{"title":"鲁维埃沟的解剖及其与腹腔镜胆囊切除术并发症的关系。","authors":"Abhijeet Kumar, Rupesh Shah, Narendra Pandit, Suresh Prasad Sah, Rakesh Kumar Gupta","doi":"10.1155/2020/3956070","DOIUrl":null,"url":null,"abstract":"<p><strong>Methods: </strong>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.</p><p><strong>Result: </strong>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 (<i>p</i> value ≤0.001). One <i>minor</i> complication occurred in each group: RS initially visible group and RS visible on the adhesion release group, while 3 <i>minor</i> complications occurred in the RS not visible group. Only one <i>major</i> complication occurred in the RS not visible group.</p><p><strong>Conclusion: </strong>Identification of RS by operating surgeons is a predictor of safe laparoscopic cholecystectomy.</p>","PeriodicalId":45110,"journal":{"name":"Minimally Invasive Surgery","volume":"2020 ","pages":"3956070"},"PeriodicalIF":1.3000,"publicationDate":"2020-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/3956070","citationCount":"6","resultStr":"{\"title\":\"Anatomy of Rouviere's Sulcus and Its Association with Complication of Laparoscopic Cholecystectomy.\",\"authors\":\"Abhijeet Kumar, Rupesh Shah, Narendra Pandit, Suresh Prasad Sah, Rakesh Kumar Gupta\",\"doi\":\"10.1155/2020/3956070\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Methods: </strong>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.</p><p><strong>Result: </strong>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 (<i>p</i> value ≤0.001). One <i>minor</i> complication occurred in each group: RS initially visible group and RS visible on the adhesion release group, while 3 <i>minor</i> complications occurred in the RS not visible group. Only one <i>major</i> complication occurred in the RS not visible group.</p><p><strong>Conclusion: </strong>Identification of RS by operating surgeons is a predictor of safe laparoscopic cholecystectomy.</p>\",\"PeriodicalId\":45110,\"journal\":{\"name\":\"Minimally Invasive Surgery\",\"volume\":\"2020 \",\"pages\":\"3956070\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2020-08-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1155/2020/3956070\",\"citationCount\":\"6\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Minimally Invasive Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2020/3956070\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2020/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Minimally Invasive Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2020/3956070","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Anatomy of Rouviere's Sulcus and Its Association with Complication of Laparoscopic Cholecystectomy.
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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