When performing complex lung operations a plan for PA control is critical These bulldog clamps by Scanlan International (I have no COI) are a must have available for every robotic lung case. Extrapericardial proximal PA control on the left & distal PA control at interlobar PA:

@Asiritrauma1 @ScanlanInc Wonderful !!!

@ScanlanInc I have the bulldog clamps in the chest for my robo first rib resections, thankfully haven’t need them. Have you found that a tightened vessel loop is not enough for PA control? Do you always clamp if a tough case?

@ScanlanInc Yes, the vessel alone is often not enough. I do not always clamp, in fact rarely do. However, if I have concern for PA involvement, I will double loop the proximal PA and be ready to clamp