Evidence map›Paper›PMID 41169318›Full record

ArticleJTCVS open2025

Can we rely on intraoperative bronchoscopic biopsies for surgical decision making? 78 single anesthetic robotic bronchoscopy to anatomic resections.

Harmik J Soukiasian, Claire Perez, Lucas Weiser, Kellie Knabe, Woosik Yu, Allen Razavi, Philicia Moonsamy, Raffaele Rocco, Andrew R Brownlee

Abstract read
In one paragraph

Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Harmik J SoukiasianDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.
Claire PerezDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.
Lucas WeiserDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.
Kellie KnabeDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.
Woosik YuDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.
Allen RazaviDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.
Philicia MoonsamyDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.
Raffaele RoccoDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.
Andrew R BrownleeDivision of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles. Calif.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate intraoperative pathologic assessment of robotic bronchoscopic biopsies and its role in altering the operative plan. Methods: We included patients consented for robotic bronchoscopy with biopsy followed by possible pulmonary resection between April 2021 and May 2024. Cohen's kappa test was used to assess agreement between frozen section and final pathology. Diagnostic yield was calculated for strict and intermediate yields, separated into tertiles. Potentially avoidable benign resections were defined as cases in which a benign biopsy result would have excluded surgery. Results: A total of 107 patients consented for the procedure, with 78 patients meeting the inclusion criteria. The mean age was 67.9 ± 12.1. Patients with a final benign diagnosis were more likely to be younger (61.5 ± 15.3 years vs 69.5 ± 10.7 years; Conclusions: Intraoperative robotic bronchoscopic biopsy provides reliable pathologic information. Combining robotic bronchoscopy with possible surgical resection results in a low benign resection rate.

Indexed as

lung resectionrobotic bronchoscopysingle anesthetic event

Identifiers

PMID41169318
PMCPMC12570586

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.