Rouviere's sulcus (RS) (i.e.,
incisura hepatis dextra, Gans incisura) represents an important
anatomical landmark. The study aimed to determine the
frequency of the RS, its description, location,
relations to the right portal pedicle, the plane of the
common bile duct, and the evaluation of the
surgical relevance of the obtained data. Forty
macroscopically healthy and undamaged livers were
removed during autopsies from cadavers of both sexes.
The RS was present in 82% of the cases,
and in these, the open RS was identified in 70% of the
livers. The fused type was observed in 12% of
the cases; 18% of the livers had no sulcus. The mean
length of the open type RS was 28 ± 2 mm
(range 24–32 mm), and its mean depth was 6 ± 2 mm
(range 4–8 mm). The right posterior sectional
pedicle was found in the RS in 70% of the cases. In 5%
of the livers, we also dissected a branch of
the anterior sectional pedicle. Inside 25% of the RS,
we found the vein of segment 6. The RS
identification may avoid bile duct injury during
laparoscopic cholecystectomy and enables elective
vascular control during the right liver resection.
Author(s) Details
Raja Dahmane
Faculty of Health Sciences, University of Ljubljana, 1000
Ljubljana, Slovenia and Faculty of Medicine, Institute of Anatomy, University
of Ljubljana, 1000 Ljubljana, Slovenia.
Abdelwaheb Morjane
Department
of Surgery, Faculty of Medicine, University of Monastir, Tunisia.
Robert Sotler
Faculty of Health Sciences, University of Ljubljana, 1000 Ljubljana,
Slovenia.
Andrej Starc
Faculty
of Health Sciences, University of Ljubljana, 1000 Ljubljana, Slovenia.
View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/241
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