{"id":2528,"date":"2021-08-04T17:30:57","date_gmt":"2021-08-04T17:30:57","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2528"},"modified":"2021-08-04T17:30:57","modified_gmt":"2021-08-04T17:30:57","slug":"ijar-2021-148","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2021-148","title":{"rendered":"IJAR.2021.148"},"content":{"rendered":"
<\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div>
<\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n

Type of Article:<\/strong> \u00a0Original Research<\/h3>\n

Volume 9; Issue 3.2 (August 2021)<\/strong><\/h3>\n

Page No.:<\/strong> 8074-8078<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2021.148<\/h3>\n

Significance of Rouviere\u2019s Sulcus in Hepatobiliary Surgery: A Cadaveric study<\/h3>\n

Pallavi Bajpayee *1<\/sup>, Neelesh Kanaskar 2<\/sup>, P Vatsalaswamy 3<\/sup>, PR Manivikar 4<\/sup>.<\/strong><\/p>\n

*1 <\/sup>Assistant Professor, Department of Anatomy, Dr D.Y.Patil Medical College, Pimpri, Pune, Maharashtra, India.<\/p>\n

2<\/sup> Associate Professor, Department of Anatomy, Dr D.Y.Patil Medical College, Pimpri, Pune, Maharashtra, India.<\/p>\n

3<\/sup> Director Academics, Department of Anatomy, Dr D.Y.Patil Medical College, Pimpri, Pune, Maharashtra, India.<\/p>\n

4<\/sup> Professor and Head, Department of Anatomy, Dr D.Y.Patil Medical College, Pimpri, Pune, Maharashtra, India.<\/p>\n

Corresponding author: <\/strong>Dr Pallavi Bajpayee, Assistant Professor, Department of Anatomy, Dr D.Y.Patil Medical College, Pimpri, Pune, Maharashtra, India.\u00a0 Mobile: 9860833756\u00a0E-Mail: <\/strong>vinks162@gmail.com <\/span><\/p>\n

ABSTRACT<\/h3>\n

Background: <\/strong>Rouviere\u2019s sulcus (RS) was first identified in 1924 by Henri Rouviere. It lies oblique to the anterior and inferior border of the liver and holds the right portal pedicle. <\/strong><\/p>\n

Material and Methods: <\/strong>The study was conducted in the Department of Anatomy of a Medical College in Maharashtra, India, on 45 cadaveric livers. The morphological observations made were: presence\/ absence RS; direction of RS (oblique\/ horizontal\/ vertical); sulcus type ( deep\/ slit\/ scar); length, width and depth; presence of right hepatic pedicle; distance of the hepatic vessels from edge of the sulcus .<\/p>\n

Results:<\/strong> 40 livers showed the presence of Rouviere\u2019s Sulcus. It was absent in five specimens. Direction was horizontal in 40%, oblique in 57.5% and vertical in 2.5% .26 livers showed a deep type of sulcus, 12 showed the slit type and 2 showed scar type .29 livers showed the right hepatic pedicle entering the RS. Average length, depth, of the RS was 2.35 cm and1.07 cm respectively. The average width was 0.32cm at medial end, 0.22cm at midpoint and 0.1cm at lateral end. Present study has added the details of depth of vessels from the edge of RS, which was not recorded in earlier studies. Depth of vessels from the edge of the sulcus was average 5mm (0.5cm) for the right branch of the hepatic artery and was 12mm (1.2cm) for the right branch of portal vein.<\/p>\n

Conclusion:<\/strong> Rouviere\u2019s sulcus is a reference landmark for surgeons during laparoscopic surgeries on gall bladder and during hepatic resection to avoid injuries.\u00a0 This study wishes to provide detailed morphological data of the Rouviere\u2019s Sulcus to hepatobiliary surgeons including depth of hepatic vessels in the RS as an added parameter to aid them in their surgical endeavor.<\/p>\n

Key words<\/strong>: Rouviere\u2019s sulcus, Anatomical Landmark, Morphology, Depth, Hepatobiliary Surgery.<\/p>\n

