Procedural times with robotic-assisted bronchoscopy: a high volume single-center study.

IF 3.3 3区医学 Q2 RESPIRATORY SYSTEM

Therapeutic Advances in Respiratory Disease Pub Date : 2024-01-01 DOI:10.1177/17534666241277668

Kim Styrvoky, Audra Schwalk, David Pham, Kristine Madsen, Hsienchang Chiu, Muhanned Abu-Hijleh

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Abstract

Background: Incidental and screen-detected pulmonary nodules are common. The increasing capabilities of advanced diagnostic bronchoscopy will increase bronchoscopists' procedural volume necessitating optimization of procedural scheduling and workflow.

Objectives: The objectives of this study were to determine total time in the procedure room, total bronchoscopy procedure time, and robotic-assisted bronchoscopy procedure time longitudinally and per specific procedure performed.

Design: A single-center observational study of all consecutive patients undergoing shape-sensing robotic-assisted bronchoscopy (RAB) biopsy procedures for the evaluation of pulmonary lesions with variable probability for malignancy.

Methods: Chart review to collect patient demographics, lesion characteristics, and procedural specifics. Descriptive and comparative statistics are reported.

Results: Actual bronchoscopy procedure time may decrease with increased institutional experience over time, however, there is limited ability to reduce non-bronchoscopy related time within the procedure room. The use of cone beam computed tomography (CBCT), rapid on-site evaluation (ROSE), and performance of staging endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) in a single procedure are each associated with additional time requirements.

Conclusion: Institutional procedural block times should adapt to the nature of advanced diagnostic bronchoscopy procedures to allow for the accommodation of new modalities such as RAB combined with other technologies including radial endobronchial ultrasound, CBCT, ROSE, and staging linear EBUS. Identifying institutional median procedural times may assist in scheduling and ideal block time utilization.

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机器人辅助支气管镜手术时间：一项高容量单中心研究。

背景：偶然和筛查发现的肺结节很常见。先进的支气管镜诊断能力不断提高，支气管镜医师的手术量也会随之增加，因此有必要优化手术安排和工作流程：本研究的目的是确定手术室总时间、支气管镜检查总时间以及机器人辅助支气管镜检查纵向和每项具体手术的时间：对所有连续接受形状传感机器人辅助支气管镜（RAB）活检手术的患者进行单中心观察研究，以评估肺部恶性病变的可能性：方法：通过病历审查收集患者的人口统计学特征、病变特征和手术细节。报告了描述性和比较性统计结果：结果：随着时间的推移，机构经验的增加，实际支气管镜检查时间可能会减少，但是，减少手术室内与支气管镜检查无关的时间的能力有限。使用锥形束计算机断层扫描（CBCT）、快速现场评估（ROSE）以及在单次手术中进行分期支气管内超声经支气管针吸术（EBUS-TBNA）都需要额外的时间：结论：医疗机构的手术时间应适应高级诊断支气管镜手术的性质，以适应新的模式，如 RAB 与其他技术（包括径向支气管内超声、CBCT、ROSE 和分期线性 EBUS）的结合。确定机构程序时间的中位数可能有助于安排和理想的区块时间利用。

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

Therapeutic Advances in Respiratory Disease RESPIRATORY SYSTEM-

CiteScore

6.90

自引率

0.00%

发文量

审稿时长

15 weeks

期刊介绍： Therapeutic Advances in Respiratory Disease delivers the highest quality peer-reviewed articles, reviews, and scholarly comment on pioneering efforts and innovative studies across all areas of respiratory disease.