Video Experimental Relacionado

Updated: Jan 25, 2026

Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy

Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy

Published on: July 19, 2024

Muestreo de lesiones mediastínicas subaórticas y paraaórticas mediante broncoscopia robótica asistida con guía por

Vanessa E Josef¹, David M Wisa¹, Brie E Kezlarian-Sachs²

¹Section of Interventional Pulmonology, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Respiratory medicine

|January 23, 2026

Resumen

La broncoscopia robótica asistida por imagen ofrece un método seguro y factible para el muestreo de lesiones mediastínicas, evitando potencialmente la cirugía. Este enfoque mínimamente invasivo logró un rendimiento diagnóstico del 69% para los ganglios linfáticos subaórticos y paraaórticos.

Área de la Ciencia:

Neumolog'-ia
Broncoscopia Intervencionista
Cirug'-ia Tor'-acica

Sus antecedentes:

El muestreo tradicional de ganglios linf'-aticos y lesiones mediast'-inicas (estaciones 5 y 6) requiere procedimientos quir'-urgicos invasivos.
La broncoscopia rob'-otica asistida por imagen con detecci'-on de forma (ssRAB) ofrece potencial de acceso endosc'-opico m'-inimamente invasivo.
Se evalu'-o la factibilidad, el rendimiento diagn'-ostico y la seguridad de la ssRAB para sitios mediast'-inicos dif'-iciles.

Objetivo del estudio:

Evaluar la factibilidad, el rendimiento diagn'-ostico y la seguridad de la ssRAB para el muestreo de ganglios linf'-aticos y lesiones mediast'-inicas suba'-orticas (estaci'-on 5) y paraa'-orticas (estaci'-on 6).
Determinar si la ssRAB puede servir como una alternativa menos invasiva a la cirug'-ia para el muestreo mediast'-inico.

Principales métodos:

Revisi'-on retrospectiva de 16 procedimientos de ssRAB dirigidos a lesiones mediast'-inicas suba'-orticas o paraa'-orticas entre octubre de 2019 y septiembre de 2025.
Los datos extra'-idos incluyeron datos demogr'-aficos del paciente, im'-agenes, detalles del procedimiento, complicaciones y resultados del muestreo.
Criterio de valoraci'-on principal: rendimiento diagn'-ostico conservador (tasa de procedimientos que establecen un diagn'-ostico espec'-ifico).

Principales resultados:

Se logr'o un rendimiento diagn'ostico conservador del 69% en 16 procedimientos.
El rendimiento diagn'ostico indulgente fue del 73% tras excluir un caso.
Los rendimientos conservadores espec'ificos fueron del 75% para el muestreo suba'-ortico y del 62% para el paraa'-ortico.
Ocurri'-o un neumot'-orax de grado 1 sin otras complicaciones.

Conclusiones:

La ssRAB guiada por imagen es una t'-ecnica m'-inimamente invasiva factible y segura para el muestreo de ganglios linf'-aticos y lesiones mediast'-inicas en ubicaciones anat'-omicas dif'-iciles.
La ssRAB puede proporcionar una alternativa al muestreo quir'-urgico, reduciendo la invasividad para el paciente.
Esta serie retrospectiva respalda la ssRAB como una herramienta valiosa en el arsenal diagn'-ostico para la patolog'-ia mediast'-inica.

Palabras clave:

Ganglio linfático Lesión mediastínica Paraaórtico Broncoscopia robótica asistida Subaórtico

Más Videos Relacionados

Robotic Sensing and Stimuli Provision for Guided Plant Growth

Robotic Sensing and Stimuli Provision for Guided Plant Growth

Published on: July 1, 2019

Robot-assisted Partial Splenectomy

Robot-assisted Partial Splenectomy

Published on: January 2, 2026

Videos de Conceptos Relacionados

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...

The Sense of Self: Reflected Self-Appraisal and Social Comparison

The Sense of Self: Reflected Self-Appraisal and Social Comparison

According to Charles Cooley, we base our image on what we think other people see (Cooley 1902). We imagine how we must appear to others, then react to this speculation. We don certain clothes, prepare our hair in a particular manner, wear makeup, use cologne, and the like—all with the notion that our presentation of ourselves is going to affect how others perceive us. We expect a certain reaction, and, if lucky, we get the one we desire and feel good about it. But more than that, Cooley...

Molecular Shape and Polarity

Molecular Shape and Polarity

Dipole Moment of a Molecule

VSEPR Theory and the Basic Shapes

VSEPR Theory and the Basic Shapes

Overview of VSEPR Theory

Molecular Shapes

Molecular Shapes

Molecules have characteristic shapes that are crucial for their function. The arrangement of various electron groups around the central atom dictates their molecular geometry. Electron pairs in the valence shell of a central atom will adopt an arrangement that minimizes repulsions between the electron pairs by maximizing the distance between them. The valence electrons form either bonding pairs, located primarily between bonded atoms, or lone pairs.
Two regions of electron density in a diatomic...

First Derivatives and the Shape of a Graph

First Derivatives and the Shape of a Graph

In calculus, the concept of the first derivative plays a crucial role in understanding the behavior of a function over its domain. The first derivative, denoted as f’(x), provides insight into how a function changes at any given point, much like a cyclist adjusting speed along a winding trail. By analyzing the first derivative, mathematicians can determine where a function is increasing, decreasing, or reaching critical points.The first derivative provides a precise method for classifying...