فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: In laparoscopic cholecystectomy (LC), accurate dissection of the triangle structure of the gallbladder is the key to prevent bile duct injury. Rouviere’s sulcus is the only anatomical location marker on the surface of the right liver. In this study, we explored the application value of accurate gallbladder triangle anatomy guided by Rouviere’s sulcus in LC.   Methods: Two hundred patients undergoing LC from January 2020 to June 2023 were allocated into observation group (OG) and control group (CG) based on whether Rouviere’s sulcus was used to guide the operation. Operation-related indicators, postoperative recovery, liver function index, white blood cell (WBC) count level, pain degree, satisfaction along with incidence of complications were compared between 2 groups.   Results: Compared with the CG, the OG had a shorter operation time, less intraoperative blood loss, lower proportion of intraoperative placement of drainage, earlier first feeding, exhaust and discharge time, lower incidence of complications and higher satisfaction rate (P < 0.05). After 2 weeks of surgery, visual analogue scale (VAS) scores in both groups presented lower than before treatment (P < 0.05). Two days after surgery, serum total bilirubin (TBIL), indirect bilirubin (IBIL) and alkaline phosphatase (ALP) levels as well as WBC level in the OG presented lower when comparing with the CG (P < 0.05).   Conclusion: Accurate gallbladder triangle anatomy guided by Rouviere’s sulcus in LC can accelerate the postoperative recovery of patients, avoid bile duct injury, and improve the operation effect.