussions of hepatic surgery (Ph.D. thesis). Amsterdam, The
of Calot’s triangle for safe LC as it facilitates the identification of Netherlands: University of Nijmegen, Elsevier, 1955.
the biliary and vascular structures and minimizes iatrogenic biliary 13. Dahmane R, Morjane A, Starc A. Anatomy and surgical relevance of
injuries. Identification of RS may not be easy in liver cirrhosis and Rouviere’s sulcus. Sci World J 2013; 2013:254287. DOI: 10.1155/2013/
254287.
need careful dissection of vascular and biliary structures. 14. Hugh TB, Kelly MD, Mekisic A. Rouviere’s sulcus: a useful landmark in
laparoscopic cholecystectomy. Br J Surg 1997;84(9):1253–1254. DOI:
10.1046/j.1365-2168.1997.02769.x.
references 15. Kumar A, Shah R, Pandit N. Anatomy of Rouviere’s sulcus and its
1. Singh M, Jain A, Dey S, et al. Rouviere’s sulcus and critical view association with complication of laparoscopic cholecystectomy.
of safety: a guide to prevent bile duct injury during laparoscopic Minim Invasive Surg 2020;2020:3956070. DOI: 10.1155/2020/3956070.
cholecystectomy. World J Lap Surg 2018;11(1):25–28. DOI: 10.5005/ 16. Lockhart S, Ranger GS. Rouviere’s sulcus: aspects of incorporating
jp-journals-10033-1328. this valuable sign for laparoscopic cholecystectomy. Asian J Surg
2. Radunovic M, Lazovic R, Popovic N, et al. Complications of 2018;41(1):1–3. DOI: 10.1016/j.asjsur.2016.07.012.
laparoscopic cholecystectomy: our Experience from a Retrospective 17. Lazarus L, Luckrajh JS, Kinoo SM, et al. Anatomical parameters of
Analysis. Open Access Maced J Med Sci 2016;4(4):641–646. DOI: the Rouviere’s sulcus for laparoscopic cholecystectomy. Eur J Anat
10.3889/oamjms.2016.128. 2018;22(5):389–395. IBECS ID: ibc-179808.
3. Gupta V, Jain G. Safe laparoscopic cholecystectomy: adoption of 18. Garg R, Jain SK, Sharma N. Evaluation of anatomical parameters of the
universal culture of safety in cholecystectomy. World J Gastrointest Rouviere’s sulcus for laparoscopic cholecystectomy: an institutional
Surg 2019;11(2):62–84. DOI: 10.4240/wjgs.v11.i2.62. based study. Int Arch BioMed Clin Res 2019;5(1):68. https://iabcr.org/
4. Rouviere H. Sur la configuration et al signification du sillon du index.php/iabcr/article/view/603.
processus caude. Bulletin et Memoires de la Societe Anatomique de 19. Hugh TB. New Strategies to prevent laparoscopic bile duct injury:
Paris 1924;94:355–358. surgeons can learn from pilots. Surgery 2002;132(5):826–835. DOI:
5. Peti N, Moser MAJ. Graphic reminder of Rouviere’s sulcus: a useful 10.1067/msy.2002.127681.
landmark in cholecystectomy. ANZ J Surg 2012;82(5):367–368. DOI: 20. Shinde J, Subodh P. Innovative approach to a frozen Calot’s triangle
10.1111/j.1445-2197.2012.06032.x. during laparoscopic cholecystectomy. Indian J Surg 2015;77(6):
6. Jha AK, Dewan R, Bhaduria K. Importance of Rouviere’s sulcus in 554–557. DOI: 10.1007/s12262-015-1354-0.
laparoscopic cholecystectomy. Ann Afr Med 2020;19(4):274–277. DOI: 21. Strasberg SM, Brunt LM. Rationale and use of the critical view of safety
10.4103/aam.aam_4_20. in laparoscopic cholecystectomy. J Am Coll Surg 2010;211:132–138.
7. Acalovschi M. Gallstones in patients with liver cirrhosis: incidence, DOI: 10.1016/j.jamcollsurg.2010.02.053.
etiology, clinical and therapeutical aspects. World J Gastroenterol
2014;20(23):7277–7285. DOI: 10.3748/wjg.v20.i23.7277.
206 World Journal of Laparoscopic Surgery, Volume 15 Issue 3 (September–December 2022)