Robotic Bronchoscopy for Lung Biopsy - Yale Medicine Explains

Transcript

• 00:02- Lung cancer kills more patients
• 00:05than prostate cancer, breast cancer and colon cancer combined.
• 00:10Just in 2022,
• 00:12more than 130,000 people
• 00:14will lose their life to lung cancer.
• 00:18- When lung cancer is caught early
• 00:20it's much easier to treat in a curative way.
• 00:23So lung cancer can present silently when early,
• 00:25so patients don’t have symptoms that would alarm us
• 00:28or alert us that lung cancer may be present.
• 00:31Which is why screening is very important in the high risk population.
• 00:35- The way we do that is with getting an annual low-dose CT scan
• 00:38and so people who smoked one pack per day for 20 years
• 00:41or a half pack a day for 40 years and over the age of 50
• 00:45should get an annual CT scan for screening.
• 00:51- So if a patient, for example, has an abnormal finding on their CAT scan,
• 00:55a patient may be referred to us to have a bronchoscopy done.
• 00:58Through a bronchoscopy, we’re able to sample tissue in the lung
• 01:02and diagnosed abnormalities of the lung.
• 01:05- A bronchoscopy is a procedure that you get with general anesthesia.
• 01:08- It's a long, thin, flexible tube
• 01:11on one end of that has a camera
• 01:14and the other and is manually held by the operator.
• 01:24- So when we think about pursuing these nodules bronchoscopically,
• 01:27we have a new technology called robotic bronchoscopy.
• 01:30- You again have a flexible, thin, long tube with a camera on one end.
• 01:35However, the other end is attached to a robotic arm
• 01:39and then you, as an pulmonologist or as an operator, you operate that robotic arm.
• 01:45- The biggest airway that you have is your trachea.
• 01:48That's your main windpipe
• 01:49and as you branch to the lower parts of the lung,
• 01:51the airways get smaller and smaller
• 01:54and, traditionally with our regular bronchoscope,
• 01:57we can maybe only make it out to about
• 01:5820 to 30% of the airway that we can see
• 02:02just because the size starts to get too small.
• 02:04With robotic bronchoscopy, we can get up to 90 to 95% or more.
• 02:10It also provides a lot more stability
• 02:12and so when we're bypassing a nodule or lesion,
• 02:15we don't have to worry about our hands
• 02:17holding the correct in the exact position while we're bypassing,
• 02:19the robot can do that for us.
• 02:22- The yield of the biopsies that we do with robotic bronchoscopy
• 02:26is much greater than traditional bronchoscopy.
• 02:33When a biopsy is done of a lung nodule,
• 02:36we have no further information about the involvement of the lymph nodes,
• 02:41which ultimately is very important when we think about treatment options.
• 02:45Endobronchial Ultrasound or EBUS
• 02:46allows us to look at things that are not directly inside the airways.
• 02:50So, for example, the lymph nodes in the chest.
• 02:52- So just like our bronchoscope is a thin tube that goes down into the lung to get biopsies,
• 02:56the EBUS scope or endobronchial ultrasound scope
• 02:59has an ultrasound at the end of that bronchoscope
• 03:00and it allows us to see the lymph nodes that are outside the airway but right next to it
• 03:05and we can actually watch a needle go directly into the lymph node to get a biopsy sample of that.
• 03:09- The advantage of doing both the robotic bronchoscopy and the EBUS at the same time
• 03:14is we get the most amount of information
• 03:16in order to accurately diagnose and stage the lung cancer
• 03:20with a low risk and all done within one procedure.
• 03:27- You're going to come and you're going to get your cancer diagnosed
• 03:30and staged in one anesthesia setting
• 03:32and that allows us to get you to the specialists
• 03:34that's going to be able to treat your cancer much quicker
• 03:37and increase the chances that you're going to be cured of your disease.
• 03:41- The whole treatment plan can take under a month.
• 03:44In the grand scheme of things, that's lightning fast.
• 03:48- We are a very high volume center,
• 03:49so if you need a lung cancer treatment or a lung cancer surgery,
• 03:53you want to go to a place which has done this hundreds and thousands of times
• 03:57not ten times
• 03:58which is really important for patient outcomes.
• 04:01And on top of that,
• 04:02we are the only accredited cancer center in the state of Connecticut.
• 04:06You will also have access to all the latest
• 04:10research trials and clinical trials to take care of the lung cancer patients.
• 04:14You will get an access to the world-class thoracic oncology program,
• 04:18which has all the resources that you need to get an excellent care
• 04:23for your lung cancer.