Robotic Bronchoscopy in Lung Cancer Diagnosis

The widespread use of chest CT has increased the number of detected pulmonary nodules. Nodules with intermediate risk of malignancy warrant further evaluation with PET-CT or sampling. Although sampling with conventional bronchoscopy presents lower complication rates compared to transthoracic needle...

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Bibliographic Details
Published inCancers Vol. 16; no. 6; p. 1179
Main Authors Skouras, Vasileios S, Gkiozos, Ioannis, Charpidou, Andriani G, Syrigos, Konstantinos N
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.03.2024
MDPI
Subjects
Biopsy
Bronchoscopy
Cancer
Chest
Diagnosis
Disease
Drug approval
guided bronchoscopy
Health aspects
Literature reviews
Lung cancer
Lung nodules
Malignancy
Medical prognosis
Medical screening
Methods
Ostomy
Pneumothorax
pulmonary nodule
Review
robotic bronchoscopy
Robotics
Sampling
Tumors
robotic bronchoscopy
guided bronchoscopy
pulmonary nodule
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Summary:The widespread use of chest CT has increased the number of detected pulmonary nodules. Nodules with intermediate risk of malignancy warrant further evaluation with PET-CT or sampling. Although sampling with conventional bronchoscopy presents lower complication rates compared to transthoracic needle biopsy (TTNB), it is limited by the inability to reach distal airways. To overcome this shortcoming, a new bronchoscopic technique named robotic bronchoscopy (RB) has emerged. A literature review was used to clarify the rationale behind RB emergence, describe RB procedure, and summarize data regarding its efficacy and safety. The FDA has approved three RB platforms for clinical use. RB is safe, presenting a mortality and complication rate of 0% and 0-8.1%, respectively. Common complications include pneumothorax (0-5.7%) and minor bleeding (0-3.2%). However, its diagnostic yield remains lower than that of TTNB. RB is a promising bronchoscopic technique that aims to overcome the limitations of conventional bronchoscopy and improve upon the current techniques of guided bronchoscopy for the investigation of pulmonary nodules. Despite the lower complication rate, current evidence suggests a lower diagnostic yield compared to TTNB. Additional studies are required to adequately evaluate the role of RB in the diagnosis of pulmonary nodules.
Bibliography:ObjectType-Article-2
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ISSN:2072-6694
2072-6694
DOI:10.3390/cancers16061179