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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

476
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
476

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Related Experiment Video

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Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
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Bronchoscopic navigation and tissue diagnosis.

Tsukasa Ishiwata1, Alexander Gregor1, Terunaga Inage1

  • 1Division of Thoracic Surgery, Toronto General Hospital, University Health Network 200, University of Toronto, Elizabeth St, 9N-957, Toronto, ON, M5G 2C4, Canada.

General Thoracic and Cardiovascular Surgery
|November 6, 2019
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Summary

New bronchoscopic techniques improve diagnosis of small peripheral pulmonary lesions (PPLs) in early-stage lung cancer. These advanced tools offer higher diagnostic yield compared to conventional methods, aiding in lung cancer screening.

Keywords:
Electromagnetic navigation bronchoscopyNavigational bronchoscopyRobotic bronchoscopyVirtual bronchoscopic navigation

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Area of Science:

  • Pulmonology
  • Oncology
  • Medical Imaging

Background:

  • Early-stage lung cancer diagnosis is crucial, with increasing detection of peripheral pulmonary lesions (PPLs) due to CT screening.
  • Conventional bronchoscopy has limitations in diagnostic yield for PPLs.
  • CT-guided transthoracic needle aspiration is standard but has higher adverse events.

Purpose of the Study:

  • To review and discuss emerging bronchoscopic technologies for diagnosing PPLs.
  • To highlight advancements improving diagnostic yield in lung cancer screening.
  • To inform physicians about the strengths and limitations of novel techniques.

Main Methods:

  • Review of recent advancements in bronchoscopic diagnostic technologies.
  • Discussion of techniques including thin/ultrathin bronchoscopes, RP-EBUS, VBN, ENB, and robotic bronchoscopy.
  • Introduction of novel access tools like BTPNA and TBAT, and cryobiopsy for tissue sampling.

Main Results:

  • Emerging bronchoscopic technologies significantly enhance the ability to diagnose small PPLs.
  • Novel navigational bronchoscopy techniques and advanced tools improve lesion access and tissue acquisition.
  • These innovations lead to higher diagnostic yields, particularly for challenging peripheral lesions.

Conclusions:

  • Innovative bronchoscopic techniques and tools offer improved diagnostic yield for peripheral pulmonary lesions.
  • Understanding the complexities, strengths, and limitations of these technologies is vital for effective clinical application.
  • These advancements are critical for improving early-stage lung cancer detection and patient outcomes.