REFERENCES<\/strong><\/p>\n

[1]. Rouvier H.Sur la configuration et la signification du sillon du processus caude.Bulletins et memoires de la societe anatomique de paris.1924;94:355-358.
[2]. Gans H (1955) Introduction to Hepatic Surgery. Introduction to Hepatic Surgery. Elsevier, Netherlands, pp 50\u201353
[3]. Reynaud BH, Coucoravas GO, Giuly JA (1991) Basis to improve several hepatectomy techniques involving the surgical anatomy of incisura dextra of Gans. Surg Gynecol Obstet 172:490\u2013492
[4]. Hugh TB, Kelly MD, Mekisic A (1997) Rouvi\u00e8re\u2019s sulcus: a useful landmark in laparoscopic cholecystectomy. Br J Surg 84:1253\u20131254
[5]. Dahmane et al. Anatomy and Surgical Relevance of Rouviere\u2019s Sulcus. The ScientificWorld Journal.2013; Volume 2013, Article ID 254287, 4 pages.
[6]. Hugh TB. New Strategies to prevent laparoscopic bile duct injury: surgeons can learn from pilots. Surgery 2002;132(5):826-35.
[7]. Zubair et al. Rouviere\u2019s Sulcus: a guide to safe dissection in laparoscopic cholecystectomy. Pakistan journal of Surgery.2009;25(2):119-121.
[8]. Arora and Ranga. Rouviere\u2019s Sulcus as Landmark during Laparoscopic Cholecystectomy. Global Journal for Research Analysis.2016;5(3):448-50
[9]. Kim et al. Clinical Significance of Rouviere Sulcus during Laparoscopic Cholecystectomy. HPB. 2016;18 (S1):e 515-e516.
[10]. Mohinder Singh and Neeraj Prasad . The anatomy of Rouviere’s sulcus as seen during laparoscopic cholecystectomy: A proposed classification. J Minim Access Surg. 2017; 13(2): 89\u201395.
[11]. Lazarus et al. Anatomical parameters of the Rouviere\u2019s sulcus for laparoscopic cholecystectomy. Eur. J. Anat. 2018.22 (5): 389-395
[12]. Elwan.Critical view of safety and Rouviere\u2019s sulcus: extrahepatic biliary landmarks as a guide to safe laparoscopic cholecystectomy .The Scientific Journal of Al-Azhar Medical Faculty, Girls. 2019;3 (2):297-301.
[13]. Thapa PB, Maharjan DK, Tamang TY, Shrestha SK (2015) Visualisation of Rouviere\u2019s sulcus during laparoscopic cholecystectomy. JNMA J Nepal Med Assoc 53:188\u2013191
[14]. AlNaser. Rouviere’s Sulcus: A Useful Anatomical Landmark for Safe Laparoscopic Cholecystectomy. International Journal of Medical Research & Health Sciences.2018;7(1):158-161<\/p>\n

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\n \t Cite this article:<\/strong><\/span> Pallavi Bajpayee, Neelesh Kanaskar, P Vatsalaswamy, PR Manivikar. Significance of Rouviere\u2019s Sulcus in Hepatobiliary Surgery: A Cadaveric study. Int J Anat Res 2021;9(3.2):8054-8058. DOI:\u00a0<\/strong>10.16965\/ijar.2021.134\u00a0 \n <\/div>\t\n\t\t\n\n\n

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Type of Article: \u00a0Original Research Volume 9; Issue 3.2 (August 2021) Page No.: 8074-8078 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2021.148 Significance of Rouviere\u2019s Sulcus in Hepatobiliary Surgery: A Cadaveric study Pallavi Bajpayee *1, Neelesh Kanaskar 2, P Vatsalaswamy 3, PR Manivikar 4. *1 Assistant Professor, Department of Anatomy, Dr D.Y.Patil Medical College, Pimpri, Pune, Maharashtra, India. 2 Associate Professor, Department
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