Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: May 31, 2026

Where You Cut Matters: A Dissection and Analysis Guide for the Spatial Orientation of the Mouse Retina from Ocular Landmarks

Where You Cut Matters: A Dissection and Analysis Guide for the Spatial Orientation of the Mouse Retina from Ocular Landmarks

Published on: August 4, 2018

Rouvière's Sulcus: An External Landmark for Safe Dissection when the Critical View Cannot Be Achieved.

Shamir O Cawich¹, Neil W Pearce², Michael Kluger³

¹Department of Surgery, School of Global Medicine, Nashville, Tennessee, USA.

The American Surgeon

|May 29, 2026

Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Anatomical versus non-anatomical liver resection for hepatocellular carcinoma - an international multicenter propensity score-matched analysis of short- and long-term outcomes in an international multicenter cohort.

HPB : the official journal of the International Hepato Pancreato Biliary Association·2026

Same author

Access to Surgical Cancer Care in the Safety-Net: A Survey of California Hospitals.

Journal of surgical oncology·2026

Same author

Impact of adjuvant chemotherapy among pathologic complete responders with pancreatic ductal adenocarcinoma.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2026

Same author

ASO Visual Abstract: Re-evaluating the Role of Neoadjuvant Chemotherapy in Early-Stage Pancreatic Ductal Adenocarcinoma: Unveiling the Impact of Immortal Time Bias on Survival.

Annals of surgical oncology·2026

Same author

Laparoscopic Hiatal Hernia Repair in Over 65-Year-Old Population: Feasibility, Technique, and Early Results.

Surgical laparoscopy, endoscopy & percutaneous techniques·2026

Same author

Re-evaluating the Role of Neoadjuvant Chemotherapy in Early-Stage Pancreatic Ductal Adenocarcinoma: Unveiling the Impact of Immortal Time Bias on Survival.

Annals of surgical oncology·2026

Same journal

Complete Response of Merkel Cell Carcinoma to Immunotherapy and Single-Fraction Radiotherapy Following Severe COVID-19 Infection: A Case Report and Review of Immune Mechanism.

The American surgeon·2026

Same journal

Perioperative Acute Myocardial Infarction in Non-Cardiac Operations: A National Analysis.

The American surgeon·2026

Same journal

Outcomes of Completion Cholecystectomy: Association With Patient Comorbidity in a National Database.

The American surgeon·2026

Same journal

Building the Conversation: Editorial Stewardship in Contemporary Surgical Publishing.

The American surgeon·2026

Same journal

Musculoskeletal Pain in Surgeons on Operating Days.

The American surgeon·2026

Same journal

Splenectomy During Cytoreductive Surgery: Marker of Surgical Burden or Independent Predictor of Morbidity?

The American surgeon·2026

See all related articles

This summary is machine-generated.

Rouvière's sulcus is a reliable landmark for preventing bile duct injuries during laparoscopic cholecystectomies when visible. Surgeons should use alternative methods for bile duct protection if the sulcus is not well-defined.

Area of Science:

Hepatobiliary Surgery
Surgical Anatomy

Background:

Bile duct injuries are a risk during cholecystectomy.
Rouvière's sulcus is proposed as a landmark to prevent these injuries.
It aids dissection when the critical view of safety is compromised.

Purpose of the Study:

To evaluate the intraoperative identification and reliability of Rouvière's sulcus in laparoscopic cholecystectomies.
To assess its utility as a landmark for preventing bile duct injuries.

Main Methods:

Observational study of consecutive elective laparoscopic cholecystectomies (2017-2024).
Intraoperative identification of Rouvière's sulcus by surgeons, confirmed by an independent observer.
Laparoscopic ultrasound used to confirm the sulcus-pedicle relationship.

Keywords:

Rouvière’s sulcus bile duct injury cholecystectomy iatrogenic injury

More Related Videos

Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly

Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly

Published on: April 14, 2014

Related Experiment Videos

Last Updated: May 31, 2026

Where You Cut Matters: A Dissection and Analysis Guide for the Spatial Orientation of the Mouse Retina from Ocular Landmarks

Where You Cut Matters: A Dissection and Analysis Guide for the Spatial Orientation of the Mouse Retina from Ocular Landmarks

Published on: August 4, 2018

Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly

Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly

Published on: April 14, 2014

Main Results:

Rouvière's sulcus was identified in 83.2% of 356 procedures.
A well-defined sulcus reliably correlated with the right portal triad (100% accuracy).
Reliability decreased significantly when the sulcus was not well-defined (5% accuracy, P < 0.0001).

Conclusions:

Rouvière's sulcus serves as a valuable landmark for safe dissection during cholecystectomy when identifiable.
Alternative methods like indocyanine green or cholangiography are recommended when a well-defined sulcus is absent.