Requirements
- Double lumen ETT (allows selective collapse of lung)
Pneumonectomy
Lobectomy
- Right/left posterio-lateral thoracotomy
- Spread ribs
- Get anaesthetist to collapse one side of lungs
- Enter pleural cavity
- Define anatomy (dissect through fissues) to hilum
- Dissect vein (superior), artery (inferior) and bronchus (posterior)
- Ligate all three
- Divide lung
- Check for air leak (fill cavity with water and ask anaesthetis to blow on lung)
- Insert apical chest drain
- Close