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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

192
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...
192
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

252
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
252
Pneumothorax-II01:27

Pneumothorax-II

141
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
141

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Related Experiment Video

Updated: Jun 26, 2025

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
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Electromagnetic Navigational Bronchoscopy Learning Curve Regarding Pneumothorax Rate and Diagnostic Yield.

Nicolas W Mwesigwa1, Vasileios Tentzeris2, Michael Gooseman2

  • 1Cardiothoracic Surgery, Hull University Teaching Hospitals, Hull, GBR.

Cureus
|May 16, 2024
PubMed
Summary

Electromagnetic navigational bronchoscopy (ENB) improved lung nodule diagnosis and reduced complications over four years. Procedural experience and technology enhance diagnostic yield and patient safety in ENB interventions.

Keywords:
ebus and interventional bronchoscopyelectromagnetic navigationlesions of the lung parenchymalung cancer screenthoracic radiology

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Area of Science:

  • Pulmonology
  • Medical Technology
  • Diagnostic Imaging

Background:

  • Electromagnetic navigational bronchoscopy (ENB) is an advanced technique for diagnosing lung nodules.
  • Pneumothorax is a known complication of ENB procedures.
  • Optimizing ENB requires evaluating diagnostic yield and complication rates.

Purpose of the Study:

  • To assess the diagnostic yield and pneumothorax rates of ENB over four years.
  • To explore the impact of procedural experience (learning curve) on ENB outcomes.
  • To identify potential areas for improvement in ENB procedures.

Main Methods:

  • Retrospective analysis of 358 peripheral lung biopsies from 246 patients undergoing ENB.
  • Data collected from Castle Hill Hospital, UK, between 2020 and 2023.
  • Comparison of diagnostic yield and pneumothorax rates between two two-year periods.

Main Results:

  • Overall diagnostic yield was 61.3%.
  • Diagnostic yield increased from 58.2% (2020-2021) to 66.0% (2022-2023).
  • Pneumothorax rate significantly decreased from 9.8% to 3.4% (p=0.021), particularly in upper lobe procedures.

Conclusions:

  • Procedural experience significantly improves ENB diagnostic yield and safety.
  • Technological advancements, like robotic assistance, may further enhance ENB reproducibility.
  • ENB is a valuable tool for lung lesion diagnosis, with potential for optimization.