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ssss1 An example of a laparoscopic instrument pack in its tray for sterilization and storage.

Source: Photo courtesy of Dr. Philipp Mayhew.

A basic starting laparoscopic instrument pack for a beginning endoscopic surgeon using multiple‐port approach should include a 5‐mm, 0° telescope or a 10‐mm, 0° telescope; a light cable; insufflator tubing; an endoscopic video camera; a Veress needle (if desired entry technique); three 5‐mm cannulas with two sharp‐tipped trocars and one blunt‐tipped trocar; one to two 10‐mm cannulas with one sharp and one blunt trocar (to accommodate a 10‐mm telescope, instruments, or energy devices); two reducer caps; 10‐mm double‐action Babcock or Duval grasping forceps; a 5‐mm double‐ or single‐action Babcock forceps; two 5‐mm curved Kelly or Maryland grasping‐dissecting forceps; 5‐mm Metzenbaum dissecting scissors; 5‐mm cup biopsy forceps with or without spikes; 5‐mm punch biopsy forceps; a‐5 mm palpation probe; and an ovariectomy hook.

For more advanced surgeons, this basic pack may be expanded to include right‐angle dissecting forceps; additional graspers such as atraumatic tissue graspers, bullet‐nosed graspers, or bowel graspers; needle holders (straight or curved); additional suturing equipment such as a knot pusher or Suture Assistant; hook scissors; a suction and lavage device; a fan retractor; a 5‐mm, 30° telescope; bipolar electrosurgical instrumentation; mini‐laparoscopic telescopes and instrumentation; and single‐port access cannulas with either articulating or roticulating instruments.