Mayo stand and back table instruments for Open Lobectomy surgery setup

Clamping & Occluding

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  Allis Forceps

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  Curved Hemostat

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  Debakey Peripheral Vascular Clamp

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  Gemini Mixter Artery Clamp

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  Rummel Thoracic Artery Forcep

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  Stille Vessel Clamp

Cutting & Dissecting

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  #3 Knife Handle

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  Jorgensen Thoracic Scissor

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  Metzenbaum Scissor

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  Straight Mayo Scissor

Grasping & Holding

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  Adson Forceps

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  Collins Duval Forceps

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  Debakey Forcep

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  Forester Sponge Forceps

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  Kantrowitz Forceps

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  Potts-Smith Forceps

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  Vanderbilt Deep Vessel Forceps

Misc

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  Doyen Rasparatory

Retracting & Exposing

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  Adson Periosteal Elevator

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  Burford Rib Spreader

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  Davidson Scapula Retractor

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  Doyen Retractor

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  Finochietto Rib Retractor

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  Harken Rib Retractor

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  Ribbon retractor

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  Richardson Retractor

Suctioning

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  Yankauer Suction

Suturing & Stapling

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  Crile Wood Needle Holder

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  Mayo-Hegar Needle Holder

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  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.