Thoracic Surgical Procedures

*With minimally invasive thoracotomies what muscles are always cut?* a. Latissimus dorsi b. Trapezii c. Intercostals d. Pectoralis

C. intercostal muscles

***What is a brconhoplasty/Sleeve resection?*** (have to know!)

Excision of a lobe and part of the main stem bronchus followed by anastomosis of the lower lobe to the proximal bronchus

*What is a tracheal resection?*

Excision of a portion of the trachea with end to end anastomosis of the remained trachea

*What is a metastasectomy?*

Excision of pulmonary metastases

*What is a bullae?*

Excision of the dominant bullae in patients with significant emphysema with the goal to allow the expansion and recruitment of better functioning lung tissue, and to reduce intrathoracic lung volumes.

*What is a decortication?*

Excision of the parietal pleura and residual clot and/or organizing scar tissue that forms after empyema

*What nerve is frequently cut out in posterolateral thoracotomy?*

Long thoracic nerve **watch for scapular winging!**

*What complication arises after lung transplants?*

Loss of cough reflex until the lung is half inflated sec. to lungs becoming denervated :(

*What is removed from the donor for a lung transplant?*

Lung and posterior wall of the left atrium

*Pulmonary surgical procedures are named for what?* *After procedures, all patients will require?*

Named for the portion of the lung *removed* Chest tubes to drain fluid or air

*What ROM do PTs want to perform with patients after a posterolateral thoracotomy?* *What side do these patients lean to?*

PROM and AAROM to *ipsilateral* UE Lean to side of the incision

**What ROM do PTs want to perform with patients after an anterolateral thoracotomy?*

PROM to *ipsilateral* UE

*What thoracic approach is most common for lung resection?* *What is most common cardiac procedure?*

Posterolateral and lateral thoracotomy Median sternotomy

*What is an open lung biopsy?*

Pulmonary tissue samples are obtained through exploratory thoracotomy to diagnose pulmonary disease

***What is a wedge resection?*** (have to know!)

Removal of small localized lesion

***What is a bilobectomy?*** (have to know!)

Removal of the middle lobe, along with an upper or lower lobe on the right side

***What is a segmentectomy?*** (have to know!)

Resection of a bronchopulmonary segment

***What is a lobectomy?*** (have to know!)

Resection of an entire lobe

***What is a pneumonectomy?*** (have to know!)

Resection of an entire lung

*What is pleurectomy?* (2 dif methods)

Stripping away and removal of the parietal pleura from the chest wall to obliterate the pleura space to prevent reaccumulation of air or fluid OR by injecting a sclerosis agent into the pleural space

*What surgical procedure do doctors use for a lung transplant?*

Use single posterolateral thoracotomy

*UE ROM post median sternotomy is:* a. bilateral b. unilateral

a. bilateral