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Updated: May 4, 2026
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
[Thyroid lymphography:a new clinical approach for protecting parathyroid in surgery]
Yun-Cheng Bai1, Ruo-Chuan Cheng2, Wen-Juan Hong
1Department of Thyroid Surgery, First Affiliated Hospital of Kunming Medical University, Kunming 650032, China.
Objective:
To research the role of lymph tracers to protect parathyroid in surgery for papillary thyroid carcinoma.
Methods:
Patients with papillary thyroid carcinoma who met selected criteria were enrolled in this study. Patients were divided into carbon nanoparticle group, methylene blue group, and conventional surgery group.
Results:
No significant complication occurred in the patients of carbon nanoparticle and methylene blue groups. In carbon nanoparticle group, methylene blue group and conventional surgery group, the mean numbers of parathyroid glands detected during surgery were 3.1 ± 0.3, 2.9 ± 0.4 and 2.3 ± 0.3 (F = 3.78, P < 0.01) , the rates that parathyroid was cut mistakenly were 1.37% (2/146) , 2.62% (2/97) and 7.14% (6/84) respectively (χ(2) = 17.372, P < 0.05) ; and the incidence of postoperative hypocalcemia were 10.4% (5/48) , 9.1% (3/33) and 17.5% (7/40,χ(2) = 0.671, P = 0.037) .
Conclusion:
Thyroid lymphography technique is helpful to protect from the injury to the parathyroid glands in surgery.
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