Total thyroidectomy with intraoperative neural monitoring and near-infrared fluorescence imaging.
Langenbecks Arch Surg
; 406(8): 2879-2885, 2021 Dec.
Article
in En
| MEDLINE
| ID: mdl-34195868
ABSTRACT
PURPOSE:
To describe our personal experience during aclassic complete thyroidectomy adopting both intraoperative neural monitoringand near-infrared autofluorescence.METHODS:
In October 2021, 20 patients underwent totalthyroidectomy for benign and malignant conditions 13 patients were affected bymultinodular goiter, 2 by Graves' disease, and 5 by indeterminate lesions (3Tir-3B and 2 Tir-3A). For each patient, intraoperative neural monitoring of therecurrent laryngeal nerve and near-infrared autofluorescence were used.RESULTS:
Overall, 76/80 (95.0%) parathyroid glands weredetected 34/76 (44.7%) were identified by the surgeon during the dissection,while 42/76 (55.3%) were detected by the near-infrared camera before thesurgeon saw them with naked eye. Indocyanine green angiography was adopted inall the patients, and in 2 cases, parathyroid gland autotransplantation wasperformed since 2 parathyroid glands resulted devascularized after dissection.Operative time ranged from 113 to 201 min (mean 156 min).CONCLUSION:
Together with intraoperative neural monitoring,near-infrared autofluorescence is a reliable device in thyroid surgery. Furtherprospective studies are necessary to establish if the adoption ofautofluorescence may result in long-term benefit in terms of calcemia.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Thyroidectomy
/
Graves Disease
Limits:
Humans
Language:
En
Journal:
Langenbecks Arch Surg
Year:
2021
Type:
Article
Affiliation country:
Italy