Expert consensus on the operating specifications of robot-assisted percutaneous surgery system in percutaneous lung puncture for diagnosis and treatment

doi:10.3877/cma.j.issn.2095-8773.2025.01.01

Abstract

Abstract:

Lung cancer is a malignant tumor with the highest morbidity and mortality both in China and even in the world.Accurate diagnosis and treatment of this disease are crucial to improving the survival and quality of life of patients.Computed tomography （CT）-guided percutaneous lung puncture is an important method for the diagnosis and treatment of lung diseases，but heavily relies on doctors' professional skills and surgical experience in practices.The robot-assisted percutaneous surgery system integrates a series of emerging technologies to improve the accuracy and safety of percutaneous lung puncture，reduce the difficulty of operation，and reduce the occurrence of complications through puncture path planning，respiratory movement monitoring，robot-assisted positioning，etc.This technology has been increasingly used in clinical scenarios，such as lung biopsy，ablation，and preoperative localization for thoracoscopic surgery.In order to standardize the operating procedures of CT-guided percutaneous lung puncture for diagnosis，treatment and localization with the robot-assisted percutaneous surgery system and to summarize key points，Guangdong Association of Thoracic Diseases organized experts from various fields （thoracic surgery，respiratory medicine，oncology，interventional therapy，etc.） to develop this expert consensus.

Key words: Robot-assisted percutaneous surgery system, Percutaneous lung puncture, Diagnosis, Treatment, Localization

Fei Cui, Yanwei Chen, Xingyang Xue, Jun Liu, Wenlong Shao, Fa Long, Yu Li, Chundong Gu, Jian Zhang, Honghao Zhang, Xin Li, Shiyue Li, Jianxing He. Expert consensus on the operating specifications of robot-assisted percutaneous surgery system in percutaneous lung puncture for diagnosis and treatment[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2025, 12(01): 1-11.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhxbwkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8773.2025.01.01

