CAJ | 학술논문

目的观察、记录腹腔镜下肝脏Rouviere沟的出现率及其形态,探讨Rouviere沟的分型.方法本组病例来自2010年3月至2012年9月我科连续实施的腹腔镜胆囊切除术812例患者,术中记录Rouviere沟的出现及其形态.结果本组812例患者中,开放型Rouviere沟638例(78.6％)、部分融合型145例(17.8％)、完全融合型29例(3.6％).结论 Rouviere沟是重要的肝脏表面解剖标志,出现于绝大多数人中.我们在国际上首次提出Rouviere沟的精细分型,该分型有助于精准肝脏外科的应用拓展.
목적 관찰、기록복강경하간장Rouviere구적출현솔급기형태,탐토Rouviere구적분형.방법 본조병례래자2010년3월지2012년9월아과련속실시적복강경담낭절제술812례환자,술중기록Rouviere구적출현급기형태.결과 본조812례환자중,개방형Rouviere구638례(78.6％)、부분융합형145례(17.8％)、완전융합형29례(3.6％).결론 Rouviere구시중요적간장표면해부표지,출현우절대다수인중.아문재국제상수차제출Rouviere구적정세분형,해분형유조우정준간장외과적응용탁전.
Objective To observe and record the incidences and types of Rouviere's sulcus in Chinese to come up with a classification of Rouviere's sulcus.Methods This prospective study was conducted on 812 consecutive patients who underwent laparoscopic cholecystectomy in our department from March 2010 to September 2012.The incidences and types of Rouviere's sulcus were documented.Results The open type of Rouviere's sulcus was visualized in 638 patients(78.6％),the partially fused type in 145 patients,and the totally fused type in 29 patients.Conclusions Rouviere's sulcus is an important surface landmark of the hilar pedicle and it could be identified in the great majority of patients.We for the first time in the world,proposed a classification of the Rouviere's sulcus which may contribute to a better understanding of hepatobiliary anatomy.