Lesson 1Clip appliers and clips: reusable vs disposable, sizes, loading checks, and safe firing practicesDis part explain clip applier types, clip sizes, loading checks, and safe firing, stressing cystic duct and artery clipping, spacing, and check to stop clip slip or wrong place.
Reusable vs disposable clip appliersClip size selection for cystic ductLoading checks and jaw inspectionSafe firing and clip spacingConfirming secure clip placementLesson 2Suction/irrigation systems: laparoscopic suction tips, irrigation tubing setups, smoke evacuation, and trocar valve managementDis part explain suction and irrigation handpieces, tip choices, tubing setup, and smoke removal, focusing on clear fields, no clogging, and trocar valves to keep pneumoperitoneum.
Suction–irrigation handpiece assemblyTip types and clog preventionIrrigation fluid selection and warmingSmoke evacuation options and setupTrocar valve care and leak controlLesson 3Sutures, staplers, and closure instruments: fascial closure devices, trocar site closure techniques, and suture materials appropriate for portsDis part review sutures, staplers, and closure tools for port sites, including fascial devices, trocar closure methods, and suture choice to reduce hernia, bleeding, and infection risks.
Suture materials for port closureFascial closure device optionsTechniques for ≥10 mm port closureSkin closure methods and adhesivesStapler use for difficult closuresLesson 4Specimen retrieval and extraction tools: endobags, specimen pouches, extension port use, and wound protectionDis part cover endobags and retrieval pouches, port choice for extraction, gallbladder decompression, and wound protection to cut bile spill, stone loss, and port-site dirt.
Endobag sizes and deployment stepsGallbladder decompression before baggingPort choice for specimen extractionPreventing stone and bile spillageWound protection during extractionLesson 5Consumables and sterile supplies: trochar seals, insufflator tubing, CO2 canister handling, instrument tray disposables, and backup items to have on handDis part review key consumables for cholecystectomy, like trocar seals, insufflation tubing, CO₂ sources, light covers, tray disposables, plus backups and plans to avoid supply shortage during operation.
Trocar seals and reducer insertsInsufflation tubing and filtersCO₂ source checks and safetySterile tray liners and drapesBackup consumables and checklistsLesson 6Core trocar and access devices: types, sizes (5 mm, 10/11 mm), obturators, balloon and optical trocars, and insertion technique considerationsDis part review trocar types, sizes, obturators, and access options, focusing safe insertion, port position, and fix gas leaks for stable pneumoperitoneum and good instrument layout.
Bladed vs bladeless trocar designs5 mm versus 10–12 mm port selectionOptical trocar use and safety checksBalloon trocars and fixation methodsSafe primary and secondary port insertionLesson 7Dissectors and scissors: Maryland, Metzenbaum, ultrasonic and advanced energy scissors—indications and instrument handlingDis part detail laparoscopic dissectors and scissors, like Maryland, Metzenbaum, ultrasonic, wit focus on uses, grip, tip control, and use wit traction and countertraction.
Maryland dissector uses in Calot’s triangleMetzenbaum scissors for fine dissectionUltrasonic scissors setup and safetyHand positioning and tip controlCoordinating dissection with retractionLesson 8Electrosurgery accessories and energy devices: laparoscopic bipolar forceps, monopolar hooks, vessel sealing devices, and safe cable routingDis part cover monopolar and bipolar instruments, vessel sealers, generator settings, and safe cable routing, wit plans to stop burns, insulation fail, and stray energy injuries.
Monopolar hook setup and testingBipolar forceps indications and limitsVessel sealing device selectionGenerator modes and power settingsSafe cable routing and insulation checksLesson 9Graspers and retractors: fenestrated, atraumatic, Babcock equivalents, and their specific uses during gallbladder retractionDis part detail atraumatic graspers and retractors for gallbladder, including fenestrated and Babcock jaws, focusing safe traction, expose Calot’s triangle, and avoid organ injury.
Fenestrated atraumatic grasper usesBabcock-style graspers for fundusInfundibulum grasping and tractionDynamic retraction for exposureAvoiding gallbladder wall injuryLesson 10Laparoscopes and camera accessories: scopes, camera head checks, cleaning, anti-fog agents, and lens warming optionsDis part explain laparoscope types, camera head checks, white balance, cable management, plus cleaning, anti-fog, lens warming to keep clear images all through cholecystectomy.
0° vs 30° laparoscope selectionCamera head connection and focus testsWhite balance and color adjustmentLens cleaning and anti-fog techniquesCable routing and strain relief
