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Using the Hybrid Operating Room in Thoracic Surgery: A Paradigm Shift.

Carsten Schroeder1, Jane M Chung1, Andrew B Mitchell1

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Summary
This summary is machine-generated.

Hybrid operating room cone-beam CT technology integrates diagnosis and treatment for thoracic surgery. This approach reduces time from diagnosis to curative treatment, improving patient survival and facilitating the resection of difficult lesions.

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Area of Science:

  • Thoracic Surgery
  • Medical Imaging
  • Interventional Pulmonology

Background:

  • General thoracic surgery often faces challenges in diagnosing and treating small or deep-seated lesions.
  • Current diagnostic and treatment pathways can be lengthy, potentially leading to disease upstaging and reduced survival rates.

Purpose of the Study:

  • To describe the integration of hybrid operating room cone-beam computed tomography (CT) technology into general thoracic surgery.
  • To evaluate the feasibility of a single-stage, single-provider procedure combining diagnosis and treatment.

Main Methods:

  • Integration of cone-beam CT scan augmented navigational bronchoscopy.
  • Utilization of cone-beam CT-guided percutaneous biopsy and/or fiducial placement.
  • Fiducial or image-guided video-assisted thoracic surgery resection within a hybrid operating room setting.

Main Results:

  • The described approach enables a single-stage, single-provider procedure for diagnosis and treatment.
  • Rapid on-site evaluation of specimens is crucial for the "all-in-one" workflow.
  • Significant reduction in time from diagnosis to curative treatment, leading to decreased upstaging and increased survival.

Conclusions:

  • Hybrid operating room cone-beam CT technology streamlines thoracic surgery by combining diagnostic and therapeutic interventions.
  • This integrated approach facilitates the detection and resection of challenging small and deep lesions.
  • The technology offers a cost-effective paradigm for improved thoracic healthcare delivery.