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Robotic-assisted bronchoscopy in the diagnosis of peripheral pulmonary lesions

Chinese Medical Journal Pulmonary and Critical Care Medicine 2023年第1期1卷 30-35页

作者： Fangfang Xie ajay wagh Ruolan Wu DKyle Hogarth Jiayuan Sun Department of Respiratory Endoscopy Shanghai Chest HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200030China Department of Respiratory and Critical Care Medicine Shanghai Chest HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghai 200030China Shanghai Engineering Research Center of Respiratory Endoscopy Shanghai 200030China Department of Medicine Section of Pulmonary and Critical Care MedicineUniversity of ChicagoChicagoIL 60637USA Shanghai Jiao Tong University School of Medicine Shanghai 200001China

More peripheral pulmonary lesions(PPLs)are detected by low-dose helical computed tomography(CT)either in-cidentally or via dedicated lung cancer screening ***,using methods for safe and accurate diagnosis of these lesions has become increasingly *** needle aspiration(TTNA)and transbronchial lung biopsy(TBLB)are routinely performed during the diagnostic workup for ***,TTNA often car-ries the risk of pneumothorax,uncontrollable airway hemorrhage,and does not allow mediastinal staging in one *** contrast,traditional TBLB often has a poorer diagnostic yield despite fewer *** the ongoing development of technology applied to bronchoscopy,guided bronchoscopy has become widely used and the diagnostic yield of TBLB has ***,guided bronchoscopy continues to demonstrate a better safety profile than *** recent years,robotic-assisted bronchoscopy(RAB)has been introduced and imple-mented in the diagnosis of *** present,RAB has two platforms that are commercially available:Monarch TM and Ion TM;several other platforms are under *** systems differ in characteristics,advantages,and limitations and offer features not seen in previous guided *** studies,including cadaveric model studies and clinical trials,have been conducted to examine the feasibility and performance of RAB using these two systems;large multicenter studies are *** this review,published experimental results,focus-ing on diagnostic yield and complications of RAB,are analyzed and the potential clinical application of RAB is discussed,which will enable the operators to have a clear overview of RAB.

关键词： Robotic-assisted bronchoscopy Guided bronchoscopy Lung cancer Peripheral pulmonary lesions Diagnosis

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Bronchoscopic management of persistent air leaks

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中华胸部外科电子杂志 2021年第2期8卷 89-94页

作者： Elliot Ho Joslyn Vo ajay wagh Douglas Kyle Hogarth Section of Pulmonary and Critical Care Medicine/Interventional Pulmonology Department of MedicineThe University of ChicagoChicagoILUSA Section of Pulmonary and Critical Care Medicine Department of MedicineLoma Linda UniversityLoma LindaCAUSA

Air leaks can occur as a complication of thoracic surgery,bronchoscopic procedures,or from barotrauma due to mechanical *** air leaks defined as air leaks that last longer than 5–7 days are often associated with prolonged hospital stay,higher rates of intensive care unit admission,and a significant source of morbidity and *** repair of persistent air leaks via thoracotomy or videoassisted thorascopic surgery generally has excellent ***,for patients with severe hypoxemia,poor functional status,or significant comorbidities,surgical repair may not be *** use of bronchoscopic interventions such as the delivery of coils,covered airway stents,endobronchial valves,biological sealants,and other devices to safely and effectively manage persistent air leaks has been widely reported in recent *** intervention of persistent air leak has a reported success rate of closure ranging from 30–80%depending on the underlying disease,location,and size of the pleural *** is an excellent option for patients with persistent air leak who are critically ill and are poor surgical *** of using endobronchial devices include quick recovery time,relatively low risk,reduction in hospital stay,and the potential for immediate symptom ***,we review the data regarding the use of bronchoscopic techniques in the management of persistent air leak.

关键词： bronchoscopy persistent air leak endobronchial valve pneumothorax

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