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Bronchoscopy: Past, Present, and Future

  • Interventional Pulmonology (G Cheng, Section Editor)
  • Published:
Current Pulmonology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To review the history of the bronchoscope and how pulmonologists have implemented it in clinical practice. Bronchoscopy has changed more in the last 20 years than in the previous century. The role of the pulmonologist has changed with the evolution of technology.

Recent Findings

Over the last 20 years, endobronchial ultrasound and electromagnetic navigation have been employed in the diagnosis and staging of lung cancer. Most recently, robotic technology has been incorporated in bronchoscopy to provide enhanced stability, flexibility, and reach.

Summary

Bronchoscopy has emerged as a minimally invasive technique to diagnoses, stage, and potentially treat lung cancer.

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References

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  1. VanderLaan PA, Wang HH, Majid A, Folch E. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): an overview and update for the cytopathologist. Cancer Cytopathology, 2014; 561-576.

    Article  Google Scholar 

  2. Jackson C. Tracheo-bronchoscopy, esophagoscopy and gastroscopy. St Louis: The Laryngoscope Company; 1907.

    Google Scholar 

  3. Vourc’h G, Personne C, Colchen A, Toty L. Laser treatment for carcinoma of the bronchus. Brit Med J. 1983;286:981.

    Article  Google Scholar 

  4. Unger M. Bronchoscopic utilisation of the Nd YAG laser for obstructive lesions of the trachea and bronchi. Surgical Clinics of North America, 1984; 931-938.

    Article  CAS  Google Scholar 

  5. Dumon J. A dedicated tracheobronchial stent. Chest. 1990;97:328–32.

    Article  CAS  Google Scholar 

  6. Dutau H, Breen D, Bugalho AEA. Current practice of airway stenting ni the adult population in europe: a survery of the european association of bronchology and interventional pulmonology (EABIP). Respiration. 2017;95:44–54.

    Article  Google Scholar 

  7. Wang KP, Terry P, Marsh B. Bronchoscopic needle aspiration biopsy of paratracheal tumors. Am Rev Respirat Dis. 1978;118:17–21.

    CAS  Google Scholar 

  8. Ikeda S, Yanai N, Ishikawa S. Flexible bronchofiberscope. Keio J Med. 1968;17(1):1–18.

    Article  CAS  Google Scholar 

  9. Ikeda S, Tsuboi E, Ono R, Ishikawa S. Flexible bronchofiberscope. Jap J Clin Oncol. 1971;1(1):55–65.

    Google Scholar 

  10. Oki M, Saka H, Asano F, Kitagawa C, Kogure Y, Tsuzuku A, Ando M. Use of ultrathin versus thin bronchoscope for peripheral pulmonary lesions: a randomized trial. Chest, 2019.

  11. Sasada S, Izumo T, Chavez C, Matumoto Y, Tsuchida T. A new middle-range diameter bronchoscope with large channel for transbronchial sampling of peripheral pulmonary lesions. Jap J Clin Oncol. 2014;44(9):826–34.

    Article  Google Scholar 

  12. Wang KTP. Transbronchial needle aspiration in the diagnosis and staging of lung cancer. Chest. 1981;80:342–3.

    Article  Google Scholar 

  13. Pajares V, Puzo C, Castillo D, Lerma E, Montero A, Ramos-Barbon D, et al. Diagnostic yield of transbronchial cryobiopsy in interstitial lung disease: a randomized trial. Respirology. 2014;19:900–6.

    Article  Google Scholar 

  14. Johannson KA, Marcoux VD, Ronksley PE, Ryerson CJ. Diagnostic yield and complications of transbronchial lung cryobiopsy for interstitial lung disease: a systemic review and metaanalysis. Annal of ATS. 2016;13(10):1828–38.

    Google Scholar 

  15. Ravaglia C, Wells AU, Tomassetti S, Gurioli C, Gurioli C, Dubini A, et al. Diagnostic yield and risk/benefit analysis of trans-bronchial lung cryobiopsy in diffuse parenchymal lung disease: a large cohort of 699 patients. BMC Pulmo Med. 2019;19:16.

    Article  Google Scholar 

  16. Colella S, Haentschel M, Shah P, Poletti V, Hetzel J. Transbronchial lung cryobiopsy in interstitial lung disease: best practice. Respiration. 2018;95:289–300.

    Article  Google Scholar 

  17. Hurter T, Hanrath P. Endobronchial sonography: feasibility and preliminary results. Thorax. 1992;47:565–7.

    Article  CAS  Google Scholar 

  18. Herth FJ, Becker HD, Ernst A. Ultrasound-guided transbronchial needle aspiration: an experience in 242 patients. Chest. 2003;123:604–7.

    Article  Google Scholar 

  19. Herth F, Eberhardt R, Vilmann P, Krasnik M, Ernst A. Real-time endobronchial ultrasound guided transbronchial needle aspiration for sampling mediastinal lymph nodes. Thorax. 2006;61:795–8.

    Article  CAS  Google Scholar 

  20. Gomez M, Silvestri GA. Endobronchial ultrasound for the diagnosis and staging of lung cancer. Proc Am Thoracic Soc. 2009;6:180–6.

