Thyroid lymphography: a new clinical approach for protecting parathyroid in surgery

VernacularTitle:甲状腺淋巴示踪技术对甲状旁腺保护作用的研究
Author: Yun-Cheng BAI ¹ ; Ruo-Chuan CHENG ; Wen-Juan HONG ; Yun-Hai MA ; Jun QIAN ; Jian-Ming ZHANG
Author Information

1. 650032,昆明医科大学第一附属医院甲状腺外科
Keywords: Thyroidectomy; Parathyroid glands; Methylene blue; Staining and labeling
From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2013;48(9):721-725
CountryChina
Language:Chinese
Abstract: Objective To research the role of lymph tracers to protect parathyroid in surgery for papillary thyroid carcinoma.Methods Patients with papillary thyroid carcinoma who met selected criteria were enrolled in this study.Patients were divided into carbon nanoparticle group,methylene blue group,and conventional surgery group.Results No significant complication occurred in the patients of carbon nanoparticle and methylene blue groups.In carbon nanoparticle group,methylene blue group and conventional surgery group,the mean numbers of parathyroid glands detected during surgery were 3.1 ± 0.3,2.9 + 0.4 and 2.3 ± 0.3 (F =3.78,P ＜ 0.01),the rates that parathyroid was cut mistakenly were 1.37％(2/146),2.62％ (2/97) and 7.14％ (6/84) respectively(x2 =17.372,P ＜ 0.05) ; and the incidence of postoperative hypocalcemia were 10.4％ (5/48),9.1％ (3/33) and 17.5％ (7/40,x2 =0.671,P =0.037).Conclusion Thyroid lymphography technique is helpful to protect from the injury to the parathyroid glands in surgery.