Robotic Bronchoscopy for Peripheral Pulmonary Lesions: A Multicenter Pilot and Feasibility Study (BENEFIT).

Robotic Bronchoscopy for Peripheral Pulmonary Lesions: A Multicenter Pilot and Feasibility Study (BENEFIT). Chest. 2020 Aug 18;: Authors: Chen AC, Pastis NJ, Mahajan AK, Khandhar SJ, Simoff MJ, Machuzak MS, Cicenia J, Gildea TR, Silvestri GA Abstract BACKGROUND: The diagnosis of peripheral pulmonary lesions (PPL) continues to present clinical challenges. Despite extensive experience with guided bronchoscopy, the diagnostic yield has not significantly improved. Robotic assisted bronchoscopic platforms have been developed to potentially improve the diagnostic yield for PPL. Presently, limited data exists evaluating the performance of robotic systems in live human subjects. RESEARCH QUESTION: What is the safety and feasibility of robotic assisted bronchoscopy in patients with peripheral pulmonary lesions? STUDY DESIGN AND METHODS: This was a prospective, multicenter pilot and feasibility study using a robotic bronchoscopic system with a mother-daughter configuration in patients with PPL 1-5cm in size. The primary endpoints were successful lesion localization using radial probe endobronchial ultrasound (R-EBUS) and incidence of procedure related adverse events. Robotic bronchoscopy was performed in patients using direct visualization, electromagnetic navigation and fluoroscopy. Following utilization of R-EBUS, transbronchial needle aspiration (TBNA) was performed. Rapid on-site evaluation (ROSE) was utilized on all cases....
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research