    Article  Google Scholar 

  21. Xiang Y, Zhang F, Akulian J, Yarmus L, Feller-Kopman D, Wang KP. EBUS-TBNA by a new fuji EBUS scope. J Thoracic Dis. 2013;5(1):36–9.

    Google Scholar 

  22. Vining DJ, Liu K, Choplin RH, Haponik EF. Virtual bronchoscopy: relationships of virtual reality endobronchial simulations to actual bronchoscopic findings. Chest. 1996:549–53.

    Article  CAS  Google Scholar 

  23. Ferguson JS, McLennan G. Virtual bronchoscopy. Proceeding of the american thoracic society, 2005; 488-491.

    Article  Google Scholar 

  24. Dibardino D, Yarmus L, Semaan R. Transthoracic needle biopsy of the lung. J Thoracic Dis. 2015;7:S304–16.

    Google Scholar 

  25. Khandhar S, Bowling M, Flandes J, Gildea T, Hood K, Krimsky W, et al. Electromagnetic Navigation bronchoscopy to access lung lesion in 1000 subjects: first results of the prospective, multicenter NAVIGATE study. BMC Pulmon Med. 2017;17(59):1–9.

    Google Scholar 

  26. Ost DE, Ernst A, Lei X, et al. Diagnostic yield and complications of bronchoscopy for peripheral lung lesions. Am J Respirat Critic Care Med. 2016;193(1):68–77.

  27. Wang Memoli JS, Nietert PJ, Silvestri GA. Meta-analysis of guided bronchoscopy for the evaluation of the pulmonary nodule. Chest. 2012;142(2):385–93.

    Article  Google Scholar 

  28. • Folch EE, Pritchett MA, Nead MA, et al. Electromagnetic navigation broncohscopy for peripheral pulmonary lesions: one-year results of the prospective, multicenter NAVIGATE study. J Thoracic Oncol. 2018;14(3):445–58 Largest prospective study to date evaluating electromagnetic navigational bronchoscopy.

    Article  Google Scholar 

  29. Garpestad E, Goldberg N, Herth F, Garland R, Locicero J, Thurer R, et al. CT fluoroscopy guidance for transbronchial needle aspiration: an experience of 35 patients. Chest. 2001;119:329–32.

    Article  CAS  Google Scholar 

  30. Casal RF, Sarkiss M, Jones AK, Stewart J, Tam A, Grosu HB, et al. Cone beam computed tomography-guided thin/ultrathin bronchoscopy for diagnosis of peripheral lung nodules: a prospective pilot study. J Thoracic Dis. 2018;10(12):6950–9.

    Article  Google Scholar 

  31. Hohenforst-Schmidt W, Zarogoulidis P, Vogl T, Turner JF, Browning R, Linsmeier B, et al. Cone beam Computertomography(CBCT) in interventional chest medicine- high feasilbility for endobronchial realtime navigation. J Cancer. 2014;5(3):231–41.

    Article  Google Scholar 

  32. Pritchett MA, Schampaert S, Groot D, Aha J, Schirmer CC, van der Bom I. Cone-beam CT with augmented fluoroscopy combined with electromagnetic navigation broncohscopy for biopsy of pulmonary nodules. J Bronchol Intervention Pulmonol. 2018;25:274–82.

    Article  Google Scholar 

  33. •• Lau K, Spiers A, Pritchett M, Krimsky W. Bronchoscopic image-guided microwave ablation of peripheral lung tumors- early results. J Thoracic Oncol. 2018;13(10):S542 Early study in the use of bronchoscopic navigation and cone beam CT for microwave ablation of peripheral nodules.

    Article  Google Scholar 

  34. Chen A, Gillespie C. Robotic endoscopic airway challenge: REACH assessment. Annals of Thoracic Surgery. 2018;106:293–7.

    Article  Google Scholar 

  35. •• Rojas-Solano J, Ugalde-Gamboa L, Machuzak M. Robotic Bronchoscopy for Diagnosis of Suspected Lung Cancer: A feasibility study. Journal of Bronchology and Interventional Pulmonology, 2018; 1-8, . First in human robotic bronchoscopy for the evaluation of peripheral lung nodules.

  36. Fielding D, Bashirzadeh F, Son J, Todman M, Chin A, Tan L, et al. First human use of a new robotic-assisted fiber optic sensing navigation system for small peripheral pulmonary nodules. Respiration. 2019;26:1–9.

    Google Scholar 

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Authors and Affiliations

  1. Fox Chase Cancer Center, 333 Cottman Ave, Philadelphia, PA, 19111, USA

    Christopher Manley

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  1. Christopher Manley
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Correspondence to Christopher Manley.

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Christopher Manley reports personal fees as a consultant for Boston Scientific and Auris Health

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This article is part of the Topical Collection on Interventional Pulmonology

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Manley, C. Bronchoscopy: Past, Present, and Future. Curr Pulmonol Rep 8, 198–204 (2019). https://doi.org/10.1007/s13665-019-00243-w

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