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Ivanov S.A.
Tsyb Medical Radiology Research Center;
People’s Friendship University of Russia
Kaprin A.D.
National Medical Research Radiology Center;
People’s Friendship University of Russia;
Herzen Moscow Oncology Research Institute
Indocyanine green fluorescence angiography in transoral endoscopic thyroidectomy for papillary thyroid cancer
Journal: Pirogov Russian Journal of Surgery. 2023;(9‑2): 11‑19
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To cite this article:
Polkin VV, Isaev PA, Plugar AK, Ilyin AA, Ivanov SA, Kaprin AD. Indocyanine green fluorescence angiography in transoral endoscopic thyroidectomy for papillary thyroid cancer. Pirogov Russian Journal of Surgery.
2023;(9‑2):11‑19. (In Russ.)
https://doi.org/10.17116/hirurgia202309211
To evaluate the effectiveness of ICG angiography in patients with papillary thyroid cancer (PTC) undergoing transoral endoscopic thyroidectomy (TOETVA) and selective neck dissection (level VI).
A retrospective analysis included 20 patients with PTC who underwent TOETVA with selective neck dissection (level VI) between September and December 2022. ICG was administered intravenously (5 mg ´ 3 times). We analyzed parathyroid glands by visual examination and ICG angiography. Fluorescence of all glands was assessed.
Twenty patients underwent ICG angiography during TOETVA. A total of 68 parathyroid glands were identified. Only 76.5% (52/68) of parathyroid glands were identified at initial visual examination. ICG angiography additionally localized 12 glands that improved detection to 94.1% (64/68). At least one well-vascularized parathyroid gland was demonstrated by ICG angiography in 16 patients. In all these patients, serum parathyroid hormone was normal in 1 and 10 days after surgery. Two out of four patients who failed to identify a well-vascularized parathyroid gland developed transient hypoparathyroidism. There were no intraoperative and postoperative complications associated with ICG angiography.
ICG angiography was simple, safe and effective for better identification and preservation of parathyroid glands in patients with PTC undergoing TOETVA. This method was valuable for assessing the viability and function of parathyroid glands and predicting postoperative hypocalcemia.
Keywords:
Authors:
Ivanov S.A.
Tsyb Medical Radiology Research Center;
People’s Friendship University of Russia
Kaprin A.D.
National Medical Research Radiology Center;
People’s Friendship University of Russia;
Herzen Moscow Oncology Research Institute
Received:
06.06.2023
Accepted:
28.06.2023
List of references:
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