Evidence map›Paper›PMID 41658881›Full record

ArticleJTCVS techniques2026

Single anesthetic bronchoscopic biopsy to robotic resection workflow.

Claire Perez, Vikram Krishna, Kellie Knabe, Raffaele Rocco, Philicia Moonsamy, Andrew R Brownlee, Harmik J Soukiasian

Abstract read
In one paragraph

Article in JTCVS techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Claire PerezDivision of Thoracic Surgery, Department of Surgery, Cedars Sinai Medical Center, Los Angeles, Calif.
Vikram KrishnaDivision 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.
Raffaele RoccoDivision 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.
Andrew R BrownleeDivision of Thoracic Surgery, Department of Surgery, Cedars Sinai Medical Center, Los Angeles, Calif.
Harmik J SoukiasianDivision 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

Background: Shape-sensing robotic-assisted bronchoscopy (ssRAB) is a novel technology with demonstrated safety and high diagnostic yield in the evaluation of pulmonary nodules. When combined with robotic-assisted thoracic surgery, ssRAB enables a single-anesthesia strategy for both biopsy and definitive resection. Methods: This technical report describes a reproducible workflow for performing robotic bronchoscopy followed by pulmonary resection under a single anesthetic. A novel aspect of this approach is the use of a double-lumen endotracheal tube and lateral decubitus positioning from the outset, allowing uninterrupted transition between diagnostic bronchoscopy, dye marking, and anatomical resection. Step-by-step details of room setup, airway management, bronchoscopic navigation, dye injection, and anatomic resection are provided. Results: The technique was performed successfully in all described cases with minimal intraoperative complications. Dye localization was accurate in each instance, facilitating rapid identification of target lesions during resection. The total additional operative time attributable to ssRAB and dye marking was minimal. Postoperative recovery was uneventful. Conclusions: This streamlined technique offers a safe and efficient method for diagnosing and treating early-stage lung cancer in a single operative setting. Lateral positioning with a double-lumen tube facilitates workflow efficiency and may serve as a model for other institutions seeking to implement single-anesthetic bronchoscopic resection pathways.

Indexed as

biopsyrobotic bronchoscopysingle anesthesia

Identifiers

PMID41658881
PMCPMC12881792

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.