Alumi Laparoscopic Discussion Board

What is Rouviere's sulcus?
Discussion in 'All Categories' started by Dr Ram Naresh Tyagi - Aug 28th, 2016 8:31 am.
Dr Ram Naresh Tyagi
Dr Ram Naresh Tyagi
Dear Sir,

Please explain about Rouviere's sulcus and how can it prevent CBD injury. Will this eliminate all the risk of CBD injury.

Dr Ram Naresh Tyagi
re: What is Rouviere's sulcus? by Dr R K Mishra - Aug 28th, 2016 9:25 am
Dr R K Mishra
Dr R K Mishra
Dear Dr Tyagi

Rouviere's sulcus is a frequent anatomical landmark present in 82% of the livers which is at the level of Porta Hepatis. This is found to be either as open or fused type. During laparoscopic cholecystectomy Touviere's Sulcus identification helps to avoid bile duct injury. Rouviere's sulcus helps not only during laparoscopic cholecystectomy but it also enables elective vascular control during segment-oriented approach to right liver resection.

It is also called Incisura hepatis dextra or Gans incisura. Open types of Rouviere's sulcus is found in 70% of the liver and the fused type generally observed in 12%. During callots dissection surgeon should try to remain above the Rouviere's sulcus. The most important advantage of identifying RS lies in the fact that the cystic duct and the cystic artery lay anterosuperior to the sulcus.

With regard
Dr R K Mishra
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