CHAPTER 12

Laparoscopic Cholecystectomy

Cholecystectomy is the surgical removal of the gallbladder by means of a laparoscope or an abdominal incision.

Possible equipment needed for the procedure includes a minor laparoscopic set, a laparoscope set, and an adult MIS set.

A brief description of the procedure through a laparoscope, after the abdomen has been insufflated, follows:

1. 3 or 4 trocars with sheaths are needed. There is one port for the laparoscope, with camera attached; one port for the retraction instruments; one port for dissection; and one port for ligation.

2. Claw forceps are used to stabilize the gallbladder.

3. An Olsen clamp is used to stabilize the cystic duct.

4. Hook scissors are used for dissection.

5. Ligaclip appliers are used for hemostasis.

6. An Apple needle holder is used for suture ligation.

7. A Marlow knot pusher is used for suture tightening.

8. Ligature scissors are used for cutting suture.

9. An Endo catch retriever is used for removing the specimen.

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