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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

537
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...
537

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Related Experiment Video

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Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy
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Diagnostic Utility of Sampling Multiple Synchronous Pulmonary Nodules During Same-Session Robotic-Assisted

Ara A Chrissian1, Jaskiran Khosa1, Noha Daher2

  • 1Division of Pulmonary, Critical Care, Hyperbaric, and Sleep Medicine.

Journal of Bronchology & Interventional Pulmonology
|September 18, 2025
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Summary

Sampling multiple peripheral pulmonary nodules (mPPNs) during robotic-assisted bronchoscopy (RAB) significantly impacts diagnoses, especially for lung cancer. Routine multinodule evaluation is recommended, regardless of nodule characteristics, to improve patient management.

Keywords:
lung cancerperipheral pulmonary lesionsrobotic-assisted bronchoscopysingle anesthesia session bronchoscopysynchronous lung nodules

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Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • The clinical benefit of sampling multiple peripheral pulmonary nodules (mPPNs) in a single robotic-assisted bronchoscopy (RAB) procedure remains unclear.
  • Assessing mPPNs is crucial for accurate lung cancer diagnosis and management.

Purpose of the Study:

  • To evaluate the impact of sampling mPPNs during RAB on patient diagnosis and treatment.
  • To identify predictors of clinical benefit from multinodule evaluation during RAB.

Main Methods:

  • A single-center analysis of 341 consecutive RAB procedures targeting 503 PPNs.
  • Primary outcomes included the proportion of patients benefiting from secondary PPN sampling and predictors of this benefit.

Main Results:

  • Sampling mPPNs impacted the final diagnosis in 38% of cases, with 56% of lung cancer patients receiving meaningful information.
  • Factors predicting benefit included lack of rapid on-site cytologic evaluation, concentric radial-probe endobronchial ultrasound imaging, and use of multiple biopsy tools.
  • Multinodule RABs increased radiation dose and procedure duration but had similar pneumothorax rates compared to single-nodule procedures.

Conclusions:

  • Routinely targeting mPPNs during a single RAB session is recommended, irrespective of nodule characteristics.
  • These findings underscore the utility of modern bronchoscopy in managing thoracic diseases, particularly lung cancer.