Protection of indocyanine green fluorescence imaging on parathyroid gland in gasless unilateral axillary approach endoscopic thyroidectomy surgery
10.3760/cma.j.cn113855-20220718-00466
- VernacularTitle:吲哚菁绿荧光显像在免充气腔镜腋窝入路甲状腺切除术中对甲状旁腺的保护作用
- Author:
Luyang CHEN
1
;
Zhao HU
;
Zhipeng YE
;
Ning LI
;
Keren WU
;
Yongqing FU
Author Information
1. 浙江中医药大学第一临床医学院，杭州 310053
- Keywords:
Parathyroid gland;
Indocyanine green;
Thyroidectomy
- From:
Chinese Journal of General Surgery
2023;38(2):105-108
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feasibility of indocyanine green fluorescence imaging technology applied in thyroid surgery to identify parathyroid gland.Methods:From Oct 2021 to May 2022, data of 42 patients undergoing thyroidectomy via gasless unilateral axillary approach in Zhejiang Provincial Hospital of Traditional Chinese Medicine were retrospectively analyzed. Cases using intraoperative fluorescence imaging technology(42 cases) were compared with conventional laparocopic approach.Results:The number of parathyroid glands dissected in the study group 1.57±0.61 was higher than that in the control group 0.56± 0.59 ( t=-5.472, P<0.05). The PTH value of the study group was (2.88±1.23)pmol/L on the first day after operation, which was higher than that of the control group (2.16±0.10)pmol/L ( t=-1.844, P<0.05). The blood parathyroid hormone value on the third day(3.22±1.31)pmol/L was higher than that of the control group (2.55±0.81) pmol/L ( t=-2.041, P<0.05). There were 2 cases of hypoparathyroidism in the study group, less than 5 cases in the control group, but there was no significant difference between the two groups( χ2=0.942, P>0.05). There was 1 case of hypocalcemia in the study group and 3 cases in the control group ( χ2=0.731, P>0.05). Conclusion:Using indocyanine green fluorescence imaging technology to identify parathyroid gland is feasible, simple, fast, safe and effective.
