Rouvière’s Sulcus in a Jamaican Population

Main Article Content

Michael T Gardner Keerti Singh Ramnand Shetty Zenica K Dabichan Peter Ho Jean-Pierre Louboutin Shamir O Cawich


Considering the fact that several anatomic variants of the liver have been described in the Jamaican population, we sought to document the prevalence and characteristics of Rouvière’s sulcus in this population. This paper has two parts. First, 60 cadaveric dissections were observed to document the prevalence of Rouvière’s sulcus as 81.7%. In the second part of this paper, a systematic review identified 811 cadaveric dissections across 9 studies and recorded the global prevalence of Rouvière’s sulcus as 77%. The prevalence of Rouvière’s sulcus in the Jamaican population closely matched that across the globe in this systematic review.

Article Details

How to Cite
GARDNER, Michael T et al. Rouvière’s Sulcus in a Jamaican Population. Medical Research Archives, [S.l.], v. 10, n. 8, aug. 2022. ISSN 2375-1924. Available at: <>. Date accessed: 07 oct. 2022. doi:
Research Articles


1. Rouvière H. Sur la configuration et la signification du sillon du processus caudé. Bulletin et Memoires de la Societé Anatomique de Paris, 1924; 94: 355–358.
2. Hunter JG. Exposure, dissection, and laser versus electrosurgery in laparoscopic cholecystectomy. American J Surg. 1993; 165(4): 492–496.
3. Tebala GD, P. Innocenti, R. Ciani et al. Identification of gallbladder pedicle anatomy during laparoscopic cholecystectomy. Chir Ital. 2004; 56 (3): 389–396.
4. Hugh TB. New strategies to prevent laparoscopic bile duct injury - surgeons can learn from pilots. Surg. 2005; 132(5): 826–835.
5. Cawich SO, Sinanan A, Gosein M, Pearce NW, Deshpande RR, Mohammed F, Naraynsingh V, Fortune M, Rampersad F. An investigative study of hepatic arterial anomaies in a West Indian population. Radiology Research and Practice. 2021; 9201162: 1-6. DOI: 10.1155/2021/9201162 .
6. Cawich SO, Naraynsingh V, Pearce NW, Deshpande RR, Rampersad R, Gardner MT, Mohammed F, Dindial R, Barrow TA. Surgical relevance of anatomic variations of the right hepatic vein. World J Transplant 2021; 11(6): 231-243. DOI: 10.5500/wjt.v11.i6.231
7. Cawich SO, Gardner MT, Shetty R, Lodenquai P, Ramkissoon S, Ho P, Chow A. Clinically Oriented Classification of Anatomic Variants of the Umbilical Fissure for Ligamentum Teres in the Human Liver. Cureus. 2021;13(6):15460. doi: 10.7759/cureus.15460.
8. Cawich SO, Gardner MT, Louboutin JP, Naraynsingh V. A Clinically Relevant Classification of Rouviere’s Sulcus and its use in the West Indies. National J Clin Anat. 2022; In press
9. Stringer MD. Eponyms in Surgery and Anatomy of the Liver, Bile Ducts and Pancreas. Royal Society of Medicine Press, London, UK, 2009.
10. Reynaud BH, Coucoravas GO, Giuly JA. Basis to improve several hepatectomy techniques involving the surgical anatomy of incisura dextra of Gans. Surg Gyn Obs. 1991; 172(6): 490–492.
11. Couinaud C. Le Foie, Études Anatomiques Et Chirurgicales, Masson, Paris, France, 1957.
12. Gans H. Study of anatomy of the intrahepatic structures and its repercussions of hepatic surgery [Ph.D. thesis], University of Nijmegen, Elsevier, Amsterdam, The Netherlands, 1955.
13. Dahmane R, Morjane A, Starc A. Anatomy and Surgical Relevance of Rouviere’s Sulcus. Scientific World J. 2013; 254287: 1-4.
14. Lazarus et al. Anatomical parameters of the Rouviere’s sulcus for laparoscopic cholecystectomy. Eur. J. Anat. 2018.22 (5): 389-395
15. Pèrè G., Benvegnu, V., Mercé, C. Maulat C, Carrere N, Lopez R. The sulcus of the caudate process (Rouviere’s sulcus): anatomy and clinical applications—a review of current literature. Surg Radiol Anat. 2020; 42, 1441–1446.
16. Pallavi Bajpayee, NeeleshKanaskar, P Vatsalaswamy, PR Manivikar. Significance of Rouviere’s Sulcus in Hepatobiliary Surgery: A Cadaveric study. Int J Anat Res 2021, 9(3.2):8074-78.
17. Deshatty, Deepali D., et al. Morphometry and Morphology of Rouviere's Sulcus of Liver for Laparoscopic Cholecystectomy--A Cadaveric Study. Journal of Evolution of Medical and Dental Sciences. 2021; 10 (19): 1403
18. Nyaanga F, Ndung’u B, Cheruiyot I, Kaisha W, Munguti J, Odula P. Prevalence and structural variants of Rouviere’s sulcus in a sample of Kenyan livers: A cadaveric study with implications for laparoscopic cholecystectomy. East Cent Afr J Surg. 2021
19. Cooper RS, Rotimi CN, Kaufman JS, Owoaje EE, Fraser H, Forrester T, Wilks R, Riste LK, Cruickshank. Prevalence of NIDDM among populations of the African diaspora. Diabetes Care. 1997;20(3):343-8. doi: 10.2337/diacare.20.3.343.
20. Zubair M, L. Habib, F. Memon, M. R. Mirza, M. A. Khan, and M. S. Quraishy, Rouviere’s sulcus: a guide to safe dissection and laparoscopic cholecystectomy. Pak J Surg. 2009; 22(2): 119–121.