印度肺病介入进入导航支气管镜时代

2018年4月，LungPoint增强现实导航系统分别在新德里AIIMS医院，昌迪加尔PGI医院完成装机使用。

新德里AIIMS医院及昌迪加尔PGI医院为印度最顶尖两家综合公立医院，在India Today, Outlook India, The Week杂志多年连续位列印度综合医院排名居首位。随着LungPoint的引入，两家龙头单位不约而同的，率先在全印开展了导航支气管镜手术。

两家中心的开机仪式，邀请到了中印呼吸介入交流友好单位广州呼吸健康研究院的钟长镐教授参与，分享导航平台下的肺部诊疗经验。

开机仪式中，印度专家均挑选了过去通过经胸壁活检方式取样，较为复杂的病变。导航引导下手术非常顺利，且快速的完成。印度专家对于导航的精确度，便利度大加赞赏。印度专家同时提到，中国肺部疾病介入无疑走在前面，希望增进交流，多发表研究，让世界了解中国肺病介入的发展。

LungPoint在两家顶尖中心的装机使用，标志着印度这一全球第二大肺癌市场的肺病诊疗的趋势，即将从中央型扩大至整个肺部，从中晚期病变发展至更为早期。导航技术，无疑对于人口众多，起步较晚，外周结节发现率攀升的发展中国家，加速攻克早期肺癌提供了捷径。

LungPoint导航简便省时，无需耗材的优势，同这一区域的需求完美契合。

"Lung diseases are increasing and a large number of patients seek treatment for pulmonary problems. It is not uncommon to find patients with small tumour-like spots in lungs which are picked up on chest X-rays and CT scan examinations," Madan said.

These small lung lesions can very commonly be lung cancer and if not diagnosed on time, they can increase in size and the cancer can spread to other body parts, he said.

Not only cancer, these small lung lesions can also be related to diseases like Tuberculosis.

"Just seeing the appearance of these lesions on the CT scans or the chest X-rays, it can be very difficult to make a definite diagnosis and for that a biopsy is required, in which a needle is used to puncture the chest wall to reach the spot," the AIIMS spokesperson said.

The VBN system allows getting samples from these small lung lesions with extreme precision and safety by using a bronchoscope, thereby increasing the likelihood of making a clear cut diagnosis.

"Most of the patients with lung cancer come late or in advanced stages of the disease, in which case only a limited number of treatment options can be offered to them. If the disease is diagnosed early, definitive treatment can be offered and cure rates can be improved," AIIMS Director Randeep Guleria said.

——摘自印度杂志报道

指导者简介

钟长镐 ，主治医生，现于广州医科大学附属第一医院，广州呼吸疾病研究所呼吸内镜中心工作，广东省医学会呼吸病学分会第八届委员会介入学组成员兼秘书，曾于2013、2014年于德国海德堡胸科医院及日本国立癌中心进修，擅长超声支气管镜技术及导航支气管镜技术，作为呼研所李时悦教授团队成员在国内首先开展了电磁导航支气管镜技术，并于2016年8月完成了亚洲第一例阿基米德导航引导下经肺实质结节活检操作。对气管良恶性狭窄的治疗具有丰富的经验，参与多项省内外科研项目的研究，并在国内外杂志发表了多篇文章。