Tuesday, January 3, 2017

Thoracic Surgery segmental resection lung

Segmental Resection of the Lung
Objective
In cases of benign or malignant disease of lungs:
•   Excision of anatomic subdivisions of the pulmonary lobes bearing the tumor.
Position
Lateral (diseased side up).
Anesthesia
General.
Procedure
   1.  Posteriolateral incision.
   2.  Diseased segment is identified.
   3.  The visceral pleura is dissected free from blood vessels and bronchi of the appropriate bronchiopulmonary segment.
   4.  Segmental pulmonary vein and segmental branches of the pulmonary artery are ligated.
   5.  The segmental bronchus is isolated, doubly clamped, and transsected.
   6.  Bronchial stump is sutured or stapled.
   7.  Pleural space is irrigated.
   8.  Hemostasis is achieved.
   9.  Chest tube is inserted.
10.  Wound is closed in layers.
11.  Chest tube is connected to a sealed drainage unit.
Instruments
•   Major procedures tray 
•   Thoracotomy tray 
•   Vascular procedures tray 
•   Hemoclip appliers, assorted sizes, long handled 
•   Long Pean clamps 
•   Stapling devices 
•   Cushing vein retractors 
•   Basin set 
•   Suction tubing 
•   Blades (3) No. 10, (1) No. 15 
•   Dissectors
•   Asepto syringes (2) 
•   Staples
•   Hemoclips
•   Vessel loops, umbilical tapes 
•   Chest drainage tube(s) 
•   Connector for example, straight or large Y 
•   Sealed drainage unit.


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