Background: Shape-sensing robotic-assisted bronchoscopy (ssRAB) is a new bronchoscopy technology that utilizes optic fibers to provide accurate position information and robotic-control to deliver improved maneuverability. This technology has been used in the United States since 2019 and investigated in China since 2021. In order to provide a standard practice and make the best use of this technology for managing peripheral pulmonary lesions (PPLs), experts developed the consensus. Methods: This consensus was developed using Delphi method. A panel comprising nine experts formulated eight consensus statements after a thorough review of clinical evidence and practical experience. During the second phase, a questionnaire was distributed to collect feedback on these statements from an external panel of 39 physicians. The percentage of responses and the percentage of agreement on each statement were calculated. The consensus was defined as achieved with an agreement percentage threshold of 80% or above. Results: The eight consensus statements formulated in phase 1 included recommendations for path planning, anesthesia, the use of radial endobronchial ultrasound (EBUS), the use of fluoroscopy and/or cone-beam computed tomography (CBCT) with ssRAB, solving computed tomography (CT)-to-body divergence, the use of sampling tools with ssRAB, cloud biopsy, and the use of rapid on-site evaluation (ROSE) with ssRAB. All panel physicians completed the questionnaire in phase 2. All the statements achieved positive consensus, with six receiving 100% agreement and two reaching 97.4% agreement. Conclusions: The document establishes a consensus on recommended practices for optimal utilization of ssRAB technology in the management of PPLs. The guidelines will be updated as new evidence emerges or additional ssRAB platforms are introduced into practice.
[1]Shanghai Jiao Tong Univ, Shanghai Chest Hosp, Sch Med, Dept Resp Endoscopy, 241 West Huaihai Rd, Shanghai 200030, Peoples R China.
[2]Shanghai Jiao Tong Univ, Sch Med, Shanghai Chest Hosp, Dept Resp & Crit Care Med, Shanghai, Peoples R China.
[3]Shanghai Engn Res Ctr Resp Endoscopy, Shanghai, Peoples R China.
[4]Fudan Univ, Zhongshan Hosp, Dept Pulm Med, Shanghai Key Lab Lung Inflammat & Injury, Shanghai, Peoples R China.
[5]Sichuan Univ, West China Hosp, Dept Resp & Crit Care Med, Chengdu, Peoples R China.
[6]Zhengzhou Univ, Henan Prov Peoples Hosp, Peoples Hosp, Dept Resp & Crit Care Med, Zhengzhou, Peoples R China.
[7]Soochow Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Suzhou, Peoples R China.
[8]China Japan Friendship Hosp, Dept Pulm & Crit Care Med, Beijing, Peoples R China.
[9]Xi An Jiao Tong Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Xian, Peoples R China.
[10]Guangzhou Med Univ, China State Key Lab Resp Dis, Guangzhou, Peoples R China.
[11]Guangzhou Med Univ, Affiliated Hosp 1, Natl Clin Res Ctr Resp Dis, Guangzhou, Peoples R China.
[12]Nanchang Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Nanchang, Peoples R China.
[13]Harbin Med Univ, Affiliated Hosp 2, Dept Pulm & Crit Care Med, Harbin, Peoples R China.
[14]Ningbo Univ, Affiliated Hosp, Med Sch, Dept Pulm & Crit Care Med, Ningbo, Peoples R China.
[15]Tongji Univ, Sch Med, Shanghai Pulm Hosp, Endoscopy Ctr, Shanghai, Peoples R China.
[16]Naval Mil Med Univ, Changhai Hosp, Dept Respirat, Shanghai, Peoples R China.
[17]Hebei Med Univ, Hosp 2, Dept Resp & Crit Care Med, Shijiazhuang, Peoples R China.
[18]Bengbu Med Coll, Affiliated Hosp 1, Dept Resp Dis, Bengbu, Peoples R China.
[19]Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Resp Med, Shanghai, Peoples R China.
[20]Chongqing Med Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Chongqing, Peoples R China.
[21]Jiangnan Univ, Affiliated Hosp, Dept Resp Med, Wuxi, Peoples R China.
[22]Guizhou Aerosp Hosp, Dept Resp Med, Zunyi, Peoples R China.
[23]Kunming Med Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Kunming, Peoples R China.
[24]Xian Int Med Ctr, Dept Resp Dis, Xian, Peoples R China.
[25]Shanxi Med Univ, Affiliated Hosp 1, Dept Resp & Crit Care Med, Taiyuan, Peoples R China.
[26]Tianjin Med Univ, Gen Hosp, Dept Resp & Crit Care Med, Tianjin, Peoples R China.
[27]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Resp & Crit Care Med, Wuhan, Peoples R China.
[28]Lanzhou Univ, Hosp 2, Dept Resp Med, Lanzhou, Peoples R China.
[29]Zhengzhou Univ, Affiliated Hosp 1, Dept Resp Med, Zhengzhou, Peoples R China.
[30]Capital Med Univ, Beijing Tiantan Hosp, Dept Resp & Crit Care Med, Beijing, Peoples R China.
[31]Shanghai Jiao Tong Univ, Sch Med, Shanghai Chest Hosp, Dept Anesthesiol, Shanghai, Peoples R China.
[32]Xiamen Med Coll, Affiliated Hosp 2, Dept Resp Ctr, Xiamen, Peoples R China.
[33]Zhejiang Univ, Affiliated Hosp 2, Sch Med, Dept Resp & Crit Care Med, Hangzhou, Peoples R China.
[34]Cent South Univ, Xiangya Hosp 2, Dept Resp Med, Changsha, Peoples R China.
[35]Tongji Univ, Shanghai East Hosp, Sch Med, Dept Resp & Crit Care Med, Shanghai, Peoples R China.
[36]Xinjiang Chest Hosp, Dept Resp Med, Urumqi, Peoples R China.
[37]Third Peoples Hosp Shenzhen, Dept TB, Shenzhen, Peoples R China.
[38]Guizhou Prov Peoples Hosp, Dept Pulm & Crit Care Med, Guiyang, Peoples R China.
[39]Yantai Yuhuangding Hosp, Med Coll Qingdao, Dept Resp & Crit Care Med, Yantai, Peoples R China.
[40]Emergency Gen Hosp, Dept Resp Med, Beijing, Peoples R China.
[41]Anhui Chest Hosp, Pulm Intervent Dept, Hefei, Peoples R China.
[42]Nanjing Univ, Nanjing Drum Tower Hosp, Med Sch, Dept Resp Med, Nanjing, Peoples R China.
[43]Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Dept Resp & Crit Care Med, Chengdu, Peoples R China.
[44]Zhejiang Univ, Sir Run Run Shaw Hosp, Reg Med Ctr,Natl Inst Resp Dis, Dept Pulm & Crit Care Med, 3 Qingchun East Rd, Hangzhou 310016, Peoples R China.
[45]Xuzhou Med Univ, Affiliated Hosp, Dept Thorac Surg, 99 West Huaihai Rd, Xuzhou 221006, Peoples R China.
(8.0+极速模式)