Ứng dụng Indocyanine Green nhận diện tuyến cận giáp trong phẫu thuật nội soi tuyến giáp qua đường miệng tại Bệnh viện Đại học Y Hà Nội
Nội dung chính của bài viết
Tóm tắt
Nghiên cứu báo cáo về ứng dụng Indocyanine Green (ICG) trong phẫu thuật nội soi tuyến giáp qua đường miệng (TOETVA) nhằm bảo tồn tuyến cận giáp tại Trung tâm Ung Bướu – Bệnh viện Đại học Y Hà Nội. Nghiên cứu bao gồm 18 bệnh nhân được phẫu thuật bằng kỹ thuật TOETVA từ tháng 1/2024 đến tháng 8/2024. 15 bệnh nhân (83,3%) được chẩn đoán ung thư tuyến giáp. Có 88,9% các tuyến cận giáp được tưới máu tốt trên hình ảnh sau khi tiêm ICG. Nghiên cứu bước đầu cho thấy ICG giúp xác định mạch cấp máu cho tuyến cận giáp và đánh giá tuyến cận giáp trong phẫu thuật nội soi tuyến giáp qua đường miệng.
Chi tiết bài viết
Từ khóa
TOETVA, Indocyanine Green, tuyến cận giáp
Tài liệu tham khảo
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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.