Robotic Bronchoscopy for Diagnosis of Suspected Lung Cancer: A Feasibility Study

Journal of Bronchology & Interventional Pulmonology
José R Rojas-SolanoMichael Machuzak

Abstract

Robotic bronchoscopy may offer alternative approaches to address limitations of current bronchoscopic techniques for biopsy of suspected peripheral lung lesions. This study sought to evaluate complications and feasibility of robotic bronchoscopy performed with the Robotic Endoscopy System (RES). Adult patients from a single institution underwent bronchoscopy of suspected lesions with a bronchus sign with the RES. The primary outcome was complication rate, as assessed by the incidence of related serious adverse events (SAE). The secondary outcome was technical feasibility. Data are presented as median (range), counts, and percentage. P-value was calculated using the Mann-Whitney U test. Of 17 screened patients, 15 were eligible. The median age was 67 (38 to 79) years. The lesions (12 peripheral and 3 central) were located in the right lower lobe (33%), right upper lobe (27%), left upper lobe (27%), and left lower lobe (13%). No SAE, including pneumothorax and significant bleeding, occurred. Biopsy samples were obtained from 93% of patients. One sampling (right upper lobe) required conventional bronchoscopy and another required surgery to confirm malignancy. Cancer was confirmed in 60% (9/15) of patients. Benign features were fou...Continue Reading

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Citations

Feb 28, 2020·Respirology : Official Journal of the Asian Pacific Society of Respirology·David Fielding, Masahide Oki
May 31, 2019·Annals of the American Thoracic Society·Majid ShafiqDavid Feller-Kopman
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Methods Mentioned

BETA
biopsy
biopsies
surgical resection

Software Mentioned

Excel
JMP

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