Anatomical Variation in Rouvière's Sulcus
Study Details
Study Description
Brief Summary
Rouvière's sulcus is a 2-5 cm fissure lying on the lower face of the liver, between the right lobe and caudate process. Due to its extrabiliary location, Rouvière's Sulcus could be used as an anatomical landmark for safe laparoscopic cholecystectomy. In literature there's an high variability about Rouvière Sulcus prevalence and its anatomical variants.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
The goal of this observational study is to evaluate the presence of Rouvière Sulcus in patients underwent laparoscopic cholecystectomy. The main questions it aims to answer are the prevalence and the anatomical variations of Rouvière's Sulcus and the variants of Rouvière's Sulcus which are catheghorized according to Singh and Prasad criteria.
The following were considered secondary outcome: operative time expressed in minutes, biliary tract injuries according to Stewart's classification and Vascular injuries.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Videolaparoscopic cholecystectomy Patients undergoing Videolaparoscopic cholecystectomy |
Procedure: Videolaparoscopic cholecystectomy
Evaluation of Rouvière's Sulcus Anatomical Variation.
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Outcome Measures
Primary Outcome Measures
- Prevalence of Rouvière's Sulcus [2 years]
- Anatomical variations in Rouvière's Sulcus [2 years]
The variants of the Rouvière's Sulcus are catheghorized by the classification of Singh e Prasad.
Secondary Outcome Measures
- Operative time [2 years]
Time expressed in minutes
- Biliary tract injuries [2 years]
Biliary tract injuries according to Stewart's classification.
- Vascular injuries [2 years]
Vascular injuries.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients undergoing videolaparoscopic cholecystectomy
Exclusion Criteria:
- If the lower face of the right hepatic lobe and the main elements of the biliary tract cannot be clearly analyzed patients will be excluded.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University Of Perugia
- Giovanni Domenico Tebala
- Luca Properzi
- Stefano Avenia
- Nereo Vettoretto
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Pesce A, Fabbri N, Feo CV. Vascular injury during laparoscopic cholecystectomy: An often-overlooked complication. World J Gastrointest Surg. 2023 Mar 27;15(3):338-345. doi: 10.4240/wjgs.v15.i3.338.
- Singh M, Prasad N. The anatomy of Rouviere's sulcus as seen during laparoscopic cholecystectomy: A proposed classification. J Minim Access Surg. 2017 Apr-Jun;13(2):89-95. doi: 10.4103/0972-9941.201731.
- Stewart L. Iatrogenic biliary injuries: identification, classification, and management. Surg Clin North Am. 2014 Apr;94(2):297-310. doi: 10.1016/j.suc.2014.01.008.
- AVRS1