Unlocking the potential of robotic-assisted bronchoscopy: overcoming challenging anatomy and locations.

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Wissam Abouzgheib, Christopher Ambrogi, Michele Chai
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引用次数: 0

Abstract

Robotic-assisted bronchoscopy (RAB) was recently added to the armamentarium of tools used in sampling peripheral lung nodules. Protocols and guidelines have since been published advocating use of large oral artificial airways, use of confirmatory technologies such as radial endobronchial ultrasound (R-EBUS), and preferably limiting sampling to pulmonary parenchymal lesions. We present three clinical cases where RAB was used unconventionally to sample pulmonary nodules in unusual locations and in patients with challenging airway anatomy. In case 1, we introduced the ion catheter through a nasal airway in a patient with trismus. In case 2, we established a diagnosis by sampling a station 5 lymph node, and in case 3, we sampled a lesion located behind an airway stump from previous thoracic surgery. All three patients would have presented significant challenges for alternative biopsy modalities such as CT-guided needle biopsy or video-assisted thoracic surgery.

释放机器人辅助支气管镜的潜能:克服具有挑战性的解剖和位置。
最近,机器人辅助支气管镜(RAB)被添加到用于外周肺结节取样的工具中。此后发布的规程和指南提倡使用大型口腔人工气道、使用径向支气管内超声(R-EBUS)等确诊技术,以及最好将取样范围限制在肺实质病变上。我们介绍了三个临床病例,在这些病例中,我们以非传统方式使用 RAB 对不寻常位置的肺结节进行取样,并对气道解剖结构具有挑战性的患者进行取样。在病例 1 中,我们通过鼻腔气道将离子导管引入一名患有三叉神经痛的患者体内。在病例 2 中,我们通过采样第 5 站淋巴结确定了诊断;在病例 3 中,我们采样了位于之前胸腔手术气道残端后方的病灶。这三位患者都面临着其他活检方式的巨大挑战,如 CT 引导下的针刺活检或视频辅助胸腔手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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