腹腔镜下国人肝脏Rouviere沟的出现率及分型

摘要

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.%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.