Appendix, Gallbladder and Surgical Emergencies · 18 December 2024

High prevalence of Rouvière’s sulcus may reduce bile duct injuries

An analysis of 111 patients reveals that Rouvière’s sulcus (RS) is present in 83.8% of cases, with significant variations classified under Singh-Prasad and Dahmane systems. Specifically, 48.4% of patients exhibit Singh-Prasad type 1a. The high occurrence of RS suggests it can serve as a crucial anatomical landmark during laparoscopic cholecystectomy, potentially mitigating the risk of iatrogenic bile duct injury (IBDI) during surgical procedures.

Journal Article by Cirocchi R, Properzi L (…) Tebala GD et 25 al. in Surg Laparosc Endosc Percutan Tech

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J Am Coll Surg5 Nov 2026

Waiting after pulmonary embolism cuts complications

Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.

J Am Coll Surg5 Nov 2026

Waiting 60 days after pulmonary embolism before emergency surgery is linked to fewer complications.

Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).

Appendix, Gallbladder and Surgical Emergencies3 Nov 2026

Emergency surgery: lung complications raise death risk

After major emergency abdominal surgery, patients who develop lung complications face much higher death risk, most sharply in the first days.

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