Indocyanine green fluorescence angiography-guided transoral endoscopic thyroidectomy and parathyroidectomy: First clinical report

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dc.authoridTuran, Mehmet ilker/0000-0002-2517-0618
dc.authoridCelik, Mehmet/0000-0001-7364-370X
dc.authoridErtürk, Mehmet Sercan/0000-0002-0411-553X
dc.authorwosidTuran, Mehmet ilker/GPT-3315-2022
dc.authorwosidCelik, Mehmet/AAA-8773-2021
dc.authorwosidErtürk, Mehmet Sercan/AFS-7683-2022
dc.contributor.authorTuran, Mehmet Ilker
dc.contributor.authorCelik, Mehmet
dc.contributor.authorErtuerk, Mehmet Sercan
dc.date.accessioned2024-06-12T11:03:47Z
dc.date.available2024-06-12T11:03:47Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Indocyanine green fluorescence (ICG) angiography has been used for many purposes including as part of a focused parathyroidectomy technique. Concomitant fluorescence of thyroid tissue may cause challenges defining parathyroid tissue during surgery, since ICG is not a selective fluorescent agent. On the other hand, cosmesis is still a big problem for patients due to the visible neck scars produced by the standard surgical technique. In this study, we described a novel technique to solve both these handicaps. Materials and methods: Seven patients who underwent ICG fluorescence angiography-guided transoral endoscopic thyroidectomy and parathyroidectomy vestibular approach between February 2018 and July 2019 were included. Serum parathyroid hormone (PTH) levels were measured intraoperatively and on postoperative day 1. Fluorescent images were confirmed with intraoperative quick-PTH levels. Results: All operations were done successfully without conversion to open surgery. Intense and isolated parathyroid fluorescent images were achieved in all operations. All patients had a 50 % decrease between the baseline and final quick-PTH levels and the final quick-PTH levels were in the normal range in all. One of 7 patients had epistaxis due to nasotracheal intubation. One of 7 patients had seroma on post-operative day 5. None of patients had mental nerve injury, permanent hypocalcemia and temporary or permanent recurrent laryngeal nerve injury. Conclusion: ICG-guided transoral endoscopic thyroid and parathyroid surgery can be used in select patients to increase operative success in focused parathyroidectomy with excellent cosmetic outcome also noted.en_US
dc.identifier.doi10.1016/j.pdpdt.2020.102028
dc.identifier.issn1572-1000
dc.identifier.issn1873-1597
dc.identifier.pmid32979545en_US
dc.identifier.scopus2-s2.0-85092619234en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.pdpdt.2020.102028
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21787
dc.identifier.volume32en_US
dc.identifier.wosWOS:000600357900013en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofPhotodiagnosis And Photodynamic Therapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectIndocyanine Greenen_US
dc.subjectTransoral Thyroidectomyen_US
dc.subjectFocused Parathyroidectomyen_US
dc.subjectTOETVAen_US
dc.subjectEndoscopic Thyroidectomyen_US
dc.subjectNear-Infrared Fluorescenceen_US
dc.subjectMethylene-Blueen_US
dc.subjectGlandsen_US
dc.subjectSurgeryen_US
dc.titleIndocyanine green fluorescence angiography-guided transoral endoscopic thyroidectomy and parathyroidectomy: First clinical reporten_US
dc.typeArticleen_US

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