Single anesthetic event for lung cancer diagnosis and treatment: hype or hope for the future?
Sean H. Nguyen , Madhuri Rao
Mini-invasive Surgery ›› 2025, Vol. 9 ›› Issue (1) : 4
The concept of a single anesthetic event (SAE) for lung cancer diagnosis and treatment has recently developed with the aim to streamline care and reduce delays in treatment. SAE integrates advanced diagnostic bronchoscopy, histopathologic diagnosis, and immediate surgical resection in one single anesthetic procedure. This review explores the historical surgical treatment of lung cancer, development of SAE, and the theoretical framework and practical implementation of SAE. While offering potential advantages such as shorter treatment times and reduced hospital stays, SAE encounters logistical difficulties and limitations in use. Despite these challenges, SAE demonstrates feasibility and suggests a pathway towards improved cancer management.
Single anesthetic event / lung cancer / robotic bronchoscopy / robotic lung resection
| [1] |
|
| [2] |
|
| [3] |
|
| [4] |
|
| [5] |
|
| [6] |
|
| [7] |
Aberle DR, Adams AM, Berg CD, et al; National Lung Screening Trial Research Team. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011;365:395-409. PMCID:PMC4356534 |
| [8] |
|
| [9] |
|
| [10] |
|
| [11] |
|
| [12] |
|
| [13] |
Postmus PE, Kerr KM, Oudkerk M, et al; ESMO Guidelines Committee. Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2017;28:iv1-21. |
| [14] |
|
| [15] |
Madariaga ML, Lennes IT, Best T, et al; MGH Pulmonary Nodule Clinic Collaborative. Multidisciplinary selection of pulmonary nodules for surgical resection: diagnostic results and long-term outcomes. J Thorac Cardiovasc Surg. 2020;159:1558-66.e3. |
| [16] |
|
| [17] |
|
| [18] |
|
| [19] |
|
| [20] |
|
| [21] |
Yarmus L, Akulian J, Wahidi M, et al; Interventional Pulmonary Outcomes Group (IPOG). A prospective randomized comparative study of three guided bronchoscopic approaches for investigating pulmonary nodules: the PRECISION-1 study. Chest. 2020;157:694-701. PMCID:PMC9773231 |
| [22] |
|
| [23] |
|
| [24] |
|
| [25] |
|
| [26] |
|
| [27] |
|
| [28] |
|
| [29] |
|
| [30] |
|
| [31] |
|
| [32] |
|
| [33] |
|
| [34] |
|
| [35] |
|
| [36] |
|
| [37] |
|
| [38] |
|
| [39] |
|
| [40] |
|
| [41] |
|
| [42] |
|
| [43] |
|
| [44] |
Folch EE, Bowling MR, Pritchett MA, et al; NAVIGATE Study Investigators. NAVIGATE 24-month results: electromagnetic navigation bronchoscopy for pulmonary lesions at 37 centers in Europe and the United States. J Thorac Oncol. 2022;17:519-31. PMCID:PMC5387322 |
| [45] |
|
| [46] |
|
| [47] |
Los Robles Health System. Los Robles Health System performs first single anesthetic procedure for lung cancer treatment. Available from https://losrobleshospital.com/about/newsroom/los-robles-health-system-performs-first-single-anesthetic-procedure-for-lung-cancer-treatment. [accessed 16 January 2025]. |
| [48] |
Loma Linda University Health. LLUH introduces a revolutionary single anesthesia procedure combining lung cancer diagnosis and removal. Available from https://news.llu.edu/patient-care/lluh-introduces-revolutionary-single-anesthesia-procedure-combining-lung-cancer-diagnosis-and-removal. [accessed 16 January 2025]. |
| [49] |
|
| [50] |
Weill Cornell Medicine Cardiothoracic Surgery. Single anesthesia for combined robotic-assisted bronchoscopy and surgical lobectomy. Available from https://ctsurgery.weillcornell.org/single-anesthesia-event. [accessed 16 January 2025]. |
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