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Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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 to...

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Related Experiment Video

Updated: May 17, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Robotic Surgery for Bronchial Sleeve Lobectomy: A Systematic Review and Bayesian Network Meta-Analysis.

Chen Wang¹, Liyan Qiao¹, Yiming Xu¹

¹The Thoracic Surgery Department of Second Affiliated Hospital of Shandong First Medical University & Shandong Academy of Medical Sciences, Taian, China.

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS

|May 15, 2026

Summary

Robotic Assisted Thoracoscopic Surgery (RATS) offers shorter operation times and less blood loss for bronchial sleeve lobectomy (BSL) compared to VATS and OP. RATS shows equivalent long-term survival and fewer complications, making it a favored approach.

Keywords:

NSCLC RATS VATS bronchial sleeve lobectomy network meta‐analysis open thoracotomy

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Area of Science:

Thoracic Surgery
Surgical Oncology
Minimally Invasive Surgery

Background:

Bronchial sleeve lobectomy (BSL) is a complex procedure for central non-small cell lung cancer.
Comparison of surgical approaches for BSL is crucial for optimizing patient outcomes.

Purpose of the Study:

To compare Robotic Assisted Thoracoscopic Surgery (RATS) with Video Assisted Thoracoscopic Surgery (VATS) and Open Thoracotomy (OP) for BSL.
To evaluate intraoperative outcomes, complications, and long-term survival using Bayesian network meta-analysis.

Main Methods:

Systematic literature search of Pubmed, Cochrane Library, and Embase.
Inclusion of 7 studies with 776 patients undergoing BSL for central non-small cell lung cancer.
Bayesian network meta-analysis of intraoperative, postoperative, and survival data.

Main Results:

RATS demonstrated shorter operation times, reduced intraoperative blood loss, and decreased postoperative drainage compared to VATS and OP.
No significant increase in postoperative complications was observed in the RATS group.
RATS achieved equivalent long-term survival rates compared to VATS and OP.

Conclusions:

RATS offers superior intraoperative benefits and reduced surgical impact for BSL compared to VATS and OP.
RATS presents a viable and potentially preferred surgical option for BSL, with comparable long-term survival.
The findings support RATS as an effective approach for BSL in selected patients.