Mayo stand and back table instruments for Open Lobectomy surgery setupClamping & Occluding

Allis Forceps

Curved Hemostat

Debakey Peripheral Vascular Clamp

Gemini Mixter Artery Clamp

Rummel Thoracic Artery Forcep

Stille Vessel Clamp
Cutting & Dissecting
Grasping & Holding

Adson Forceps

Collins Duval Forceps

Debakey Forcep

Forester Sponge Forceps

Kantrowitz Forceps

Potts-Smith Forceps

Vanderbilt Deep Vessel Forceps
Misc
Retracting & Exposing

Adson Periosteal Elevator

Burford Rib Spreader

Davidson Scapula Retractor

Doyen Retractor

Finochietto Rib Retractor

Harken Rib Retractor

Ribbon retractor

Richardson Retractor
Suctioning
Suturing & Stapling
What to expect during Open Lobectomy

Allis Forceps

Curved Hemostat

Debakey Peripheral Vascular Clamp

Gemini Mixter Artery Clamp

Rummel Thoracic Artery Forcep

Stille Vessel Clamp

Adson Forceps

Collins Duval Forceps

Debakey Forcep

Forester Sponge Forceps

Kantrowitz Forceps

Potts-Smith Forceps

Vanderbilt Deep Vessel Forceps

Adson Periosteal Elevator

Burford Rib Spreader

Davidson Scapula Retractor

Doyen Retractor

Finochietto Rib Retractor

Harken Rib Retractor

Ribbon retractor

Richardson Retractor
The most popular approach for Open Lobectomies is the anterior approach. Dissection will occur from anterior to posterior, all in one direction.
An incision will be made halfway between the back of the scapula and the spinal processes. The surgeon will dissect the tissue down and insert their choice of rib spreader for retraction for the remainder of the case until closure. This case involved a lot of dissection, gradually using longer instruments since they are going deeper into a cavity.
The surgeon will dissect around the hilum of the lung to free up the pleura, so that underlying structures can be identified and divided.
The inferior pulmonary ligament is often taken down. This will allow the lower lobe to expand.
Various staplers will be used to remove all of these ligaments and lobes.
The bronchus will eventually be stapled and removed. Lymph nodes may also be removed depending on the reason for the surgery.
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