Open Lobectomy

Mayo stand and back table instruments for Open Lobectomy surgery setup

Clamping & Occluding

  • Allis Forceps

    Allis Forceps

  • Curved Hemostat

    Curved Hemostat

  • Debakey Peripheral Vascular Clamp

    Debakey Peripheral Vascular Clamp

  • Gemini Mixter Artery Clamp

    Gemini Mixter Artery Clamp

  • Rummel Thoracic Artery Forcep

    Rummel Thoracic Artery Forcep

  • Stille Vessel Clamp

    Stille Vessel Clamp

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Jorgensen Thoracic Scissor

    Jorgensen Thoracic Scissor

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Collins Duval Forceps

    Collins Duval Forceps

  • Debakey Forcep

    Debakey Forcep

  • Forester Sponge Forceps

    Forester Sponge Forceps

  • Kantrowitz Forceps

    Kantrowitz Forceps

  • Potts-Smith Forceps

    Potts-Smith Forceps

  • Vanderbilt Deep Vessel Forceps

    Vanderbilt Deep Vessel Forceps

Misc

  • Doyen Rasparatory

    Doyen Rasparatory

Retracting & Exposing

  • Adson Periosteal Elevator

    Adson Periosteal Elevator

  • Burford Rib Spreader

    Burford Rib Spreader

  • Davidson Scapula Retractor

    Davidson Scapula Retractor

  • Doyen Retractor

    Doyen Retractor

  • Finochietto Rib Retractor

    Finochietto Rib Retractor

  • Harken Rib Retractor

    Harken Rib Retractor

  • Ribbon retractor

    Ribbon retractor

  • Richardson Retractor

    Richardson Retractor

Suctioning

  • Yankauer Suction

    Yankauer Suction

Suturing & Stapling

  • Crile Wood Needle Holder

    Crile Wood Needle Holder

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

  • Ryder Needle Holder

    Ryder Needle Holder

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.

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