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About Thoracic Procedures

“Super D” (Electromagnetic Navigational Bronchoscopy)

Electromagnetic navigation bronchoscopy is an exciting new technique that provides a minimally invasive approach to accessing difficult-to-reach areas of the lung, which can aid in the diagnosis of lung disease and thus lead to earlier, personalized treatment – potentially saving lives.

Using your CT scan, the superDimension™ system creates a roadmap of your lungs. LungGPS™ technology then uses that roadmap to guide your surgeon in taking tissue samples in regions of the lungs that are not reachable with conventional bronchoscopy.

An Electromagnetic Navigation Bronchoscopy™ procedure reduces your risk of complications such as pneumothorax (collapsed lung), which can be as high as 40 percent for needle biopsies.

Endoscopic Ultrasound (EUS)

Endoscopic ultrasonography (EUS) combines endoscopy (insertion of a probe into the chest cavity) with ultrasound to obtain images of the internal organs in the chest cavity. This helps your doctor determine the extent of spread of certain cancers of the digestive and respiratory systems. EUS allows your doctor to accurately assess the cancer’s depth and whether it has spread to adjacent lymph glands or nearby vital structures, such as major blood vessels. In some patients, EUS can be used to obtain a needle biopsy of a lump or lesion to help your doctor determine the proper treatment.

Endoscopic Bronchial Ultrasound (EBUS)

Endobronchial ultrasound (EBUS) uses ultrasound along with a bronchoscope to visualize the airway wall and adjacent structures. EBUS allows physicians to obtain tissue or fluid samples from the lungs and surrounding lymph nodes without conventional surgery. The samples can be used for diagnosing and staging lung cancer, detecting infections, and identifying inflammatory diseases that affect the lungs or other cancers, such as lymphoma.

EBUS allows the surgeon to perform needle aspiration on lymph nodes using a bronchoscope inserted through the mouth. Unlike the conventional diagnostic procedure, surgery known as mediastinoscopy, no incisions are necessary with EBUS.

Robotic-Assisted Lung Resections (including Lobectomy)

 

Aria offers the most advanced minimally invasive surgical approach using the da Vinci Robotic System® without the need for a large chest incision. The da Vinci system features a magnified 3D high-definition vision system and special instruments that bend and rotate much more than the human wrist. As a result, da Vinci enables your surgeon to operate with enhanced vision, precision, and control. Your surgeon is in complete control, translating his or her hand movements into smaller, more precise movements of tiny instruments.

 

Aria is one of the few health systems in the nation to offer a completely robotic lobectomy (surgical removal of a section of a lung) and was the first system in Philadelphia to offer this procedure.

Nd:Yag Laser Ablation and Stenting of Endobronchial and Endoesophageal Tumors

Nd:YAG lasers use high-intensity light to shrink or destroy tumors or precancerous growths. Laser ablation can be used to help open up the esophagus when it is blocked by an advanced cancer. This can help improve problems swallowing. A laser beam is aimed at the cancer through the tip of an endoscope to destroy the cancerous tissue.

A stent is a device used to hold a part of the body open. In esophageal stenting, a stent can be placed into the esophagus across the length of a tumor. This keeps the esophagus open, relieving trouble with swallowing.

Stereotactic Body Radioablation with TrueBeam ™

Stereotactic radioablation with TrueBeam™ is a non-invasive treatment of early stage lung cancer for patients as an alternative to surgery. TrueBeam is an advanced image-guided radiation therapy system used to treat cancer with speed and accuracy while avoiding healthy tissues and organs. Accuracy is enhanced with respiratory gating, which delivers radiation only when the tumor is exactly in the right place.

TrueBeam’s sophisticated technology allows our board-certified radiation oncologists to shape and control the radiation delivery for each patient’s individual situation. Treatments take only a few minutes, and a full course of treatment requires only 3-5 sessions, usually completed in about a week.