Discussion:
Although increasingly popular, hybrid ORs are typically associated with
single-specialty use. The ability to diagnose and deliver treatment in a
single setting is of critical importance. Due to increasing
specialization, multiple physician specialties are likely to be involved
to achieve this goal.
Given the relatively deep location of the lesion within the RUL, a
bronchoscopic approach was initially selected. However, there was a
reasonable possibility that the catheter might not approximate the
lesion. Therefore, interventional radiology was consulted in advance to
provide an alternative approach. Percutaneous PEF energy was delivered
successfully without impact on planned surgical resection. This case
demonstrates a collaborative approach that establishes a plan of care
utilizing different sub-specialties in advance of bringing the patient
to the hybrid OR mitigated the likelihood of a non-diagnostic result.
Thus, the need for a subsequent procedure and anesthetic was eliminated.