An Efficient, Minimally Invasive Pathway to Manage Suspicious Lung Nodules

Pulmonary Lung Nodule in X-Ray
Pulmonary Lung Nodule in X-Ray
Research presented at CHEST 2021 examines use of a single anesthesia episode for robotic navigational bronchoscopy and pulmonary resection for lung nodules.

The following article is a part of conference coverage from CHEST 2021, being held virtually from October 17 to October 20, 2021. The team at Pulmonology Advisor will be reporting on the latest news and research conducted by leading experts in the field. Check back for more from CHEST 2021.


In patients with indeterminate lung nodules, coupling robotic bronchoscopy with robotic pulmonary resection during a single general anesthesia episode effectively shortens the timeline to definitive therapy, reduces patient anxiety about delayed therapeutic interventions, and enhances the patient experience. This research finding was presented at the CHEST 2021 Annual Meeting, held virtually October 17 to 20.

Of the 51 patients who underwent robotic assisted navigational bronchoscopy at the investigators’ facility, 10 had single anesthesia for diagnosis and resection of pulmonary nodules (ie, the “Fast Track” procedure). Analysis of data on patients undergoing the Fast Track procedure found: mean patient age was 69.2 (range, 34 to 83 years); mean nodule size was 16.2 mm (range, 9 to 30 mm); nodule localization with ICG (indocyanine green) was utilized in 9 patients. Overall, the facility saw no conversions from the minimally invasive approach to open thoracotomy, and there were no complications and no mortalities related to robotic-assisted bronchoscopy or robotic resection.

Researchers concluded that robotic-assisted navigational bronchoscopy is safe and effective for establishing diagnosis of indeterminate nodules, and that localization with ICG during the diagnostic bronchoscopy facilitated completion of a minimally invasive surgical resection. “We will continue to evaluate Fast Track nodule management for same day diagnosis and resection as an alternative strategy for our patients, investigators added.

Disclosure: Several study authors declared affiliations with the biotech, pharmaceutical, and/or device companies. Please see the original abstract for a full list of authors’ disclosures.  


Ross P, Skabia P, Sutter J, Meyer T. Fast track nodule pathway: same day robotic diagnosis and resection. Presented at: CHEST 2021; October 17-20, 2021; Orlando, FL/Virtual. Abstract A82.