https://zhxbwkdzzz.cma-cmc.com.cn/EN/Y2025/V12/I01/1

Figures/Tables 7

References 33

1	Bray F，Laversanne M，Sung H，et al.Global cancer statistics 2022：GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries［J］.CA Cancer J Clin，2024，74（3）：229-263.
2	郑荣寿，陈茹，韩冰峰，等.2022年中国恶性肿瘤流行情况分析［J］.中华肿瘤杂志，2024，46（3）：221-231.
3	Bach PB，Mirkin JN，Oliver TK，et al.Benefits and harms of CT screening for lung cancer：a systematic review［J］.JAMA，2012，307（22）：2418-2429.
4	Duma N，Santana-Davila R，Molina JR.Non-Small Cell Lung Cancer：Epidemiology，Screening，Diagnosis，and Treatment［J］.Mayo Clin Proc，2019，94（8）：1623-1640.
5	Yang W，Qian F，Teng J，et al.Community-based lung cancer screening with low-dose CT in China：Results of the baseline screening［J］.Lung Cancer，2018，117：20-26.
6	Fan L，Wang Y，Zhou Y，et al.Lung Cancer Screening with Low-Dose CT：Baseline Screening Results in Shanghai［J］.Acad Radiol，2019，26（10）：1283-1291.
7	Manhire A，Charig M，Clelland C，et al.Guidelines for radiologically guided lung biopsy［J］.Thorax，2003，58（11）：920-936.
8	Takeshita J，Masago K，Kato R，et al.CT-guided fine-needle aspiration and core needle biopsies of pulmonary lesions：a single-center experience with 750 biopsies in Japan［J］.AJR Am J Roentgenol，2015，204（1）：29-34.
9	Wang L，Sun D，Gao M，et al.Computed tomography-guided localization of pulmonary nodules prior to thoracoscopic surgery［J］.Thorac Cancer，2023，14（2）：119-126.
10	Ciriaco P，Negri G，Puglisi A，et al.Video-assisted thoracoscopic surgery for pulmonary nodules：rationale for preoperative computed tomography-guided hookwire localization［J］.Eur J Cardiothorac Surg，2004，25（3）：429-433.
11	Yan G，Cheng X，Wu S，et al.Clinical value and application of preoperative CT-guided hookwire localization of solitary pulmonary nodules for video-assisted thoracic surgery［J］.Technol Health Care，2022，30（S1）：459-467.
12	Dupuy DE.Image-g uided ther mal ablation of lu ng malignancies［J］.Radiology，2011，260（3）：633-655.
13	Vogl TJ，Naguib NN，Lehnert T，et al.Radiofrequency，microwave and laser ablation of pulmonary neoplasms：clinical studies and technical considerations--review article［J］.Eur J Radiol，2011，77（2）：346-357.
14	Park R，Lee SM，Kim S，et al.Learning Curve for CT-Guided Percutaneous Transthoracic Needle Biopsy：Retrospective Evaluation Among 17 Thoracic Imaging Fellows at a Tertiary Referral Hospital［J］.AJR Am J Roentgenol，2022，218（1）：112-123.
15	Nakatani M，Kariya S，Ono Y，et al.Radiation Exposure and Protection in Computed Tomography Fluoroscopy［J］.Interv Radiol （Higashimatsuyama），2022，7（2）：49-53.
16	Seki Y，Miyazaki M，Fukushima Y，et al.Radiation Exposure of Interventional Radiologists during Computed Tomography Fluoroscopy-Guided Percutaneous Cryoablation［J］.Interv Radiol （Higashimatsuyama），2020，5（2）：67-73.
17	Ben-David E，Shochat M，Roth I，et al.Evaluation of a CTGuided Robotic System for Precise Percutaneous Needle Insertion［J］.J Vasc Interv Radiol，2018，29（10）：1440-1446.
18	Folch EE，Pritchett MA，Nead MA，et al.Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary Lesions：One-Year Results of the Prospective，Multicenter NAVIGATE Study［J］.J Thorac Oncol，2019，14（3）：445-458.
19	Liu J，Jiang Y，He R，et al.Robotic-assisted navigation system for preoperative lung nodule localization：a pilot study［J］.Transl Lung Cancer Res，2023，12（11）：2283-2293.
20	Zhang L，Li M，Li Z，et al.Three-dimensional printing of navigational template in localization of pulmonary nodule：A pilot study［J］.J Thorac Cardiovasc Surg，2017，154（6）：2113-2119.e7.
21	Hiraki T，Matsuno T，Kamegawa T，et al.Robotic Insertion of Various Ablation Needles Under Computed Tomography Guidance：Accuracy in Animal Experiments［J］.Eur J Radiol，2018，105：162-167.
22	Matsui Y，Kamegawa T，Tomita K，et al.Robotic systems in interventional oncology：a narrative review of the current status［J］.Int J Clin Oncol，2024，29（2）：81-88.
23	Jing Y，Zhang J，Jin Y，et al.Evaluation of robotic-assisted navigation system for CT-guided thoracic and abdominal lesion puncture：A prospective clinical study［J］.J Cancer Res Ther，2024，20（4）：1350-1356.
24	Anzidei M，Argirò R，Porfiri A，et al.Preliminary clinical experience with a dedicated interventional robotic system for CT-guided biopsies of lung lesions：a comparison with the conventional manual technique［J］.Eur Radiol，2015，25（5）：1310-1316.
25	Smakic A，Rathmann N，Kostrzewa M，et al.Performance of a Robotic Assistance Device in Computed Tomography-Guided Percutaneous Diagnostic and Therapeutic Procedures［J］.Cardiovasc Intervent Radiol，2018，41（4）：639-644.
26	Johnston EW，Basso J，Silva F，et al.Robotic versus freehand CT-guided radiofrequency ablation of pulmonary metastases：a comparative cohort study［J］.Int J Comput Assist Radiol Surg，2023，18（10）：1819-1828.
27	Jing Y，Zhang J，Jin Y，et al.Evaluation of robotic-assisted navigation system for CT-guided thoracic and abdominal lesion puncture：A prospective clinical study［J］.J Cancer Res Ther，2024，20（4）：1350-1356.
28	Duan X，He R，Jiang Y，et al.Robot-assisted navigation for percutaneous localization of peripheral pulmonary nodule：an in vivo swine study［J］.Quant Imaging Med Surg，2023，13（12）：8020-8030.
29	中国抗癌协会肿瘤介入学专业委员会，中国抗癌协会肿瘤介入学专业委员会胸部肿瘤诊疗专家委员会.胸部肿瘤经皮穿刺活检中国专家共识（2020版）［J］.中华介入放射学电子杂志，2021，9（2）：117-126.
30	肺小结节术前辅助定位技术专家共识（2019 版）专家组.肺小结节术前辅助定位技术专家共识（2019版）［J］.中国胸心血管外科临床杂志，2019，26（2）：109-113.
31	中国临床肿瘤学会（CSCO）肿瘤消融治疗专家委员会，中国医师协会肿瘤消融治疗技术专家组，中国抗癌协会肿瘤消融治疗专业委员会，等.影像引导下热消融治疗原发性和转移性肺部肿瘤临床实践指南（2021年版）［J］.中华内科杂志，2021，60（12）：1088-1105.
32	叶欣，范卫君，王忠敏，等.热消融治疗肺部亚实性结节专家共识（2021年版）［J］.中国肺癌杂志，2021，24（5）：305-322.
33	张肖，肖越勇，李成利.影像学引导下肺结节冷冻消融专家共识（2022版）［J］.中国介入影像与治疗学，2022，19（1）：2-6.

[1]	Zhaojue Wang, Qingli Zhu, Wenbo Li, Hong Yang, Jiaming Qian, Jianchu Li. Current situation of implementation of ultrasound in multidisciplinary treatment of inflammatory bowel disease in China [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2025, 22(02): 131-138.
[2]	Kunyue Tan, Jing Guo, Zhengkai Zhao, Qiuyi Cai, Shuzhen Wang, Xiaoqiang Gao, Feng Xiong. Causes of missed diagnosis of constrictive pericarditis by echocardiography [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2025, 22(02): 139-145.
[3]	Shichao Ai, Yiwen Sun, Peng Song, Xiaofei Shen, song Liu, Feng Sun, Xiaofeng Lu, Meng Wang, Wenxian Guan. An open-arm prospective study of intravenous indocyanine green guided radical gastrectomy for gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(02): 166-169.
[4]	Peirong Yang, Gang Pan, Chunxia Zhou. Risk factors and treatment progress of pancreatic fistula after pancreatic cancer surgery [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(02): 228-230.
[5]	Huazhi Li, Guang Cao, Diangang Liu, Yajing Zhang. Clinical comparison of descending hepatectomy with different approaches for primary hepatocellular carcinoma [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 52-55.
[6]	Hao Chen, Meng Wang. Advances in clinicopathological features and treatment options of sig-ring cell carcinoma of the stomach [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 108-111.
[7]	Yang Wang, Nan Zhang, Weifeng Yang, Haitian He, Kebing Wang. Primary renal angiosarcoma complicated with hemorrhage: a case report and literature review [J]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(02): 248-249.
[8]	Haitian He, Jinbin Luo, Yang Wang, Bin Zhang, Kebing Wang. A case report of unicentric Castleman disease in the retroperitoneum and literature review [J]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(02): 251-254.
[9]	Zhenyang Dong, Min Qu, Yan Wang, Yun Zhang, Xu Gao. Application of sequential multi-disciplinary treatment in the full process management of prostate cancer [J]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(02): 152-158.
[10]	Baimeng Pan, Wanqian Zhang, Qiuyu Zhang, Rui Cao, Peng Li, Weizhen Zhang, Lingqiang Zhang. Progress in clinical treatment of hepatic hemangioma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 308-313.
[11]	Chong Zhang, Zongming Zhang, Zhuo Liu, Limin Liu, Yue Zhao, Hui Qi. Progress in diagnosis and treatment of hilar cholangiocarcinoma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 167-180.
[12]	Qi Li, Jiawei Yuan, Dong Zhang, Zhimin Geng. Controversy and strategy of surgical diagnosis and treatment of gallbladder polypoid lesions [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 181-186.
[13]	Shitao Zeng, Qing Yan, Shan Liao, Huanwei Chen. Hepatic arterial infusion chemotherapy（HAIC） combined with lenvatinib plus PD-1 inhibitor versus HAIC combined with lenvatinib for unresectable hepatocellular carcinoma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 225-231.
[14]	Haijing1 Wang, Sirong Mi, Jing Gao. Correlation between serum IGFBP1 expression level and clinicopathological features and its diagnostic value in patients with gastric cancer [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2025, 15(01): 11-15.
[15]	Hailing Zhang, Dandan Chen, Jijun Zhu, Xiaoyan Wang, Shiqi Zhang. Effect of MSCT combined with serum miR-17 detection in predicting the risk of lymph node metastasis in gastric cancer [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2025, 15(01): 23-28.

Please choose a citation manager

Content to export