J Minim Invasive Surg.  2022 Sep;25(3):112-115. 10.7602/jmis.2022.25.3.112.

Intraoperative assessment of parathyroid perfusion using indocyanine green angiography in robotic thyroidectomy

• Park JH
• Lee J
• Jung JH
• Park HY
• Kim WW

• KMID: 2533213
• DOI: http://doi.org/10.7602/jmis.2022.25.3.112

Abstract

In recent da Vinci robot systems (Intuitive Surgical), near-infrared f luorescence imaging (Firef ly technology) has been used. With this technique, it is possible for surgeons to see important structures well beyond the limits of their eyes; hence, surgeons can safely operate and make critical decisions accurately using image-guided surgery. Because parathyroid glands (PTGs) are small and embedded in the surrounding tissues, such as lymph nodes and fat, it is often very hard for surgeons to identify PTGs. To preserve PTGs well, the surgeon must be able to accurately identify PTGs, preserve the vasculature surrounding, and maintain the perfusion to PTGs. Herein, we report an assessment of PTG perfusion using indocyanine green angiography in transoral robotic thyroidectomy.

Keyword

Parathyroid glands; Indocyanine green; Angiography; Thyroidectomy; Robotics