Electromagnetic Navigational Bronchoscopy Reduces the Time Required for Localization and Resection of Lung Nodules
Objective The aims of the study were to evaluate electromagnetic navigational bronchoscopy (ENB) and computed tomography–guided placement as localization techniques for minimally invasive resection of small pulmonary nodules and determine whether electromagnetic navigational bronchoscopy is a safer...
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| Veröffentlicht in: | Innovations (Philadelphia, Pa.) Pa.), 2017-09, Vol.12 (5), p.333-337 |
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| creator | David Bolton, William Cochran, Thomas Ben-Or, Sharon Stephenson, James E. Ellis, William Hale, Allyson L. Binks, Andrew P. |
| description | Objective
The aims of the study were to evaluate electromagnetic navigational bronchoscopy (ENB) and computed tomography–guided placement as localization techniques for minimally invasive resection of small pulmonary nodules and determine whether electromagnetic navigational bronchoscopy is a safer and more effective method than computed tomography–guided localization.
Methods
We performed a retrospective review of our thoracic surgery database to identify patients who underwent minimally invasive resection for a pulmonary mass and used either electromagnetic navigational bronchoscopy or computed tomography–guided localization techniques between July 2011 and May 2015.
Results
Three hundred eighty-three patients had a minimally invasive resection during our study period, 117 of whom underwent electromagnetic navigational bronchoscopy or computed tomography localization (electromagnetic navigational bronchoscopy = 81; computed tomography = 36). There was no significant difference between computed tomography and electromagnetic navigational bronchoscopy patient groups with regard to age, sex, race, pathology, nodule size, or location. Both computed tomography and electromagnetic navigational bronchoscopy were 100% successful at localizing the mass, and there was no difference in the type of definitive surgical resection (wedge, segmentectomy, or lobectomy) (P = 0.320). Postoperative complications occurred in 36% of all patients, but there were no complications related to the localization procedures. In terms of localization time and surgical time, there was no difference between groups. However, the down/wait time between localization and resection was significant (computed tomography = 189 minutes; electromagnetic navigational bronchoscopy = 27 minutes); this explains why the difference in total time (sum of localization, down, and surgery) was significant (P < 0.001).
Conclusions
We found electromagnetic navigational bronchoscopy to be as safe and effective as computed tomography–guided wire placement and to provide a significantly decreased down time between localization and surgical resection. |
| doi_str_mv | 10.1097/imi.0000000000000387 |
| format | Article |
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The aims of the study were to evaluate electromagnetic navigational bronchoscopy (ENB) and computed tomography–guided placement as localization techniques for minimally invasive resection of small pulmonary nodules and determine whether electromagnetic navigational bronchoscopy is a safer and more effective method than computed tomography–guided localization.
Methods
We performed a retrospective review of our thoracic surgery database to identify patients who underwent minimally invasive resection for a pulmonary mass and used either electromagnetic navigational bronchoscopy or computed tomography–guided localization techniques between July 2011 and May 2015.
Results
Three hundred eighty-three patients had a minimally invasive resection during our study period, 117 of whom underwent electromagnetic navigational bronchoscopy or computed tomography localization (electromagnetic navigational bronchoscopy = 81; computed tomography = 36). There was no significant difference between computed tomography and electromagnetic navigational bronchoscopy patient groups with regard to age, sex, race, pathology, nodule size, or location. Both computed tomography and electromagnetic navigational bronchoscopy were 100% successful at localizing the mass, and there was no difference in the type of definitive surgical resection (wedge, segmentectomy, or lobectomy) (P = 0.320). Postoperative complications occurred in 36% of all patients, but there were no complications related to the localization procedures. In terms of localization time and surgical time, there was no difference between groups. However, the down/wait time between localization and resection was significant (computed tomography = 189 minutes; electromagnetic navigational bronchoscopy = 27 minutes); this explains why the difference in total time (sum of localization, down, and surgery) was significant (P < 0.001).
Conclusions
We found electromagnetic navigational bronchoscopy to be as safe and effective as computed tomography–guided wire placement and to provide a significantly decreased down time between localization and surgical resection.</description><identifier>ISSN: 1556-9845</identifier><identifier>EISSN: 1559-0879</identifier><identifier>DOI: 10.1097/imi.0000000000000387</identifier><identifier>PMID: 28777130</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Bronchoscopy - methods ; Electromagnetic Phenomena ; Female ; Humans ; Lung Neoplasms - pathology ; Lung Neoplasms - surgery ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Multiple Pulmonary Nodules - pathology ; Multiple Pulmonary Nodules - surgery ; Operative Time ; Postoperative Complications - etiology ; Retrospective Studies ; Robotic Surgical Procedures - methods ; Thoracic Surgery, Video-Assisted - methods ; Tomography, X-Ray Computed - methods</subject><ispartof>Innovations (Philadelphia, Pa.), 2017-09, Vol.12 (5), p.333-337</ispartof><rights>2017 International Society for Minimally Invasive Cardiothoracic Surgery.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c349t-30e7c8f1b1b69a0bebee46591c9023c7fad66a792fdaacace9f8fad00313b2f53</citedby><cites>FETCH-LOGICAL-c349t-30e7c8f1b1b69a0bebee46591c9023c7fad66a792fdaacace9f8fad00313b2f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1097/imi.0000000000000387$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1097/imi.0000000000000387$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28777130$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>David Bolton, William</creatorcontrib><creatorcontrib>Cochran, Thomas</creatorcontrib><creatorcontrib>Ben-Or, Sharon</creatorcontrib><creatorcontrib>Stephenson, James E.</creatorcontrib><creatorcontrib>Ellis, William</creatorcontrib><creatorcontrib>Hale, Allyson L.</creatorcontrib><creatorcontrib>Binks, Andrew P.</creatorcontrib><title>Electromagnetic Navigational Bronchoscopy Reduces the Time Required for Localization and Resection of Lung Nodules</title><title>Innovations (Philadelphia, Pa.)</title><addtitle>Innovations (Phila)</addtitle><description>Objective
The aims of the study were to evaluate electromagnetic navigational bronchoscopy (ENB) and computed tomography–guided placement as localization techniques for minimally invasive resection of small pulmonary nodules and determine whether electromagnetic navigational bronchoscopy is a safer and more effective method than computed tomography–guided localization.
Methods
We performed a retrospective review of our thoracic surgery database to identify patients who underwent minimally invasive resection for a pulmonary mass and used either electromagnetic navigational bronchoscopy or computed tomography–guided localization techniques between July 2011 and May 2015.
Results
Three hundred eighty-three patients had a minimally invasive resection during our study period, 117 of whom underwent electromagnetic navigational bronchoscopy or computed tomography localization (electromagnetic navigational bronchoscopy = 81; computed tomography = 36). There was no significant difference between computed tomography and electromagnetic navigational bronchoscopy patient groups with regard to age, sex, race, pathology, nodule size, or location. Both computed tomography and electromagnetic navigational bronchoscopy were 100% successful at localizing the mass, and there was no difference in the type of definitive surgical resection (wedge, segmentectomy, or lobectomy) (P = 0.320). Postoperative complications occurred in 36% of all patients, but there were no complications related to the localization procedures. In terms of localization time and surgical time, there was no difference between groups. However, the down/wait time between localization and resection was significant (computed tomography = 189 minutes; electromagnetic navigational bronchoscopy = 27 minutes); this explains why the difference in total time (sum of localization, down, and surgery) was significant (P < 0.001).
Conclusions
We found electromagnetic navigational bronchoscopy to be as safe and effective as computed tomography–guided wire placement and to provide a significantly decreased down time between localization and surgical resection.</description><subject>Aged</subject><subject>Bronchoscopy - methods</subject><subject>Electromagnetic Phenomena</subject><subject>Female</subject><subject>Humans</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Multiple Pulmonary Nodules - pathology</subject><subject>Multiple Pulmonary Nodules - surgery</subject><subject>Operative Time</subject><subject>Postoperative Complications - etiology</subject><subject>Retrospective Studies</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Thoracic Surgery, Video-Assisted - methods</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>1556-9845</issn><issn>1559-0879</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF9PwyAUxYnROJ1-A2N49KUTCi3lUc38kywzMfrcUHrZWNqyQWsyP73o1BgfvC9cDucckh9CZ5RMKJHi0rZ2Qn4PK8QeOqJZJhNSCLn_ueeJLHg2QschrAjhLOf8EI3SQghBGTlCftqA7r1r1aKD3mo8V692oXrrOtXga-86vXRBu_UWP0E9aAi4XwJ-ti1EYTNYDzU2zuOZ06qxb59JrLo6vobY_HFzBs-GboHnrh4aCCfowKgmwOnXOUYvt9Pnm_tk9nj3cHM1SzTjsk8YAaELQyta5VKRCioAnmeSaklSpoVRdZ4rIVNTK6WVBmmKqEUOlFWpydgYXex6195tBgh92dqgoWlUB24IJZVpnhecZTxa-c6qvQvBgynX3rbKb0tKyg_aZaRd_qUdY-dfPwxVC_VP6BtvNNCdIagFlCs3-Eg1_F_6DuqejHU</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>David Bolton, William</creator><creator>Cochran, Thomas</creator><creator>Ben-Or, Sharon</creator><creator>Stephenson, James E.