CHEST 2023 On Demand Pass-Robotic Revolution: The Changing Landscape of Bronchoscopy

Video Transcription

Video Summary

In this video transcript, four different studies on robotic-assisted bronchoscopy are presented. The first study by Deep Sharma focuses on the accuracy of diagnosing lung nodules through biopsy. The study found that while screening programs for lung cancer are growing, the diagnostic yield of traditional fiber optic bronchoscopy remains suboptimal. The study evaluated the use of different technologies such as robotics and cone beam CT to improve diagnostic yield and found that the use of shape sensing robotic navigation with cone beam CT improved the accuracy of diagnosis for smaller nodules. The second study by Alejandra Yulí Mateos compares cryobiopsy to fine needle aspiration for the diagnosis of peripheral pulmonary nodules. Cryobiopsy uses frozen nitrous oxide for tissue sampling and the study found that using the 1.1 millimeter cryoprobe and robotic-assisted bronchoscopy resulted in a significantly higher diagnostic yield. The third study by Pandit Patel compares CT-guided trans thoracic needle aspiration to cone beam CT-guided bronchoscopy for the diagnosis of peripheral pulmonary lesions. The study found that there was no significant difference in diagnostic accuracy between the two techniques, but cone beam CT-guided bronchoscopy had a better safety profile with lower complication rates. The fourth study by David Wiese explores the potential of accessing aerodigestive pulmonary lymph nodes through robotic-assisted bronchoscopy. The study found that with the use of robotic-assisted bronchoscopy, previously inaccessible lymph nodes, such as those in stations 5 and 6, can be reached with improved accuracy and stability. The study demonstrated that this new technique could change the characteristics of lesions targeted for sampling. In summary, these studies highlight the potential of robotic-assisted bronchoscopy in improving the accuracy of diagnosing lung nodules and accessing previously difficult-to-reach lymph nodes.

Meta Tag

Category Procedures

Session ID 4030

Speaker James Dugan

Speaker Deborah Mi

Speaker Pranjal Patel

Speaker Deepankar Sharma

Speaker David Wisa

Speaker Alejandra Yu Lee Mateus

Track Procedures

Keywords

robotic-assisted bronchoscopy

diagnosing lung nodules

biopsy accuracy

cone beam CT

cryobiopsy

fine needle aspiration

CT-guided bronchoscopy