Current Novel Advances in Bronchoscopy

Screening for lung cancer has changed substantially in the past decade since The National Lung Screening Trial. The resultant increased discovery of incidental pulmonary nodules has led to a growth in the number of lesions requiring tissue diagnosis. Bronchoscopy is one main modality used to sample...

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Main Authors: Jeffrey Jiang, Stephanie H. Chang, Amie J. Kent, Travis C. Geraci, Robert J. Cerfolio
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2020.596925/full
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author Jeffrey Jiang
Stephanie H. Chang
Amie J. Kent
Travis C. Geraci
Robert J. Cerfolio
author_facet Jeffrey Jiang
Stephanie H. Chang
Amie J. Kent
Travis C. Geraci
Robert J. Cerfolio
author_sort Jeffrey Jiang
collection DOAJ
description Screening for lung cancer has changed substantially in the past decade since The National Lung Screening Trial. The resultant increased discovery of incidental pulmonary nodules has led to a growth in the number of lesions requiring tissue diagnosis. Bronchoscopy is one main modality used to sample lesions, but peripheral lesions remain challenging for bronchoscopic biopsy. Alternatives have included transthoracic biopsy or operative biopsy, which are more invasive and have a higher morbidity than bronchoscopy. In hopes of developing less invasive diagnostic techniques, technologies have come to assist the bronchoscopist in reaching the outer edges of the lung. Navigational bronchoscopy is able to virtually map the lung and direct the biopsy needle where the scope cannot reach. Robotic bronchoscopy platforms have been developed to provide stability and smaller optics to drive deeper into the bronchial tree. While these new systems have not yet proven better outcomes, they may reduce the need for invasive procedures and be valuable armamentarium in diagnosing and treating lung nodules, especially in the periphery.
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spelling doaj.art-7e64d78412d6447584063e21e1bfa64b2022-12-21T19:17:21ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2020-11-01710.3389/fsurg.2020.596925596925Current Novel Advances in BronchoscopyJeffrey JiangStephanie H. ChangAmie J. KentTravis C. GeraciRobert J. CerfolioScreening for lung cancer has changed substantially in the past decade since The National Lung Screening Trial. The resultant increased discovery of incidental pulmonary nodules has led to a growth in the number of lesions requiring tissue diagnosis. Bronchoscopy is one main modality used to sample lesions, but peripheral lesions remain challenging for bronchoscopic biopsy. Alternatives have included transthoracic biopsy or operative biopsy, which are more invasive and have a higher morbidity than bronchoscopy. In hopes of developing less invasive diagnostic techniques, technologies have come to assist the bronchoscopist in reaching the outer edges of the lung. Navigational bronchoscopy is able to virtually map the lung and direct the biopsy needle where the scope cannot reach. Robotic bronchoscopy platforms have been developed to provide stability and smaller optics to drive deeper into the bronchial tree. While these new systems have not yet proven better outcomes, they may reduce the need for invasive procedures and be valuable armamentarium in diagnosing and treating lung nodules, especially in the periphery.https://www.frontiersin.org/articles/10.3389/fsurg.2020.596925/fullIntuitive Surgicalbronchoscopeelectromagnetic navigation bronchoscopyrobotic bronchoscopyion entydoluminalmonarch
spellingShingle Jeffrey Jiang
Stephanie H. Chang
Amie J. Kent
Travis C. Geraci
Robert J. Cerfolio
Current Novel Advances in Bronchoscopy
Frontiers in Surgery
Intuitive Surgical
bronchoscope
electromagnetic navigation bronchoscopy
robotic bronchoscopy
ion entydoluminal
monarch
title Current Novel Advances in Bronchoscopy
title_full Current Novel Advances in Bronchoscopy
title_fullStr Current Novel Advances in Bronchoscopy
title_full_unstemmed Current Novel Advances in Bronchoscopy
title_short Current Novel Advances in Bronchoscopy
title_sort current novel advances in bronchoscopy
topic Intuitive Surgical
bronchoscope
electromagnetic navigation bronchoscopy
robotic bronchoscopy
ion entydoluminal
monarch
url https://www.frontiersin.org/articles/10.3389/fsurg.2020.596925/full
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