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Cholecystectomy mayo stand and back table surgery setup

Diana Lei-aloha Avatar

setup author

Surgery setup images for Cholecystectomy

Cholecystectomy surgery instruments

Clamping & Occluding instruments

Curved Hemostat
Curved Hemostat
Right Angle Clamp
Right Angle Clamp
Kelly Forceps
Kelly Forceps
Tonsil Clamp
Tonsil Clamp
Allis Forceps
Allis Forceps

Cutting & Dissecting instruments

#3 Knife Handle
#3 Knife Handle
Metzenbaum Scissor
Metzenbaum Scissor
Curved Mayo Scissor
Curved Mayo Scissor

Grasping & Holding instruments

Debakey Forcep
Debakey Forcep
Adson Forceps
Adson Forceps
Ferris Smith Tissue Forceps
Ferris Smith Tissue Forceps

Retracting & Exposing instruments

Bookwalter Retractor
Bookwalter Retractor
Army-Navy Retractor
Army-Navy Retractor
Richardson Retractor
Richardson Retractor

Suctioning instruments

Yankauer Suction
Yankauer Suction
Poole Suction Probe
Poole Suction Probe

Suturing & Stapling instruments

Mayo-Hegar Needle Holder
Mayo-Hegar Needle Holder

What to expect during Cholecystectomy

Cholecystectomy is a surgical procedure to remove the gallbladder. The gallbladder is a small organ located under the liver that stores bile, a fluid that helps digest fats. Cholecystectomy is typically performed to treat conditions such as gallstones, inflammation of the gallbladder, or gallbladder cancer. During the procedure, the gallbladder is removed either through a single large incision in the abdomen or through several small incisions using laparoscopic techniques. Cholecystectomy is a common and generally safe procedure, but it can involve some risks such as bleeding, infection, or injury to nearby organs. After the surgery, most people can resume their normal activities within a few days to a week.

Step 1: Incision
The surgeon will make the initial incision with a 10 blade on a #3 knife handle.

Step 2: Dissection
To reach the gallbladder, the surgeon will use Metz and Adson forceps with teeth, and a bovie to dissect down. The gallbladder will then need to be dissected from the liver.

Step 3: Tying and Clamping
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.

Step 4: Pathology
Once the gallbladder has been removed, it should be sent to pathology.

Step 5: Closing
The abdomen will be irrigated, all bleeding will be stopped, and the incision will be sutured closed.

Tips and tricks
For a successful cholecystectomy, it is essential to have both long and standard length instruments available. Additionally, Vicryl or silk ties should be on hand. Open cholecystectomies often result in significant bleeding, particularly if laparoscopy is not possible due to a pre-existing medical condition. The liver is particularly prone to bleeding, even from the smallest cut.

The Surgery Sparknotes

  1. The surgeon will use a 10 blade on a #3 knife handle, Metz and adsons with teeth, and the bovie to dissect down to the gallbladder.
  2. The gallbladder will need to be dissected from the liver and tied with tonsils.
  3. Use two long, larger clamps such as Kelly’s to clamp across the gallbladder.
  4. Once the gallbladder is removed, it should be sent to pathology.
  5. Irrigate the abdomen, stop any bleeding, and suture the incision closed.

2 responses to “Cholecystectomy”

  1. Alli Avatar
    Alli

    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!

    1. Diana Lei-aloha Avatar
      Diana Lei-aloha

      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 us know if you have any other questions!

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