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Near-infrared fluorescence in robotic thyroidectomy.

Liudmila Muraveika1, Emin Kose2, Eren Berber2,3

  • 1Department of General Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Gland Surgery
|March 17, 2020
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Summary

Near-infrared fluorescence imaging with indocyanine green (ICG) aids remote access thyroidectomy safety. While ICG is a safe adjunct, limited experience and potential disadvantages require careful consideration in endocrine surgery.

Keywords:
Near-infrared (NIR)endocrine surgical proceduresendoscopic thyroidectomyrobotic thyroidectomy

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Area of Science:

  • Endocrine Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Remote access thyroidectomy is an evolving endocrine surgery technique aiming to minimize complications.
  • Near-infrared (NIR) fluorescence imaging, particularly with indocyanine green (ICG), is being explored to enhance surgical visualization.
  • The utility and limitations of ICG in conventional thyroid surgery are known, but its application in remote access procedures requires further investigation.

Purpose of the Study:

  • To evaluate the role and safety of NIR fluorescence imaging with ICG in remote access thyroidectomy.
  • To identify the advantages and potential disadvantages of using ICG in this specific surgical approach.
  • To provide insights into the application of advanced imaging in endocrine surgery.

Main Methods:

  • Review of remote access thyroidectomy techniques.
  • Analysis of indocyanine green (ICG) fluorescence imaging as an adjunct.
  • Discussion of potential benefits and drawbacks of ICG in the context of remote access surgery.

Main Results:

  • Indocyanine green (ICG) imaging is a safe adjunct to remote access thyroid surgery.
  • Experience with ICG in remote access thyroidectomy is currently limited.
  • Known limitations of ICG in conventional thyroid surgery may also apply to remote access procedures.

Conclusions:

  • ICG fluorescence imaging shows promise as a safe adjunct in remote access thyroidectomy.
  • Further research and accumulated experience are needed to fully understand ICG's role and overcome its limitations in remote access endocrine surgery.
  • Careful consideration of ICG's advantages and disadvantages is crucial for its successful implementation.