Recently, Liu Fang, Chief Physician of the Department of Respiratory and Critical Care Medicine, and Xu Tongzhen, Chief Physician of the First Section of Thoracic Surgery, jointly completed the “Bronchi Ultrasound-Guided Transthecal Bronchial Lung Biopsy (EBUS-GS-TBLB)” ”, which provides great help for the precise planning of surgical plans and further treatment plans, saves the time of waiting for rapid pathological diagnosis during the operation, saves the cost of surgery, and allows patients to achieve rapid recovery.
This patient is a peripheral lung mass located at RS8bii, and this non-invasive test was confirmed as lung invasive adenocarcinoma
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EBUS-GS-TBLB is a non-invasive operation mainly for biopsy of peripheral lung tumors to obtain pathological diagnosis. Conventional bronchoscopy can generally only reach the proximal segmental bronchi, but peripheral lung tumors are generally located in subsegmental, subsegmental or more distal lungs, which cannot be reached by conventional bronchoscopy. Therefore, the current preoperative diagnosis method for peripheral lung tumors is mainly obtained by invasive operation under CT positioning and percutaneous lung puncture. The EBUS-GS-TBLB is guided by a small ultrasonic probe with a smaller diameter to reach the sub-sub-segment or even more distal bronchus, and the chest CT image has been used to plan and navigate the operation path by hand-drawing before this operation. , in order to guide the endoscopic ultrasound to quickly and accurately reach the target lesions around the lung, and take the biopsy through the sheath, which greatly improves the accuracy and positive rate of the biopsy of peripheral lung tumors, and provides a better solution for the patient’s next treatment plan. The formulation provides extremely beneficial assistance.
The distinctive preoperative hand-painted navigation guides the ultrasound bronchoscope to quickly and accurately reach the target lesions around the lung for material collection Biopsy
The first district of the Department of Respiratory and Critical Care Medicine and the Department of Thoracic Surgery attach great importance to the development of new and cutting-edge technologies in this specialty, and send physicians for specialized training. The smooth development of EBUS-GS-TBLB is precisely due to the exchange and study of our physicians in top domestic hospitals, and the application of advanced technology and experience to clinical work for the first time. In 2021, Liu Fang went to the Endoscopy Room of the Cancer Hospital of the Chinese Academy of Medical Sciences for further study. Under the tutelage of Professor Zhang Lei, she conducted special training on Professor Zhang Lei’s unique hand-drawn navigation. At the same time, she conducted a systematic and comprehensive advanced study in EBUS-GS-TBLB. Xu Tongzhen studied in the bronchoscopy room of Professor Sun Jiayuan of Shanghai Chest Hospital in 2010, and conducted special research and study in ultrasound bronchoscopy and endoscopic treatment, which provided the basis for the smooth development of EBUS-GS-TBLB in our hospital. A solid foundation!
The smooth development of the hand-drawn navigation-EBUS-GS-TBLB in this case will surely drive the further promotion of EBUS-GS-TBLB in Weifang, better serve the clinic and benefit the majority of patients.