The Anatomy of Rouviere's Sulcus as Seen During Laparoscopic Cholecystectomy

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5 months ago
General Surgery

Case description

Surgical video case: although Rouviere's sulcus is being increasingly mentioned as the first landmark to be seen so as to begin dissection during laparoscopic cholecystectomy to prevent bile duct injuries, the anatomy of the sulcus has not been described in clear and simple terms.The Rouviere's sulcus can now be defined in three simple terms – a deep sulcus, or a slit or a scar. We recommend that as a first step in laparoscopic cholecystectomy, the surgeon must look for this reference point (whether it is in the form of a scar, or a slit or a real sulcus) which will be the plane of the main bile duct, and thus avoid any dissection below this point in order to eliminate any danger to the bile duct during surgery.

tags: Rouviere's Sulcus laparoscopic cholecystectomy surgical anatomy bile duct

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