Preliminary study on excitation, detection and identification of parathyroid glands autofluorescence using fluorescence laparoscopic system
10.3760/cma.j.cn.115807-20220720-00192
- VernacularTitle:荧光腔镜系统激发、检测和定位甲状旁腺自体荧光显像初步研究
- Author:
Xiaoyong CAI
1
;
Yongjun CHEN
;
Jun HUANG
;
Jisai CHEN
;
Liang LIANG
;
Wenjin CHEN
Author Information
1. 广西医科大学第二附属医院普通外科,南宁 530000
- Keywords:
Papillary thyroid carcinoma;
Parathyroid;
Autofluorescence;
Near-infrared light
- From:
Chinese Journal of Endocrine Surgery
2023;17(1):15-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the excitation and identification of parathyroid autofluorescence in thyroid surgery by a fluorescence laparoscopic system.Methods:The clinical data of 6 patients with papillary thyroid carcinoma who underwent Laparoscopic thyroid surgery at the Second Affiliated Hospital of Guangxi Medical University from Mar. 2022 to Apr. 2022 were collected. The autofluorescence of the parathyroid glands was detected and identified by the OptoMedic fluorescence laparoscopic system during the operation. A rapid frozen sections pathological examination of possible parathyroid tissue with autofluorescence was performed to determine whether it was parathyroid tissue.Results:Parathyroid autofluorescence with different intensities was visualized intraoperatively in all 6 patients, and it was confirmed as parathyroid tissue by rapid frozen pathological section.Conclusions:The parathyroid gland has a unique autofluorescence feature. Using this feature to identify, locate and protect the parathyroid gland during surgery can help reduce the complications of parathyroid injury.