Cholecystectomy

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Mayo stand and back table instruments for Cholecystectomy surgery setup

Clamping & Occluding

  • Allis Forceps

    Allis Forceps

  • Curved Hemostat

    Curved Hemostat

  • Kelly Forceps

    Kelly Forceps

  • Right Angle Clamp

    Right Angle Clamp

  • Tonsil Clamp

    Tonsil Clamp

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Curved Mayo Scissor

    Curved Mayo Scissor

  • Metzenbaum Scissor

    Metzenbaum Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Forcep

    Debakey Forcep

  • Ferris Smith Tissue Forceps

    Ferris Smith Tissue Forceps

Retracting & Exposing

  • Army-Navy Retractor

    Army-Navy Retractor

  • Bookwalter Retractor

    Bookwalter Retractor

  • Richardson Retractor

    Richardson Retractor

Suctioning

  • Poole Suction Probe

    Poole Suction Probe

  • Yankauer Suction

    Yankauer Suction

Suturing & Stapling

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

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.

2 thoughts on “Cholecystectomy

  1. Alli says:

    My classmates and I noticed there are Kocher’s on the Mayo set up, but they aren’t listed under the “clamping and occluding” instruments. We also were wondering why there is a peanut on a Kelly in this set up. Thank you in advance for your help!

    • Diana Lei-aloha says:

      Good catch to you and your classmates! I have just added a Kocher to the listed instruments.

      The peanut on the Kelly is used to dissect the gallbladder from surrounding tissue. It is “wipe” along the edges to free up the gallbladder. Some doctors will use a lap or Raytec wrapped around their finger to do the same motions instead of the peanut, but it is less common.

      Please let u know if you have any other questions!

      Please let us

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