Vabalayte K.V., Somova A.D., Romanchishen A.F. The use of fluorescent angiography with indocyanine green in endocrine surgery – a future technology for identification of the parathyroid glands or a fleeting hobby? Head and neck. Russian Journal. 2020;8(2):95–100 (in Russian).
DOI: https://doi.org/10.25792/HN.2020.8.2.95-100
An increase in the number of patients with thyroid gland diseases leads to an increase of cases when thyroid surgery is indicated. Despite of the existence of various methods for identifying the parathyroid glands, the issue of postoperative hypoparathyroidism is relevant until nowadays. Recently ICG fluorescent angiography has been successfully introduced into various fields of surgery. It provides reliable assessment of perfusion in various organs and tissues. This article addresses the international experience in ICG fluorescent angiography in endocrine surgery for postoperative hypoparathyroidism prevention, depending on intraoperative blood flow activity in the parathyroid glands. It is shown that ICG fluorescent angiography is a reliable method of the parathyroid glands identification and preservation. This technology may thereby minimize the risk of postoperative hypoparathyroidism.
Key words: parathyroid glands, postoperative hypoparathyroidism, thyroidectomy, hypocalcemia, ICG
Conflicts of interest. The authors have no conflicts of interest to declare. Funding. There was no funding for this study.
For citation: Vabalayte K.V., Somova A.D., Romanchishen A.F. The use of fluorescent angiography with indocyanine green in endocrine surgery – a future technology for identification of the parathyroid glands or a fleeting hobby? Head and neck. Russian Journal. 2020;8(2):95–100 (in Russian).
The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.