학술논문
Fluorescence Angiography Impacting Surgical Heuristics in Subtotal Parathyroidectomy
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- 영문명
- 발행기관
- 대한내분비외과학회
- 저자명
- Adam Christie David Goltsman Gideon Sandler
- 간행물 정보
- 『The Koreran journal of Endocrine Surgery』24권3호, 81~84쪽, 전체 4쪽
- 주제분류
- 의약학 > 면역학
- 파일형태
- 발행일자
- 2024.09.30
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국문 초록
Parathyroidectomy is the primary treatment for various forms of hyperparathyroidism, necessitating precise localization and excision of hyperfunctioning glands. Traditional imaging modalities like technetium-99m (99mTc)-sestamibi and ultrasound have variable success rates. Indocyanine green (ICG) Angiography, utilizing near-infrared fluorescence, offers a novel approach to intraoperative gland identification. A 68-year-old male with secondary hyperparathyroidism underwent preoperative localization with ultrasound and 99mTc-sestamibi, identifying a parathyroid gland posterior to the right thyroid lobe. Four-dimensional computed tomography revealed additional left-sided lesions, which were difficult to differentiate from thyroid nodules. Subtotal parathyroidectomy was performed using ICG angiography. Two left sided intrathyroidal parathyroid glands were visualised and excised without hemithyroidectomy. ICG facilitated real-time identification of highly perfused parathyroid tissue, guiding surgical decision-making, and preserving thyroid integrity. ICG Angiography represents a valuable adjunct in challenging parathyroid surgeries by enhancing intraoperative localisation and differentiation of parathyroid glands from thyroid tissue. Its ability to visualise parathyroid perfusion offers a promising tool for improving surgical outcomes and warrants further investigation into its correlation with parathyroid function.
영문 초록
목차
INTRODUCTION
CASE REPORT
DISCUSSION
REFERENCES
키워드
해당간행물 수록 논문
- Clinical Considerations of Oncocytic Thyroid Cancer: A Review
- Evaluating the Combined Approach of Three Intra-Operative Adjuncts in Localising Parathyroid Adenomas During Minimally Invasive Radio-Guided Parathyroidectomy: A Single Centre Retrospective Analysis
- Thyroid Cancer in Thyroglossal Duct Remnants: Case Series and Extensive Review of the Literature
- Antithyroid Drug-Induced Hepatotoxicity From Chronic Methimazole Consumption Requiring Total Thyroidectomy
- Fluorescence Angiography Impacting Surgical Heuristics in Subtotal Parathyroidectomy
- Correlation of Solitary Parathyroid Adenoma Weight With the Intraoperative Parathyroid Hormone Decline Rate During Parathyroidectomy
참고문헌
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