Basic laparoscopy: Cholecystectomy 07.38.00 Removal of laparoscopic equipment

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This is part of a multimedia training program for a typical basic laparoscopic operation.

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Under construction 18 02 2008


Basic laparoscopy: Cholecystectomy 07.38.00 Removal of laparoscopic equipment

The aim is to remove the equipment in a logical sequence so that each item is removed under direct vision.

This will prevent:


Damage to the viscera from forcep jaws.


Dislodging of drains.


Dragging omentum into port wounds.


Remove the subcostal forcep.

07.38.00 remove the subcostal forceps.jpg

Close the jaws before removal.


Check there is no tissue caught in the jaws.


Remove the subcostal port.

07.38.00 remove the subcostal port.jpg

Check that no omentum is drawn into the port wound.


Remove the iliac forcep.

07.38.00 remove the iliac forceps.jpg

As above, close the jaws before removal.


Check there is no tissue caught in the jaws.


Remove the iliac port.

07.38.00 remove the iliac port.jpg

Check that no omentum is drawn into the port wound.


Switch off the CO2 supply.

07.38.00 switch off CO2.jpg

This will prevent wasting CO2 from the bottle when the abdomen is emptied of CO2.


Remove the telescope.

07.38.00 remove the telescope.jpg


Release abdominal CO2.

07.38.00 release the CO2.jpg

Use the umbilical port with the gas valve open.


Apply pressure to the abdomen to remove the last of the CO2.


The anaesthetist will welcome the abdomen being deflated as soon as possible.


Remove the umbilical port.

07.38.00 remove the umbilical port.jpg


Switch off the light source bulb.


This will conserve the life of the bulb.


Do not switch off the light bulb fan for 10 minutes, to allow the light source to cool down.



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