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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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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...
149

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Updated: May 15, 2025

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
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Single-Anesthesia Event for Lung Nodule Marking and Minimally Invasive Sublobar Resection.

Noah Gordon1, Mae Leef1, Richard Irving1

  • 1Advocate Lutheran General Internal Medicine, Park Ridge, IL 60068, USA.

Journal of Clinical Medicine
|May 14, 2025
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Summary
This summary is machine-generated.

Combining pulmonary nodule marking and sublobar resection into a single anesthesia event significantly reduces total perioperative time for non-small cell lung cancer (NSCLC) patients. This streamlined approach shortens the overall time from diagnosis to curative surgical intervention.

Keywords:
anesthesiabronchoscopydiagnosisinterventional pulmonologylung cancerlung nodulemarkingretrospectivesublobar resection

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Non-small cell lung cancer (NSCLC) is a leading cause of cancer diagnoses, often treated with sublobar resection for early-stage disease.
  • Current treatment pathways involve multiple separate anesthesia-dependent procedures: diagnostic bronchoscopy with staging, nodule marking, and surgical resection.
  • This multi-step process can lead to delays in initiating curative treatment.

Purpose of the Study:

  • To evaluate the feasibility of performing pulmonary nodule marking and sublobar resection in a single anesthesia event.
  • To assess the impact of this combined approach on procedural efficiency and patient outcomes.
  • To determine the potential for reducing the time from diagnosis to surgical intervention.

Main Methods:

  • A retrospective cohort study of 12 patients undergoing same-day pulmonary fiducial marking and sublobar resection at a community hospital.
  • Data collected included procedural and anesthesia times, and hospital length of stay.
  • Patients underwent pre-procedural cardiac clearance, pulmonary function testing, and PET scans.

Main Results:

  • A mean turnover time of 33 minutes was observed between fiducial marking and resection.
  • An estimated mean total time saving of 231 minutes per patient was achieved.
  • The average hospital length of stay was 1.83 days.

Conclusions:

  • Combining pulmonary fiducial marking and sublobar resection into a single anesthesia event is viable.
  • This integrated approach significantly decreases total perioperative time.
  • The strategy offers a pathway to expedite the time from diagnosis to curative treatment for NSCLC.