One new minimally invasive procedure now available at St. Joseph Mercy Oakland (SJMO) is Electromagnetic Navigation Bronchoscopy (ENB). ENB enables a physician to diagnose and treat lung tumors in outer areas of the lung that not accessible with traditional bronchoscopy, says M. Salik A. Jahania, MD, an SJMO cardiovascular and thoracic surgeon. SJMO is among the few hospitals in the state to offer this new high-tech outpatient procedure using the I-Logic machine, which greatly expands the depth of SJMO’s lung cancer program.
ENB uses Global Positioning System (GPS)-like technology to help navigate special catheters through a patient’s airway to a suspicious lesion deep in the lungs,” Dr. Jahania says. “The system virtually guides the physician in steering the catheter through complex airways beyond the reach and sight of the traditional bronchoscope.”
“Prior to ENB, when lung cancer was suspected but couldn’t be seen with the bronchoscope, the only choices for diagnosis were watchful waiting (allowing the tumor to grow large enough to be viewed with the bronchoscope), invasive and risky needle biopsies or major surgery to remove a section of the lung,” Dr. Jahania says.
Advantages of using ENB include quicker diagnosis and treatment, little or no pain, no overnight stay, less cost and a lower risk of complications. For example, the chances of a collapsed lung with traditional needle biopsy is 20 to 30 percent, while it is just 2 percent using ENB.
Other new diagnostic and ultraminimally invasive advances include ultrasound-guided bronchoscopy and biopsy, argon treatment of obstructing tumors of the aerodigestive tract, stents and robotic lung surgery using the da Vinci Robotic Surgical System. These new procedures can minimize pain, shorten hospital stay allowing earlier return to normal life and improved quality of life for inoperable patients, Dr. Jahania says
Please contact the SJMO physician referral line at 800-372-6094 to find an SJMO thoracic surgeon near you.