Chang Aliss T C, Chan Joyce W Y, Siu Ivan C H, Liu Wei, Lau Rainbow W H, Ng Calvin S H
Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
Front Surg. 2025 Jun 3;12:1566902. doi: 10.3389/fsurg.2025.1566902. eCollection 2025.
The incidental discovery of early-stage, multifocal lung cancer is transforming the medical landscape. Diagnosing and treating such lesions are often troublesome due to their small size, subsolid consistency, and multifocal nature. This has led to the development of electromagnetic navigation bronchoscopy, which enhanced the ease of navigation and improved localization accuracy during diagnostic procedures. Moreover, it opens the door for intricate transbronchial therapeutic procedures thanks to the superior navigational precision. To further automate navigation and increase maneuverability, robotic-assisted bronchoscopy was developed in recent years, where the robotic arms allow a high level of control and stability of the bronchoscope. Recent evidence has shown that the maneuverability, steadiness, and localization accuracy offered by robotic-assisted bronchoscopy systems with the navigation system allow operators to navigate narrower airways and perform complex interventions with great precision. This review illustrates the development, advantages, and applications of various robotic bronchoscopy systems with the latest evidence. We explore the promising future of robotic-assisted bronchoscopy, where such procedures are anticipated to play an essential role in the multidisciplinary management pathway.
早期多灶性肺癌的偶然发现正在改变医学格局。由于这些病变体积小、亚实性特征以及多灶性本质，对其进行诊断和治疗往往颇具麻烦。这促使了电磁导航支气管镜的发展，它提高了诊断过程中的导航便利性并改善了定位准确性。此外，由于卓越的导航精度，它为复杂的经支气管治疗程序打开了大门。为了进一步实现导航自动化并提高可操作性，近年来开发了机器人辅助支气管镜，其中机器人手臂可实现支气管镜的高度控制和稳定性。最近的证据表明，配备导航系统的机器人辅助支气管镜系统所提供的可操作性、稳定性和定位准确性，使操作人员能够在更狭窄的气道中导航，并极其精确地进行复杂干预。本综述结合最新证据阐述了各种机器人支气管镜系统的发展、优势及应用。我们探索了机器人辅助支气管镜充满希望的未来，预计此类程序将在多学科管理途径中发挥重要作用。
