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Polkin V.V.

Tsyb Medical Radiology Research Center

Isaev P.A.

Tsyb Medical Radiology Research Center

Plugar A.K.

Tsyb Medical Radiology Research Center

Ilyin A.A.

Tsyb Medical Radiology Research Center

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

Authors:

Polkin V.V., Isaev P.A., Plugar A.K., Ilyin A.A., Ivanov S.A., Kaprin A.D.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(9‑2): 11‑19

DOI: 10.17116/hirurgia202309211

Read: 2624 times

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Table of contents

INDOCYANINE GREEN FLUORESCENCE ANGIOGRAPHY IN TRANSORAL ENDOSCOPIC THYROIDECTOMY FOR PAPILLARY THYROID CANCER
INDOCYANINE GREEN FLUORESCENCE ANGIOGRAPHY IN TRANSORAL ENDOSCOPIC THYROIDECTOMY FOR PAPILLARY THYROID CANCER

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

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

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).

MATERIAL AND METHODS

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.

RESULTS

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.

CONCLUSION

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:

fluorescence
hypoparathyroidism
indocyanin green angiography
parathyroid gland
thyroid surgery
papillary thyroid cancer

Authors:

Polkin V.V.

Tsyb Medical Radiology Research Center

Isaev P.A.

Tsyb Medical Radiology Research Center

Plugar A.K.

Tsyb Medical Radiology Research Center

Ilyin A.A.

Tsyb Medical Radiology Research Center

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

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