Robotic Bronchoscopy: Review of Three Systems

Diddams, M.; Lee, Hans J.

doi:10.3390/life13020354

Cited by 12 publications

(13 citation statements)

References 73 publications

(90 reference statements)

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“…Surprisingly, the diagnostic yield was not significantly different for guided bronchoscopy procedures performed before and after 2012 [ 39 ]. Robotic bronchoscopy was approved by the FDA in 2018 and has received significant attention [ 40 ]. The combined use of robotic bronchoscopy and other technologies, such as cone-beam computed tomography (CT), prevents CT-to-body divergence to optimize biopsy tool-in-lesion [ 41 ].…”

Section: Reviewmentioning

confidence: 99%

Endobronchial Ultrasonography With Guide Sheath for the Diagnosis of Peripheral Pulmonary Lesions in Japan: A Literature Review

Minami,

Takigawa,

Himeji

2024

Cureus

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We evaluated the usefulness of endobronchial ultrasonography with guide sheath (EBUS-GS) for the diagnosis of peripheral pulmonary lesions (PPLs) in Japan. We searched the PubMed/Medline database using the keywords “EBUS guide sheath” for Japanese studies on EBUS-GS published between January 2004 and August 2023. We included 32 original articles that evaluated the diagnostic yield of EBUS-GS for PPLs. Case reports and conference abstracts were excluded due to limited information available for quality assessment. The diagnostic yield of EBUS-GS was 73.6% for 2996 malignant lesions, 65.4% for 752 ground-glass nodules, 59.4% for 414 benign lesions, 61.3% for 1114 lesions of size ≤2 cm, and 75.6% for 1246 lesions of size >2 cm; it was 69.4% for lesions located in the upper lobe (n=793), 71.9% for the middle lobe/lingula (n=121), and 62.5% for the lower lobe (n=334). None of the patients experienced severe complications. In this review, EBUS-GS is effective for the diagnosis of malignant and benign PPLs. A multimodality approach is needed to further enhance its diagnostic performance.

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Section: Reviewmentioning

confidence: 99%

Endobronchial Ultrasonography With Guide Sheath for the Diagnosis of Peripheral Pulmonary Lesions in Japan: A Literature Review

Minami,

Takigawa,

Himeji

2024

Cureus

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“…Until recently, two robotic platforms were approved by the FDA, namely, the Monarch (in 2018) and the Ion Endoluminal (in 2019) System by Auris Health Inc. (Redwood City, CA, USA) and Intuitive Surgical (Sunnyvale, CA, USA), respectively [ 24 ]. In 2023, FDA clearance was also granted to the Galaxy System by Noah Medical (San Carlos, CA, USA) [ 30 , 31 ]. Table 1 shows a comparison of the technical characteristics of these platforms.…”

Section: Robotic Bronchoscopy Platformsmentioning

confidence: 99%

“… Pictures of the ( A ) Monarch platform, ( B ) Ion Endoluminal platform, and ( C ) Galaxy platform [ 31 ]. …”

Section: Figurementioning

confidence: 99%

Robotic Bronchoscopy in Lung Cancer Diagnosis

Skouras,

Gkiozos,

Charpidou

et al. 2024

Cancers

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Background: The widespread use of chest CT has increased the number of detected pulmonary nodules. Nodules with intermediate risk of malignancy warrant further evaluation with PET-CT or sampling. Although sampling with conventional bronchoscopy presents lower complication rates compared to transthoracic needle biopsy (TTNB), it is limited by the inability to reach distal airways. To overcome this shortcoming, a new bronchoscopic technique named robotic bronchoscopy (RB) has emerged. Methods: A literature review was used to clarify the rationale behind RB emergence, describe RB procedure, and summarize data regarding its efficacy and safety. Results: The FDA has approved three RB platforms for clinical use. RB is safe, presenting a mortality and complication rate of 0% and 0–8.1%, respectively. Common complications include pneumothorax (0–5.7%) and minor bleeding (0–3.2%). However, its diagnostic yield remains lower than that of TTNB. Conclusions: RB is a promising bronchoscopic technique that aims to overcome the limitations of conventional bronchoscopy and improve upon the current techniques of guided bronchoscopy for the investigation of pulmonary nodules. Despite the lower complication rate, current evidence suggests a lower diagnostic yield compared to TTNB. Additional studies are required to adequately evaluate the role of RB in the diagnosis of pulmonary nodules.

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“…There is a 2.1 mm working channel, and the catheter has an incorporated video transmission system allowing for an "always on" frontal white light view during the biopsy. Monarch is the EMN-based robotic bronchoscopy (EMN-RAB) prototype [28][29][30] (Figure 2). The Ion Endoluminal System (Intuitive Surgical, Sunnyvale, CA) utilizes a novel shape sensing technique (ssRAB) that allows for real-time location of a 3.5mm bronchoscopic catheter based on its deformation while navigating the airways.…”

Section: Robotically Assisted Bronchoscopy (Rab): Available Technologiesmentioning

confidence: 99%

Real-World Impact of Robotic-Assisted Bronchoscopy on the Staging and Diagnosis of Lung Cancer: The Shape of Current and Potential Opportunities

Ortiz-Jaimes,

Reisenauer

2023

POR

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The approach to peripheral pulmonary lesions (PPL) has been evolving continuously. Advanced bronchoscopic navigational techniques have improved the airway-based approaches to these lesions. Robotic Assisted Bronchoscopy (RAB) can be considered the current pinnacle of this evolution; allowing for a safer approach to sampling lesions previously considered outside of bronchoscopic reach. We present a comprehensive review of the changing epidemiology of lung cancer and the importance of early tissue sampling, the evolution of sampling and navigational bronchoscopic techniques, technical considerations and evidence pertaining to the use of RAB, and adjunct techniques in the diagnosis of lung cancer. Complications and future applications of RAB are also discussed.

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Robotic Bronchoscopy: Review of Three Systems

Cited by 12 publications

References 73 publications

Endobronchial Ultrasonography With Guide Sheath for the Diagnosis of Peripheral Pulmonary Lesions in Japan: A Literature Review

Endobronchial Ultrasonography With Guide Sheath for the Diagnosis of Peripheral Pulmonary Lesions in Japan: A Literature Review

Robotic Bronchoscopy in Lung Cancer Diagnosis

Real-World Impact of Robotic-Assisted Bronchoscopy on the Staging and Diagnosis of Lung Cancer: The Shape of Current and Potential Opportunities

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