Using the Hybrid Operating Room in Thoracic Surgery: A Paradigm Shift

Carsten Schroeder, Jane M. Chung, Andrew B. Mitchell, Thomas A. Dillard, Alessandro G. Radaelli, Stephanie Schampaert

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


We describe the integration of the hybrid operation room cone-beam computed tomography (CT) scan technology into the practice of general thoracic surgery. The combination of the following three techniques: (1) cone-beam CT scan augmented navigational bronchoscopy, (2) cone-beam CT-guided percutaneous biopsy and/or fiducial placement, and (3) fiducial or image-guided video-assisted thoracic surgery resection, into a single-stage, single-provider procedure allows for diagnosis and treatment in one setting. Rapid on-site evaluation of cytological or pathology specimens is key to this “all-in-one” approach. The time from diagnosis to curative treatment can significantly be reduced using the hybrid operation room technology, leading to decreased upstaging, increased survival and facilitating the otherwise difficult intraoperative detection and resection of small and deeper lesions. Not only does this benefit the overall thoracic healthcare of the community but also provides a cost-effective paradigm for the institution.

Original languageEnglish (US)
Pages (from-to)372-377
Number of pages6
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Issue number5
StatePublished - Sep 1 2018


  • Cone-Beam CT scan augmented navigational bronchoscopy
  • Cone-Beam CT scan guided fiducial placement
  • Cone-Beam CT scan guided lung biopsy
  • Hybrid operation room
  • Image guided video-assisted thoracic surgery (VATS)

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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