Prevalence of anatomic landmarks for orientation during elective laparoscopic cholecystectomies.
Surg Endosc
; 34(8): 3508-3512, 2020 08.
Article
de En
| MEDLINE
| ID: mdl-31559576
ABSTRACT
BACKGROUND:
We sought to determine the prevalence of common anatomic landmarks around the gallbladder that may be useful in orienting surgeons during laparoscopic cholecystectomy.METHODS:
The subhepatic anatomy of 128 patients undergoing elective cholecystectomy was recorded. We searched and recorded the presence of five anatomic landmarks the bile duct (B), the Sulcus of Rouviere (S), the left hepatic artery (A), the umbilical fissure (F), and the duodenum (E). These are the previously described B-SAFE landmarks.RESULTS:
We found that the duodenum and umbilical fissure were present reliably in almost all patients. The position of the left hepatic artery could be reliably determined by its pulsation in 84% of patients. A portion of the bile duct could be seen in 77% and the Sulcus of Rouviere was present in 80%. Furthermore, the hepatobiliary triangle was always found superior or at the same level as the Sulcus of Rouviere.CONCLUSIONS:
We found that these five anatomic landmarks were reliably present. This suggest that using the B-SAFE landmarks may allow a surgeon to more easily orient before and during laparoscopic cholecystectomy and prevent bile duct injuries.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Cholécystectomie laparoscopique
/
Repères anatomiques
/
Vésicule biliaire
Type d'étude:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limites:
Humans
Langue:
En
Journal:
Surg Endosc
Sujet du journal:
DIAGNOSTICO POR IMAGEM
/
GASTROENTEROLOGIA
Année:
2020
Type de document:
Article
Pays d'affiliation:
Canada