Bile duct injury, Critical view of safety, Laparoscopic cholecystectomy, Rouviere's sulcus.
Citation Information :
Karim T, Dey S, Singh M, Mishra N, Bandey M. Rouviere's Sulcus and Critical View of Safety: A Guide to prevent Bile Duct Injury during Laparoscopic Cholecystectomy. World J Lap Surg 2018; 11 (1):25-28.
Context: Laparoscopic cholecystectomy is a commonly performed minimal invasive surgery. However, its advantages are somewhat tempered due to risk of injury to bile duct.
Aims: The objective of the study is to identify Rouviere's sulcus (RS) and critical view of safety (CVS) before commencement of dissection of Calot's triangle to prevent injury to bile duct.
Materials and methods: A series of consecutive 100 patients admitted in the Department of Surgery in our hospital with uncomplicated symptomatic cholelithiasis underwent laparoscopic cholecystectomy identifying RS and CVS and complications (if any) emphasizing bile duct injury.
Results: The average duration of surgery after identifying RS and achievement of CVS was 65.30 minutes. There was no incidence of bile duct injury after identification of RS and achievement of CVS.
Conclusion: Rouviere's sulcus is an important anatomical landmark for the safe laparoscopic cholecystectomy. Achievement of CVS should be tried in all laparoscopic cholecystectomy.
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