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Review
. 2020 Sep;25(9):914-923.
doi: 10.1111/resp.13791. Epub 2020 Feb 26.

Technologies for targeting the peripheral pulmonary nodule including robotics

David Fielding  1 , Masahide Oki  2
Affiliations
Free article
Review

Technologies for targeting the peripheral pulmonary nodule including robotics

David Fielding et al. Respirology. 2020 Sep.
Free article

Erratum in

  • CORRIGENDUM.
    [No authors listed] [No authors listed] Respirology. 2020 Nov;25(11):1216. doi: 10.1111/resp.13944. Epub 2020 Sep 10. Respirology. 2020. PMID: 33462907 No abstract available.

Abstract

Bronchoscopic sampling of PPL was significantly advanced by the development of the endobronchial ultrasound guide sheath method in the 1990s. Since then, a range of technical and procedural techniques have further advanced diagnostic yields. These include the use of thinner bronchoscopes with better working channel diameters, understanding the importance of peripheral transbronchial needle aspiration, and virtual bronchoscopic assistance. These have enabled better sampling of smaller and more technically challenging lesions including ground-glass nodules. Most recently, robotic bronchoscopy has been developed which, among other refinements, allows fine control of visual bronchoscopic navigation by replacing movements directed by the hand with electronic consoles and trackballs, and innovatively integrate virtual with real bronchoscopic pathways. The requirement for PPL diagnosis and treatment is expected to increase with more chest CT performed as part of CT screening programmes.

Keywords: bronchoscopy; lung biopsy; lung cancer; robotic bronchoscopy; solitary pulmonary nodule.

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References

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