Anatomy of Rouviere's Sulcus and Its Association with Complication of Laparoscopic Cholecystectomy.

IF 1.3 Q3 SURGERY Minimally Invasive Surgery Pub Date : 2020-08-24 eCollection Date: 2020-01-01 DOI:10.1155/2020/3956070

Abhijeet Kumar, Rupesh Shah, Narendra Pandit, Suresh Prasad Sah, Rakesh Kumar Gupta

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引用次数: 6

Abstract

Methods: This is a prospective observational study involving patients of age ≥16 years who underwent laparoscopic cholecystectomy for uncomplicated gall stone at BPKIHS between May and July 2019.

Result: 230 cases were analyzed, and RS was present in 90.4%. Open sulcus type was the commonest (54%), followed by scar type (22.9%), closed sulcus type (12.5%), and slit type (10.6%), respectively. In 59.1% of cases, it was oblique to the anterior, inferior, and external edge of the liver, while in the remaining cases, it was transverse. The mean ± SD values for operative time and duration of hospital stay in the RS visible and the RS not visible groups were 29.16 ± 8.736 and 42.9 ± 23.646 minutes, and 1.26 ± 0.440 and 1.90 ± 0.910 days, respectively (p value ≤0.001). One minor complication occurred in each group: RS initially visible group and RS visible on the adhesion release group, while 3 minor complications occurred in the RS not visible group. Only one major complication occurred in the RS not visible group.

Conclusion: Identification of RS by operating surgeons is a predictor of safe laparoscopic cholecystectomy.

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鲁维埃沟的解剖及其与腹腔镜胆囊切除术并发症的关系。

方法:这是一项前瞻性观察研究，涉及年龄≥16岁的患者，他们于2019年5月至7月在BPKIHS接受腹腔镜胆囊切除术治疗无并发症胆结石。结果:分析230例，RS发生率为90.4%。以开沟型最多见(54%)，其次为瘢痕型(22.9%)、闭沟型(12.5%)、狭缝型(10.6%)。59.1%的病例为肝前、下、外缘斜位，其余病例为肝横位。RS可见组和RS不可见组手术时间和住院时间的平均±SD值分别为29.16±8.736和42.9±23.646分钟，1.26±0.440和1.90±0.910天(p值≤0.001)。两组均出现1例轻微并发症:初见RS组和解除粘连后可见RS组，未见RS组出现3例轻微并发症。RS不可见组仅发生1例主要并发症。结论:外科医生对RS的识别是安全腹腔镜胆囊切除术的预测指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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