دورية أكاديمية
أعرض في EDS

Added Value of a Robotic-assisted Bronchoscopy Platform in Cone Beam Computed Tomography-guided Bronchoscopy for the Diagnosis of Pulmonary Parenchymal Lesions.

التفاصيل البيبلوغرافية
العنوان: Added Value of a Robotic-assisted Bronchoscopy Platform in Cone Beam Computed Tomography-guided Bronchoscopy for the Diagnosis of Pulmonary Parenchymal Lesions.
المؤلفون: Shaller BD; Division of Pulmonary, Allergy and Critical Care Medicine, Stanford University School of Medicine, Stanford, CA., Duong DK; Inova Interventional Pulmonology and Complex Airways Disease Program, Division of Thoracic Surgery, Inova Fairfax Medical Campus, Falls Church, VA., Swenson KE; Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Boston, MA., Free D; Department of Respiratory Care Services, Stanford Health Care, Stanford, CA., Bedi H; Division of Pulmonary, Allergy and Critical Care Medicine, Stanford University School of Medicine, Stanford, CA.
المصدر: Journal of bronchology & interventional pulmonology [J Bronchology Interv Pulmonol] 2024 Jun 27; Vol. 31 (3). Date of Electronic Publication: 2024 Jun 27 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health/Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101496866 Publication Model: eCollection Cited Medium: Internet ISSN: 1948-8270 (Electronic) Linking ISSN: 19488270 NLM ISO Abbreviation: J Bronchology Interv Pulmonol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Wolters Kluwer Health/Lippincott Williams & Wilkins
مواضيع طبية MeSH: Bronchoscopy*/methods , Cone-Beam Computed Tomography*/methods , Lung Neoplasms*/pathology , Lung Neoplasms*/diagnostic imaging, Humans ; Male ; Retrospective Studies ; Female ; Middle Aged ; Aged ; Adult ; Robotic Surgical Procedures/methods ; Aged, 80 and over ; Robotics/instrumentation ; Lung/diagnostic imaging ; Lung/pathology
مستخلص: Background: Cone beam computed tomography (CBCT)-guided bronchoscopic sampling of peripheral pulmonary lesions (PPLs) is associated with superior diagnostic outcomes. However, the added value of a robotic-assisted bronchoscopy platform in CBCT-guided diagnostic procedures is unknown.
Methods: We performed a retrospective review of 100 consecutive PPLs sampled using conventional flexible bronchoscopy under CBCT guidance (FB-CBCT) and 100 consecutive PPLs sampled using an electromagnetic navigation-guided robotic-assisted bronchoscopy platform under CBCT guidance (RB-CBCT). Patient demographics, PPL features, procedural characteristics, and procedural outcomes were compared between the 2 cohorts.
Results: Patient and PPL characteristics were similar between the FB-CBCT and RB-CBCT cohorts, and there were no significant differences in diagnostic yield (88% vs. 90% for RB-CBCT, P=0.822) or incidence of complications between the 2 groups. As compared with FB-CBCT cases, RB-CBCT cases were significantly shorter (median 58 min vs. 92 min, P<0.0001) and used significantly less diagnostic radiation (median dose area product 5114 µGy•m2 vs. 8755 µGy•m2, P<0.0001).
Conclusion: CBCT-guided bronchoscopy with or without a robotic-assisted bronchoscopy platform is a safe and effective method for sampling PPLs, although the integration of a robotic-assisted platform was associated with significantly shorter procedure times and significantly less radiation exposure.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20240702 Date Completed: 20240702 Latest Revision: 20240702
رمز التحديث: 20240703
DOI: 10.1097/LBR.0000000000000971
PMID: 38953732
قاعدة البيانات: MEDLINE
الوصف
تدمد:1948-8270
DOI:10.1097/LBR.0000000000000971