Robotic Endoscopic Airway Challenge: REACH Assessment

The Annals of Thoracic Surgery
Alexander C Chen, Colin T Gillespie

Abstract

Bronchoscopy for peripheral pulmonary lesions continues to present challenges to clinicians. One potential limitation may be the inability to advance conventional bronchoscopes into close proximity of peripheral lesions before biopsy. This study was performed to assess the reach of a robotic endoscopic system within human cadaveric lungs compared with conventional thin bronchoscopes. All segmental bronchi (RB1 to 10, LB1 to 10) were accessed in two human cadavers using a conventional thin bronchoscope and robotic endoscope of identical outer diameter. Bronchus generation count and insertion depth measured by electromagnetic navigation and external fluoroscopy were recorded. The robotic endoscope was advanced beyond the conventional thin bronchoscope in all segments, particularly in bronchi with increased angulation such as RB1 (mean generation count 8 versus 3.5, respectively) and LB1+2 (mean generation count 8 versus 4.5). The robotic endoscopic system was advanced beyond a conventional thin bronchoscope with identical outer diameter into the periphery of human cadaveric lungs. Improved reach within the lung periphery may address some limitations with contemporary bronchoscopic approaches for peripheral lesion biopsy.

Citations

Jul 20, 2019·Expert Review of Respiratory Medicine·Tsukasa IshiwataKazuhiro Yasufuku
Jul 11, 2019·International Journal of Computer Assisted Radiology and Surgery·Lenny DupourquéNobuhiko Hata
Feb 28, 2020·Respirology : Official Journal of the Asian Pacific Society of Respirology·David Fielding, Masahide Oki
May 27, 2020·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Stefania RizzoFrancesco Petrella
Feb 6, 2020·American Journal of Respiratory and Critical Care Medicine·Gerard J CrinerFelix J Herth
Nov 7, 2019·General Thoracic and Cardiovascular Surgery·Tsukasa IshiwataKazuhiro Yasufuku
Nov 13, 2020·Physics in Medicine and Biology·Saeedeh Navaei LavasaniAlireza Ahmadian
Nov 5, 2019·Chest·Momen M WahidiLonny Yarmus
Feb 6, 2020·Clinics in Chest Medicine·A Cole Burks, Jason Akulian
Jul 1, 2020·Thoracic Surgery Clinics·Hardeep S KalsiNeal Navani
Mar 24, 2021·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Juan A Muñoz-LargachaBenjamin Wei
Oct 17, 2020·The European Respiratory Journal·Susan FernandesKevin Dhaliwal
Aug 28, 2020·Seminars in Thoracic and Cardiovascular Surgery·Amie J KentStephanie H Chang
Apr 27, 2021·Expert Review of Respiratory Medicine·Satish KalanjeriJeremy C Johnson
May 12, 2021·Current Opinion in Pulmonary Medicine·Julie Lin, David E Ost
Dec 6, 2019·Respiration; International Review of Thoracic Diseases·Alexander C ChenGerard A Silvestri

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.