关键词: Rouviere 沟解剖定位, 腹腔镜胆囊切除术, 不良事件发生率

Abstract:

Objective To explore the application of Rouviere sulcus anatomical localization in laparoscopic cholecystectomy (LC). Method 180 patients with LC in Danyang Third People's Hospital from January 2020 to December 2021 were retrospectively analyzed. They were divided into two groups according to different anatomical localization methods. The control group was given traditional blunt anatomy (n=90) and the observation group was given Rouviere sulcus anatomical localization (n=90). The operation related indexes (operation time, intraoperative bleeding, activity on the first day after operation) and the incidence of adverse events were analyzed and compared between the two groups. Result The operation time of the observation group was shorter than that of the control group, and the intraoperative blood loss was lower than that of the control group (P ＜ 0.05); The activity of patients in the observation group was higher than that in the control group on the first day after operation (P＜0.05). The total incidence of adverse events in the observation group was 2.22%, there was no significant difference (P

＞ 0.05). Conclusion For patients receiving LC treatment, the application of Rouviere groove to establish a safe operation area under the guidance of surgery, the effect of accurate gallbladder triangle anatomy technology is ideal, which is superior to the traditional blunt anatomy of gallbladder triangle, shortens the operation time, improves the activity ability of patients on the first day after operation, and is conducive to doctors' accurate positioning operation, reducing the amount of intraoperative bleeding and the incidence of adverse events.

Key words: Anatomical location of Rouviere sulcus, Laparoscopic cholecystectomy, Incidence of adverse events