Proof of concept: Shape-sensing robotic-assisted bronchoscopy performed under moderate sedation

We describe a first reported case of shape-sensing robotic-assisted bronchoscopy using ION-intuitive platform done successfully under moderate se-dation. A 76-year-old woman was found to have a right upper lobe mass measuring 3 x 2.9 cm. Diagnostic robotic navigational bronchoscopy was successfully performed under moderate sedation. Pathologic examination later revealed adenocarcinoma consistent with primary pulmonary malig-nancy. Conscious sedation allows the use of robotic bronchoscopy with minimal CT-to-body divergence and systems error. Robotic bronchoscopy un-der moderate sedation is feasible and seems to be safe and can be done without immediate complications.