Early Experience and the Feasibility of the Firefly Technology for Central Lymph Node Dissection (CLND) in Robotic Thyroidectomy Using the BABA.
10.7602/jmis.2017.20.3.117
- Author:
Jin Ah CHOI
1
;
Jeeyeon LEE
;
Jin Hyang JUNG
;
Ho Yong PARK
;
Wan Wook KIM
Author Information
1. Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea. kww1324@naver.com
- Publication Type:Case Report
- Keywords:
Bilateral axillo-breast approach;
Fluorescence image;
Indocyanine green;
Node dissection;
Robot
- MeSH:
Fireflies*;
Humans;
Indocyanine Green;
Lymph Node Excision*;
Lymph Nodes*;
Thyroid Gland;
Thyroidectomy*
- From:Journal of Minimally Invasive Surgery
2017;20(3):117-119
- CountryRepublic of Korea
- Language:English
-
Abstract:
In the bilateral axillo-breast approach (BABA), the camera is inserted through the areolar incision, and this raises the concern it might be difficult to identify the lymph nodes (LN). The purpose of this study is to evaluate the feasibility of the Firefly for central lymph node dissection (CLND) in robotic thyroidectomy using the BABA. This study evaluated 18 patients who underwent robotic surgery using Firefly between December 2015 and March 2016. For LN mapping, 0.05 ml of ICG was injected into the thyroid 3~4 minutes before CLND. Green-stained LN could be detected easily through a near-infrared camera. The number of retrieved LNs was 7.8±3.0 after CLND using the Firefly, which was higher than the 6.7±0.2 reported in previous surgeries. In addition, it helped to distinguish between the parathyroid and the LNs. The Firefly technology was helpful in identifying the LNs, guiding the CLND and performing a complete CLND.
