Volume 18, Issue 3 pp. 136-139
SURGICAL TECHNIQUE

Rouviere's sulcus: Review of an anatomical landmark to prevent common bile duct injury

Kamal P. Galketiya

Kamal P. Galketiya

Department of Surgery, The Australian National University Medical School, The Canberra Hospital, Canberra, Australian Capital Territory, Australia

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Christian J. Beardsley

Corresponding Author

Christian J. Beardsley

Department of Surgery, The Australian National University Medical School, The Canberra Hospital, Canberra, Australian Capital Territory, Australia

Author to whom all correspondence should be addressed.

Email: [email protected]

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Sivakumar Gananadha

Sivakumar Gananadha

Department of Surgery, The Australian National University Medical School, The Canberra Hospital, Canberra, Australian Capital Territory, Australia

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David T. Hardman

David T. Hardman

Department of Surgery, The Australian National University Medical School, The Canberra Hospital, Canberra, Australian Capital Territory, Australia

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First published: 20 September 2012
Citations: 5

Abstract

Aim

To review the use of Rouviere's sulcus as an anatomical guard during laparoscopic cholecystectomy.

Patients and Methods

Anatomical review, not directly involving patients. A review of major anatomical texts, surgical texts and the pubmed database was conducted for all texts or articles pertaining to Rouviere's sulcus.

Results

The use of Rouviere's sulcus during laparoscopic cholecystectomy results in an additional anatomic guard against biliary tract injury, however proper anatomical exposure is required to maximize the utility of this landmark.

Conclusion

When combined with other anatomical guards, Rouviere's sulcus is a useful adjunct in the prevention of biliary tract injury.

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