Utility of Indocyanine Green Fluorescence Imaging for Intraoperative Localization in Reoperative Parathyroid Surgery
| Autor: | Alexis K. Okoh, Sara Sound, Pinar Yazici, Eren Berber, Hakan Yigitbas |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Indocyanine Green
Male Reoperation medicine.medical_specialty Fluorescence-lifetime imaging microscopy 030230 surgery Parathyroid Glands 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine Humans Aged Fluorescent Dyes Hyperparathyroidism business.industry Optical Imaging Soft tissue Hyperparathyroidism Primary medicine.disease Surgery Surgery Computer-Assisted chemistry 030220 oncology & carcinogenesis Female Radiology Parathyroid surgery business Indocyanine green Primary hyperparathyroidism Preoperative imaging Indocyanine green fluorescence |
| Zdroj: | Surgical Innovation. 26:774-779 |
| ISSN: | 1553-3514 1553-3506 |
| DOI: | 10.1177/1553350615613450 |
| Popis: | Background. Due to the variations in anatomic location, the identification of parathyroid glands may be challenging. Although there have been advances in preoperative imaging modalities, there is still a need for an accurate intraoperative guidance. Indocyanine green (ICG) is a new agent that has been used for intraoperative fluorescence imaging in a number of general surgical procedures. Its utility for parathyroid localization in humans has not been reported in the literature. Results. We report 3 patients who underwent reoperative neck surgery for primary hyperparathyroidism. Using a video-assisted technique with intraoperative ICG fluorescence imaging, the parathyroid glands were recognized and removed successfully in all cases. Surrounding soft tissue structures remained nonfluorescent, and could be distinguished from the parathyroid glands. Conclusions. This report suggests a potential utility of ICG imaging in intraoperative localization of parathyroid glands in reoperative neck surgery. Future work is necessary to assess its benefit for first-time parathyroid surgery. |
| Databáze: | OpenAIRE |
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