</creator><creator>Ellis, William</creator><creator>Hale, Allyson L.</creator><creator>Binks, Andrew P.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201709</creationdate><title>Electromagnetic Navigational Bronchoscopy Reduces the Time Required for Localization and Resection of Lung Nodules</title><author>David Bolton, William ; Cochran, Thomas ; Ben-Or, Sharon ; Stephenson, James E. ; Ellis, William ; Hale, Allyson L. ; Binks, Andrew P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c349t-30e7c8f1b1b69a0bebee46591c9023c7fad66a792fdaacace9f8fad00313b2f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Bronchoscopy - methods</topic><topic>Electromagnetic Phenomena</topic><topic>Female</topic><topic>Humans</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Multiple Pulmonary Nodules - pathology</topic><topic>Multiple Pulmonary Nodules - surgery</topic><topic>Operative Time</topic><topic>Postoperative Complications - etiology</topic><topic>Retrospective Studies</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Thoracic Surgery, Video-Assisted - methods</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>David Bolton, William</creatorcontrib><creatorcontrib>Cochran, Thomas</creatorcontrib><creatorcontrib>Ben-Or, Sharon</creatorcontrib><creatorcontrib>Stephenson, James E.</creatorcontrib><creatorcontrib>Ellis, William</creatorcontrib><creatorcontrib>Hale, Allyson L.</creatorcontrib><creatorcontrib>Binks, Andrew P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Innovations (Philadelphia, Pa.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>David Bolton, William</au><au>Cochran, Thomas</au><au>Ben-Or, Sharon</au><au>Stephenson, James E.</au><au>Ellis, William</au><au>Hale, Allyson L.</au><au>Binks, Andrew P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electromagnetic Navigational Bronchoscopy Reduces the Time Required for Localization and Resection of Lung Nodules</atitle><jtitle>Innovations (Philadelphia, Pa.)</jtitle><addtitle>Innovations (Phila)</addtitle><date>2017-09</date><risdate>2017</risdate><volume>12</volume><issue>5</issue><spage>333</spage><epage>337</epage><pages>333-337</pages><issn>1556-9845</issn><eissn>1559-0879</eissn><abstract>Objective
The aims of the study were to evaluate electromagnetic navigational bronchoscopy (ENB) and computed tomography–guided placement as localization techniques for minimally invasive resection of small pulmonary nodules and determine whether electromagnetic navigational bronchoscopy is a safer and more effective method than computed tomography–guided localization.
Methods
We performed a retrospective review of our thoracic surgery database to identify patients who underwent minimally invasive resection for a pulmonary mass and used either electromagnetic navigational bronchoscopy or computed tomography–guided localization techniques between July 2011 and May 2015.
Results
Three hundred eighty-three patients had a minimally invasive resection during our study period, 117 of whom underwent electromagnetic navigational bronchoscopy or computed tomography localization (electromagnetic navigational bronchoscopy = 81; computed tomography = 36). There was no significant difference between computed tomography and electromagnetic navigational bronchoscopy patient groups with regard to age, sex, race, pathology, nodule size, or location. Both computed tomography and electromagnetic navigational bronchoscopy were 100% successful at localizing the mass, and there was no difference in the type of definitive surgical resection (wedge, segmentectomy, or lobectomy) (P = 0.320). Postoperative complications occurred in 36% of all patients, but there were no complications related to the localization procedures. In terms of localization time and surgical time, there was no difference between groups. However, the down/wait time between localization and resection was significant (computed tomography = 189 minutes; electromagnetic navigational bronchoscopy = 27 minutes); this explains why the difference in total time (sum of localization, down, and surgery) was significant (P < 0.001).
Conclusions
We found electromagnetic navigational bronchoscopy to be as safe and effective as computed tomography–guided wire placement and to provide a significantly decreased down time between localization and surgical resection.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>28777130</pmid><doi>10.1097/imi.0000000000000387</doi><tpages>5</tpages></addata></record> |
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| subjects | Aged Bronchoscopy - methods Electromagnetic Phenomena Female Humans Lung Neoplasms - pathology Lung Neoplasms - surgery Male Middle Aged Minimally Invasive Surgical Procedures - methods Multiple Pulmonary Nodules - pathology Multiple Pulmonary Nodules - surgery Operative Time Postoperative Complications - etiology Retrospective Studies Robotic Surgical Procedures - methods Thoracic Surgery, Video-Assisted - methods Tomography, X-Ray Computed - methods |
| title | Electromagnetic Navigational Bronchoscopy Reduces the Time Required for Localization and Resection of Lung Nodules |
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