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Early Pneumatocele Identification Post-Robotic Assisted Bronchoscopy Cryobiopsy: A Case Series Experience.
- Source :
-
Respiration; international review of thoracic diseases [Respiration] 2024; Vol. 103 (5), pp. 275-279. Date of Electronic Publication: 2024 Mar 12. - Publication Year :
- 2024
-
Abstract
- Introduction: The use of cryobiopsy in conjunction with robotic assisted bronchoscopy is on the rise due to the safety and increased diagnostic yield of cryobiopsy. The incorporation of 3D fluoroscopy in the procedure improves the workflow and helps confirm the accuracy of sampling of peripheral pulmonary nodules.<br />Methods: We describe an observational series of 12 patients comprising 14 nodules where cryobiopsy was performed during shape-sensing robot-assisted bronchoscopy cryobiopsy under general anesthesia. 3D fluoroscopy was used to confirm accurate placement of the cryoprobe. All these patients underwent a second spin with the 3D fluoroscopy either to sample a second lesion intraoperatively or to investigate suspected pneumothorax.<br />Results: The development of a pneumatocele was noted after cryobiopsy in each of the cases. The majority of these were in the upper lobe with the median size of a sampled nodule being 14 mm. The majority of patients were asymptomatic with 1 patient developing mild hemoptysis and 4 patients developing chest tightness or dyspnea. None of the patients required an intervention for the pneumatocele.<br />Conclusion: The development of pneumatoceles appears to be a fairly frequent and benign occurrence following cryobiopsy, likely due to increased tissue destruction. The increased use of intraoperative 3D fluoroscopy is likely to highlight changes to the pulmonary parenchyma that were previously not known. The occurrence of pneumatoceles does not appear to adversely impact the safety or tolerability profile of cryobiopsy.<br /> (© 2024 S. Karger AG, Basel.)
- Subjects :
- Humans
Male
Middle Aged
Female
Aged
Fluoroscopy
Lung Neoplasms pathology
Lung Neoplasms diagnosis
Biopsy methods
Biopsy adverse effects
Biopsy instrumentation
Cysts pathology
Cysts diagnosis
Adult
Bronchoscopy methods
Bronchoscopy adverse effects
Robotic Surgical Procedures methods
Cryosurgery methods
Cryosurgery adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1423-0356
- Volume :
- 103
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Respiration; international review of thoracic diseases
- Publication Type :
- Academic Journal
- Accession number :
- 38471472
- Full Text :
- https://doi.org/10.1159/000538272