,

Open Lobectomy mayo stand and back table surgery setup

Diana Lei-aloha Avatar

setup author

Open Lobectomy surgery instruments

Clamping & Occluding instruments

Rummel Thoracic Artery Forcep
Rummel Thoracic Artery Forcep
Stille Vessel Clamp
Stille Vessel Clamp
Debakey Peripheral Vascular Clamp
Debakey Peripheral Vascular Clamp
Curved Hemostat
Curved Hemostat
Gemini Mixter Artery Clamp
Gemini Mixter Artery Clamp
Allis Forceps
Allis Forceps

Cutting & Dissecting instruments

#3 Knife Handle
#3 Knife Handle
Jorgensen Thoracic Scissor
Jorgensen Thoracic Scissor
Metzenbaum Scissor
Metzenbaum Scissor
Straight Mayo Scissor
Straight Mayo Scissor

Grasping & Holding instruments

Debakey Forcep
Debakey Forcep
Vanderbilt Deep Vessel Forceps
Vanderbilt Deep Vessel Forceps
Adson Forceps
Adson Forceps
Potts-Smith Forceps
Potts-Smith Forceps
Kantrowitz Forceps
Kantrowitz Forceps
Forester Sponge Forceps
Forester Sponge Forceps
Collins Duval Forceps
Collins Duval Forceps

Misc instruments

Doyen Rasparatory
Doyen Rasparatory

Retracting & Exposing instruments

Adson Periosteal Elevator
Adson Periosteal Elevator
Doyen Retractor
Doyen Retractor
Richardson Retractor
Richardson Retractor
Ribbon retractor
Ribbon retractor
Harken Rib Retractor
Harken Rib Retractor
Finochietto Rib Retractor
Finochietto Rib Retractor
Davidson Scapula Retractor
Davidson Scapula Retractor
Burford Rib Spreader
Burford Rib Spreader

Suctioning instruments

Yankauer Suction
Yankauer Suction

Suturing & Stapling instruments

Ryder Needle Holder
Ryder Needle Holder
Crile Wood Needle Holder
Crile Wood Needle Holder
Mayo-Hegar Needle Holder
Mayo-Hegar Needle Holder

What to expect during Open Lobectomy

Open lobectomy is a surgical procedure that involves removing a section of one of the lobes of the lung. It is often performed to treat lung cancer or other conditions that affect the lungs, such as chronic obstructive pulmonary disease (COPD). During the procedure, the surgeon makes a large incision in the patient’s chest and uses specialized tools to remove the affected lobe. Open lobectomy is a major surgery that requires general anesthesia and a hospital stay of several days. However, it can be an effective treatment option for those with serious lung conditions.

The most popular approach for Open Lobectomies is the anterior approach. Dissection will occur from anterior to posterior, all in one direction.

Step 1: Incision and Rib Spreader Insertion
The first step in an Open Lobectomy is making an incision halfway between the back of the scapula and the spinal processes. This incision will provide access to the thoracic cavity. Once the incision is made, the surgeon will dissect the tissue down and insert a rib spreader of their choice for retraction throughout the remainder of the case until closure. This allows for better visualization of the surgical site and facilitates the dissection process.

Step 2: Dissection from Anterior to Posterior
After the rib spreader is in place, the surgeon will start the dissection from anterior to posterior, all in one direction. The goal is to carefully dissect around the hilum of the lung to free up the pleura, so that underlying structures can be identified and divided. This involves the use of various instruments such as dissectors, scissors, and electrocautery to carefully separate the tissues and expose the targeted structures.

Step 3: Ligament Dissection and Removal
During the dissection, the surgeon will encounter ligaments, such as the inferior pulmonary ligament, which may need to be taken down. This allows the lower lobe of the lung to expand and facilitates the removal of the targeted lobes. Various staplers, such as linear cutters or stapling devices, may be used to remove these ligaments and lobes. The choice of stapler will depend on the surgeon’s preference and the specific anatomy of the patient.

Step 4: Bronchus Stapling and Lymph Node Removal
As the dissection progresses, the bronchus of the targeted lobe will eventually be exposed and identified. The surgeon will then use a stapling device to carefully staple and remove the bronchus. This is a critical step in the lobectomy procedure, as it involves the complete removal of the targeted lobe. In addition, depending on the reason for the surgery, lymph nodes in the area may also need to be removed for further evaluation. This can be done using various instruments such as lymph node forceps or dissectors.

Tips and tricks
Throughout the procedure, the surgeon may need to gradually switch to longer instruments as they go deeper into the thoracic cavity. This allows for better access and manipulation of the tissues during the dissection process. The choice of instruments will depend on the surgeon’s preference and the specific needs of the case.

The Surgery Sparknotes

  1. Make incision and insert rib spreader for retraction.
  2. Dissect from anterior to posterior to free up pleura and identify/divide structures.
  3. Take down ligaments using staplers.
  4. Staple and remove bronchus, consider lymph node removal.

💰 We’re paying for your setup pictures!

Our surgical setup guides are meticulously crafted to provide you with all the essential instruments and detailed instructions necessary for a successful surgery. While this setup guide stands completed, a real-world photograph could add valuable context. If you have a setup photo of this surgery, consider sharing it with us. In return for contributing to the community’s resources, we’re offering $5 for any image set that gets featured on this setup.

Leave a Reply

Your email address will not be published. Required fields are marked *