Journal Basic Info
- Impact Factor: 1.989**
- H-Index: 6
- ISSN: 2637-4625
- DOI: 10.25107/2637-4625
Major Scope
- Vascular Surgery
- Surgery & Surgical Research
- Pediatric Surgery
- Bariatric Surgery
- Gastroenterological Surgery
- Cardiovascular Surgery
- Dental Surgery
- General Surgery
Abstract
Citation: World J Surg Surg Res. 2019;2(1):1166.DOI: 10.25107/2637-4625.1166
Intraoperative Parathyroid Gland Identification Using Autofluorescence: Pearls and Pitfalls
Dana Hartl, Raïs Obongo, Joanne Guerlain, Ingrid Breuskin, Muriel Abbaci and Corinne Laplace-Builhé
1Department of Head and Neck Oncology, Thyroid Surgery Unit, Gustave Roussy, France
2Department of Otolaryngology, Head and Neck Surgery, Centre Henri Becquerel, France
3Imaging and Cytometry Platform, Gustave Roussy, Paris-Saclay University, France
4Paris-Saclay University, France
*Correspondance to: Dana Hartl
PDF Full Text Surgical Technique | Open Access
Abstract:
Due to their small size, variable location, variable aspect and tenuous vascularization, identifying
and preserving Parathyroid Glands (PTG’s) during thyroid surgery are challenging and have a steep
learning curve. Temporary and permanent hypoparathyroidism are problematic in thyroid surgery
particularly because this surgery is performed in most cases for benign disease or for cancers with
an excellent prognosis. Surgery for hyperparathyroidism be it primary, secondary or tertiary, is
challenging and locating ectopic disease can be daunting. For these reasons, intraoperative PTG
autofluorescent imaging, a new non-invasive technique that can reliably aid in positively identifying
PTG’s, has been embraced by an increasing number of surgeons throughout the world and may
lead to a revolution in thyroid, parathyroid and head and neck surgery. The aim of this report is to
describe the technique and the currently published results and then to describe the false positives
and false negatives and suggest ways to optimize the technique in clinical practice.
Keywords:
Parathyroid; Autofluorescence; Imaging; Hyperparathyroidism; Thyroid surgery
Cite the Article:
Hartl D, Obongo R, Guerlain J, Breuskin I, Abbaci M, Laplace-Builhé C. Intraoperative Parathyroid Gland Identification Using Autofluorescence: Pearls and Pitfalls. World J Surg Surgical Res. 2019; 2: 1166..