Recent advances for the identification and preservation of parathyroid gland in thyroid surgery
10.3969/j.issn.1671-8348.2025.06.033
- VernacularTitle:甲状旁腺术中识别与保护的研究进展
- Author:
Fujie YU
1
;
Jianjie ZHAO
Author Information
1. 陆军军医大学陆军特色医学中心(大坪医院)乳腺甲状腺外科,重庆 400042
- Keywords:
parathyroid gland;
near-infrared autofluorescence imaging;
indocyanine green fluorescence imaging;
immune colloidal gold;
carbon nanoparticle;
thyroidectomy
- From:
Chongqing Medicine
2025;54(6):1470-1475
- CountryChina
- Language:Chinese
-
Abstract:
Accurately identifying parathyroid gland(PG)and evaluating its vitality during surgery has always been a crucial and challenging task in thyroidectomy.Traditional visual assessment is significantly as-sociated with surgeon's experience.At present,various methods,such as near-infrared autofluorescence(NIRAF)imaging,indocyanine green fluorescence imaging(ICGFI),immunogold gold technology(ICGT),carbon nanoparticles,have been developed to assist surgeons in identifying and protecting PG,providing vari-ous options for surgeons to protect PG during surgery,but each method has its own advantages and disadvan-tages.This paper summarized different methods for the identification and viability assessment of PG during thyroidectomy and their research progress,aiming to provide clinicians with comprehensive and scientific deci-sion-making references,optimize the thyroidectomy procedure,reduce the risk of PG injury,improve surgical safety,and enhance the quality of life of patients postoperatively.Meanwhile,it provides a theoretical basis for the innovative research of future PG protection technologies,promoting the development of related technolo-gies in the field of thyroid surgery.