Mayo stand and back table instruments for Cholecystectomy surgery setup
Clamping & Occluding
Cutting & Dissecting
Grasping & Holding
Retracting & Exposing
Suturing & Stapling
What to expect during Cholecystectomy
Long and standard length instruments should both be available since the surgeon will be going pretty deep in the abdomen. Vicryl or silk ties should also be available. Open cholecystectomies often times include a lot of bleeding since most are done laparoscopically unless the patient has an issue that prevents it. This often is due to prior health conditions. The liver likes to bleed a lot, even from the smallest knick. The surgeon will make their incision with a 10 blade on a #3 knife handle. A pair of Metz, adsons with teeth, and the bovie will be used to dissect down to the gallbladder. The gallbladder will need to be dissected from the liver. Ties should be loaded on tonsils ready to pass. Two long, larger clamps such as Kelly’s will be used to clamp across the gallbladder while it is tied and cut off. The clamps also prevent it from spilling bile. Once the gallbladder has been taken out, it should be sent to pathology. The abdomen will be irrigated, all bleeding will be stopped, and the incision will be sutured closed.