Cargando…

The Use of Robotic-Assisted Bronchoscopy in the Diagnostic Evaluation of Peripheral Pulmonary Lesions: A Paradigm Shift

Despite recent developments, evaluation of peripheral pulmonary lesions (PPL) remains clinically challenging, and the diagnostic yield of many image-guided and bronchoscopy methods is still poor. Furthermore, complications from such procedures, such as pneumothorax and airway hemorrhage, are a major...

Descripción completa

Detalles Bibliográficos
Autores principales: Hammad Altaq, Hiba, Parmar, Miloni, Syed Hussain, Talal, Salim, Daouk J., Chaudry, Fawad A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10046947/
https://www.ncbi.nlm.nih.gov/pubmed/36980358
http://dx.doi.org/10.3390/diagnostics13061049
_version_ 1785013799477051392
author Hammad Altaq, Hiba
Parmar, Miloni
Syed Hussain, Talal
Salim, Daouk J.
Chaudry, Fawad A.
author_facet Hammad Altaq, Hiba
Parmar, Miloni
Syed Hussain, Talal
Salim, Daouk J.
Chaudry, Fawad A.
author_sort Hammad Altaq, Hiba
collection PubMed
description Despite recent developments, evaluation of peripheral pulmonary lesions (PPL) remains clinically challenging, and the diagnostic yield of many image-guided and bronchoscopy methods is still poor. Furthermore, complications from such procedures, such as pneumothorax and airway hemorrhage, are a major concern. Recently launched robotic-assisted bronchoscopy (RAB) platforms are still in the early exploration stage and may provide another tool for achieving PPL evaluation. We present our experience here as a retrospective cohort study describing the 12-month diagnostic yield with the shape-sensing Ion™ platform for minimally invasive peripheral lung biopsy. The study describes forty-two patients undergoing shape sensing robotic-assisted bronchoscopy (ssRAB) at our institute. The early performance trend reveals a lesion localization of 100% and an overall 12-month diagnostic yield of 88.10%. The diagnostic yield for lesions less than 20 mm was 76% and for lesions greater than 20 mm was 100%. We also report our complication profile; we noted no pneumothoraces, excessive bleeding, or post-operative complications. In comparison to traditional bronchoscopy and image-guided modalities, our experience shows that ssRAB can be utilized successfully to travel to extremely small peripheral lesions with a higher diagnostic yield and better safety profile.
format Online
Article
Text
id pubmed-10046947
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100469472023-03-29 The Use of Robotic-Assisted Bronchoscopy in the Diagnostic Evaluation of Peripheral Pulmonary Lesions: A Paradigm Shift Hammad Altaq, Hiba Parmar, Miloni Syed Hussain, Talal Salim, Daouk J. Chaudry, Fawad A. Diagnostics (Basel) Article Despite recent developments, evaluation of peripheral pulmonary lesions (PPL) remains clinically challenging, and the diagnostic yield of many image-guided and bronchoscopy methods is still poor. Furthermore, complications from such procedures, such as pneumothorax and airway hemorrhage, are a major concern. Recently launched robotic-assisted bronchoscopy (RAB) platforms are still in the early exploration stage and may provide another tool for achieving PPL evaluation. We present our experience here as a retrospective cohort study describing the 12-month diagnostic yield with the shape-sensing Ion™ platform for minimally invasive peripheral lung biopsy. The study describes forty-two patients undergoing shape sensing robotic-assisted bronchoscopy (ssRAB) at our institute. The early performance trend reveals a lesion localization of 100% and an overall 12-month diagnostic yield of 88.10%. The diagnostic yield for lesions less than 20 mm was 76% and for lesions greater than 20 mm was 100%. We also report our complication profile; we noted no pneumothoraces, excessive bleeding, or post-operative complications. In comparison to traditional bronchoscopy and image-guided modalities, our experience shows that ssRAB can be utilized successfully to travel to extremely small peripheral lesions with a higher diagnostic yield and better safety profile. MDPI 2023-03-09 /pmc/articles/PMC10046947/ /pubmed/36980358 http://dx.doi.org/10.3390/diagnostics13061049 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hammad Altaq, Hiba
Parmar, Miloni
Syed Hussain, Talal
Salim, Daouk J.
Chaudry, Fawad A.
The Use of Robotic-Assisted Bronchoscopy in the Diagnostic Evaluation of Peripheral Pulmonary Lesions: A Paradigm Shift
title The Use of Robotic-Assisted Bronchoscopy in the Diagnostic Evaluation of Peripheral Pulmonary Lesions: A Paradigm Shift
title_full The Use of Robotic-Assisted Bronchoscopy in the Diagnostic Evaluation of Peripheral Pulmonary Lesions: A Paradigm Shift
title_fullStr The Use of Robotic-Assisted Bronchoscopy in the Diagnostic Evaluation of Peripheral Pulmonary Lesions: A Paradigm Shift
title_full_unstemmed The Use of Robotic-Assisted Bronchoscopy in the Diagnostic Evaluation of Peripheral Pulmonary Lesions: A Paradigm Shift
title_short The Use of Robotic-Assisted Bronchoscopy in the Diagnostic Evaluation of Peripheral Pulmonary Lesions: A Paradigm Shift
title_sort use of robotic-assisted bronchoscopy in the diagnostic evaluation of peripheral pulmonary lesions: a paradigm shift
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10046947/
https://www.ncbi.nlm.nih.gov/pubmed/36980358
http://dx.doi.org/10.3390/diagnostics13061049
work_keys_str_mv AT hammadaltaqhiba theuseofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT parmarmiloni theuseofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT syedhussaintalal theuseofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT salimdaoukj theuseofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT chaudryfawada theuseofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT hammadaltaqhiba useofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT parmarmiloni useofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT syedhussaintalal useofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT salimdaoukj useofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift
AT chaudryfawada useofroboticassistedbronchoscopyinthediagnosticevaluationofperipheralpulmonarylesionsaparadigmshift