Prone positioning in cone beam CT-guided robotic bronchoscopy case series: a strategy to minimize atelectasis and improve access to posteromedial lower lobe nodules.

ABSTRACT:

Background

Robotic-assisted bronchoscopy (RAB) combined with cone beam computed tomography (CBCT), augmented fluoroscopy (AF), and radial endobronchial ultrasound (EBUS) improves diagnostic yield for peripheral nodules but remains limited in posteromedial locations due to anesthesia-related atelectasis and computed tomography (CT)-to-body divergence. Prone positioning has been proposed to counteract these limitations by improving dorsal aeration and stabilizing lesion position. The objective of this study was to evaluate the feasibility of performing RAB with CBCT guidance in the prone position to improve access and diagnostic yield for lung nodules in the posteromedial lower lobes.

Methods

We retrospectively reviewed 28 patients who underwent RAB with CBCT-AF in the prone p

SUBMITTER: Alraiyes AH 

PROVIDER: S-EPMC12688602 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature