Mayo stand and back table instruments for Open Lobectomy surgery setup
Clamping & Occluding
Debakey Peripheral Vascular Clamp
Gemini Mixter Artery Clamp
Rummel Thoracic Artery Forcep
Stille Vessel Clamp
Cutting & Dissecting
Grasping & Holding
Collins Duval Forceps
Forester Sponge Forceps
Vanderbilt Deep Vessel Forceps
Retracting & Exposing
Adson Periosteal Elevator
Burford Rib Spreader
Davidson Scapula Retractor
Finochietto Rib Retractor
Harken Rib Retractor
Suturing & Stapling
What to expect during Open Lobectomy
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.