Innovations in Robotic-Assisted Bronchoscopy: Current Trends and Future Prospects

Area of Science:

• Pulmonology
• Medical Technology
• Interventional Pulmonology

Background:

• Conventional bronchoscopy has limitations in reaching peripheral lung lesions.
• Robotic-assisted bronchoscopy (RAB) offers potential improvements in precision, visualization, and maneuverability.
• RAB is increasingly adopted in high-volume centers due to promising safety and navigational data.

Purpose of the Study:

• To review current research on the diagnostic performance of RAB.
• To explore the future prospects and emerging applications of RAB.
• To identify challenges and ongoing investigations in the field of RAB.

Main Methods:

• Systematic review of recent literature on robotic-assisted bronchoscopy.
• Analysis of studies evaluating diagnostic yield, safety, and navigational success.
• Examination of emerging technologies and therapeutic applications.

Main Results:

• RAB demonstrates superior navigation to difficult-to-reach lung lesions with improved safety compared to transthoracic approaches.
• Advanced imaging and artificial intelligence enhance real-time decision-making during RAB procedures.
• Favorable navigational success and safety data support rapid adoption of RAB in clinical practice.

Conclusions:

• RAB shows significant potential in improving lung lesion diagnosis and patient outcomes.
• Further prospective studies are needed to define RAB's role in cost-effectiveness and lung cancer screening integration.
• Challenges include costs, training, and standardization, while therapeutic applications are under active investigation.