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.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew

Thosewho follow may post contributions to the site,please writo tp address above.

To create consumer/provider enagement visit www.surginstruatlas.blogspot.co

www.drmmkapur.blogspot.com                 www.surgseminar.blogspot.com

Also available now on android & smartphones same internet addres