Ion robotic bronchoscopy laser ablation and Da Vinci robotic segmentectomy for bilateral pulmonary nodules: a case report.

IF 4 2区 医学 Q2 ONCOLOGY
Translational lung cancer research Pub Date : 2025-02-28 Epub Date: 2025-02-27 DOI:10.21037/tlcr-24-922
Teng Sun, Yong Ge, Zhiqiao Chen, Tianyue Ma, Shoujie Feng, Hao Zhang
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引用次数: 0

Abstract

Background: The treatment strategy of multiple pulmonary nodules presents significant challenges in thoracic surgery, particularly regarding precise diagnosis and treatment. The integration of emerging technologies for concurrent hybrid diagnostic and therapeutic approaches represents a potential breakthrough. The purpose of this study is to provide a new paradigm for the synchronous mixed treatment of multiple pulmonary nodules.

Case description: A 34-year-old female patient was initially diagnosed with multiple pulmonary nodules in August 2023 and has been undergoing regular follow-up since then. A computed tomography (CT) in September 2024 showed a mixed ground-glass nodule (mGGN) in the dorsal segment (S6) of the left lower lobe of the lung, measuring approximately 11 mm × 7 mm, indicating a high risk of malignancy; and a ground-glass opacity (GGO) measuring 5 mm × 4 mm between the dorsal segment and anterior basal segment (S6 and S8) of the right lower lobe, with both nodules showing enlargement compared to a year ago. A simultaneous bilateral lung surgery is planned. The Ion robotic system was utilized to navigate precisely to the lesion along the B6b bronchus of the right lower lobe, where the lung nodule was ablated with a laser. Subsequently, the Da Vinci robotic system used to assist in the precise resection of the S6. Pathology on the left showed adenocarcinoma; a CT one week postoperatively showed a 1 cm patchy shadow with a cavity on the right.

Conclusions: This report presents the first surgical technique for ion robotic-assisted laser ablation and dual-robot collaborative surgery, offering a novel strategy for the integration of airway diagnostic and therapeutic interventions.

离子机器人支气管镜激光消融与达芬奇机器人肺段切除术治疗双侧肺结节1例报告。
背景:胸外科多发肺结节的治疗策略面临着重大挑战,特别是在精确诊断和治疗方面。将新兴技术整合为并发混合诊断和治疗方法代表了一个潜在的突破。本研究的目的是为多发性肺结节的同步混合治疗提供一个新的范例。病例描述:一名34岁的女性患者于2023年8月首次被诊断为多发性肺结节,此后一直接受定期随访。2024年9月CT示左肺下叶背段(S6)一混合性磨玻璃结节(mGGN),尺寸约11 mm × 7 mm,提示恶性肿瘤高风险;右下叶背段和前基段(S6和S8)之间有5毫米× 4毫米的磨玻璃不透明(GGO),两个结节均比一年前增大。计划同时进行双侧肺手术。利用Ion机器人系统沿着右下叶的B6b支气管精确导航到病变处,在那里用激光消融肺结节。随后,达芬奇机器人系统用于协助精确切除S6。左侧病理示腺癌;术后1周CT示右侧1 cm斑片状影伴空洞。结论:本报告首次提出了离子机器人辅助激光消融和双机器人协同手术的手术技术,为气道诊断和治疗干预的整合提供了一种新的策略。
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
2.50%
发文量
137
期刊介绍: Translational Lung Cancer Research(TLCR, Transl Lung Cancer Res, Print ISSN 2218-6751; Online ISSN 2226-4477) is an international, peer-reviewed, open-access journal, which was founded in March 2012. TLCR is indexed by PubMed/PubMed Central and the Chemical Abstracts Service (CAS) Databases. It is published quarterly the first year, and published bimonthly since February 2013. It provides practical up-to-date information on prevention, early detection, diagnosis, and treatment of lung cancer. Specific areas of its interest include, but not limited to, multimodality therapy, markers, imaging, tumor biology, pathology, chemoprevention, and technical advances related to lung cancer.
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