Rahil Mahmood-ur Rahman, Bushra Tasneem, Aisha Tasneem, Erum Ghani, Sana Salamat.
To determine the frequency and type of Rouviere\'s sulcus in our population.
Pak J Surg Jan ;36(4):277-80.

Objective: The purpose of our study is to determine the frequency and type of Rouviere`s sulcus in our population. Study design: Cross-Sectional observational study. Setting: Surgical Department of Abbasi Shaheed hospital Karachi. Duration: From January 2019 to December 2019. Material and Methods: All the patients with symptomatic gallstones undergoing Laparoscopic Cholecystectomy were included. The presence and type of Rouviere`s sulcus was recorded before starting dissection. Open type was defined as a sulcus in which right hepatic pedicle was visualized. Fused type was defined as a sulcus in which the pedicle was not visualized. Result: Out of 380 patients, 332(87.3%) were female and 48(12.6%)were male. Male to Female ratio was 1:8.Age of the patients ranged from 16 years to 74 years with mean age of 42 years. Rouviere`s sulcus was present in 294 patients(77.5%),out of which 69(23.4%)were found to have Open type and 225 (76.5%)have Fused type. Rouviere`s sulcus was not found in 86(22.6%). Conclusion: Rouviere`s sulcus is an important landmark that can be defined as Open and Fused type. Identifying the sulcus before commencing dissection in Callot`s triangle can help in preventing bile duct injury, thus improving surgical outcome.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com