Application of Indocyanine Green for identifying parathyroid glands in transoral endoscopic thyroidectomy vestibular approach at Hanoi Medical University Hospital
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Abstract
The study reported on the application of Indocyanine Green (ICG) in transoral endoscopic thyroidectomy vestibular approach (TOETVA) to preserve the parathyroid glands at the Oncology Center - Hanoi Medical University Hospital. The study included 18 patients who underwent TOETVA surgery from January 2024 to August 2024. Fifteen patients (83.3%) were diagnosed with thyroid cancer, while the remaining cases were Graves' disease and benign tumors. Post-ICG injection imaging showed that 88.9% of the parathyroid glands had good blood perfusion. Preliminary research indicates that ICG helps identify the blood supply to the parathyroid gland and assess the parathyroid gland after TOETVA.
Article Details
Keywords
TOETVA, Indocyanine Green, parathyroid gland
References
2. Hillary SL, Chooi JE, Wadsley J, Newell-Price JD, Brown NJ, Balasubramanian SP. Quality of Life in Post-Surgical Hypoparathyroidism (PoSH) in Thyroid and Parathyroid Surgery. World J Surg. 2022; 46(12): 3025-3033. doi:10.1007/s00268-022-06730-7.
3. Lorente-Poch L, Sancho JJ, Ruiz S, Sitges-Serra A. Importance of in situ preservation of parathyroid glands during total thyroidectomy. Br J Surg. 2015; 102(4): 359-367. doi:10.1002/bjs.9676.
4. Ilahi A, Muco E, Ilahi TB. Anatomy, Head and Neck, Parathyroid. In: StatPearls. StatPearls Publishing; 2024. Accessed September 14, 2024. http://www.ncbi.nlm.nih.gov/books/NBK537203/.
5. Indocyanine Green - an overview | ScienceDirect Topics. Accessed September 14, 2024. https://www.sciencedirect.com/topics/medicine-and-dentistry/indocyanine-green.
6. Moreno-Llorente P, Pascua-Solé M, García-Barrasa A, Muñoz-de-Nova JL. Indocyanine green (ICG) angiography-guided thyroidectomy: description of surgical technique. Front Surg. 2023; 10. doi:10.3389/fsurg.2023.1217764.
7. SPARTALIS E, NTOKOS G, GEORGIOU K, et al. Intraoperative Indocyanine Green (ICG) Angiography for the Identification of the Parathyroid Glands: Current Evidence and Future Perspectives. In Vivo. 2020; 34(1): 23-32. doi:10.21873/invivo.11741.
8. Zaidi N, Bucak E, Yazici P, et al. The feasibility of indocyanine green fluorescence imaging for identifying and assessing the perfusion of parathyroid glands during total thyroidectomy. J Surg Oncol. 2016; 113(7): 775-778. doi:10.1002/jso.24237.
9. van den Bos J, van Kooten L, Engelen SME, Lubbers T, Stassen LPS, Bouvy ND. Feasibility of indocyanine green fluorescence imaging for intraoperative identification of parathyroid glands during thyroid surgery. Head Neck. 2019; 41(2): 340-348. doi:10.1002/hed.25451.
10. Nguyen HX, Nguyen HX, Nguyen HV, Nguyen LT, Nguyen TTP, Le QV. Transoral Endoscopic Thyroidectomy by Vestibular Approach with Central Lymph Node Dissection for Thyroid Microcarcinoma. J Laparoendosc Adv Surg Tech A. 2021; 31(4): 410-415. doi:10.1089/lap.2020.0411.
11. Zaidi N, Bucak E, Okoh A, Yazici P, Yigitbas H, Berber E. The utility of indocyanine green near infrared fluorescent imaging in the identification of parathyroid glands during surgery for primary hyperparathyroidism. J Surg Oncol. 2016; 113(7): 771-774. doi:10.1002/jso.24240.
12. Lang BHH, Wong CKH, Hung HT, Wong KP, Mak KL, Au KB. Indocyanine green fluorescence angiography for quantitative evaluation of in situ parathyroid gland perfusion and function after total thyroidectomy. Surgery. 2017; 161(1): 87-95. doi:10.1016/j.surg.2016.03.037.