지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2024.9
- 수록면
- 81 - 84 (4page)
- DOI
- 10.16956/jes.2024.24.3.81
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초록· 키워드
오류제보하기
Parathyroidectomy is the primary treatment for various forms of hyperparathyroidism, necessitating precise localization and excision of hyperfunctioning glands. Traditional imaging modalities like technetium-99m (99mTc)-sestamibi and ultrasound have variable success rates. Indocyanine green (ICG) Angiography, utilizing near-infrared fluorescence, offers a novel approach to intraoperative gland identification. A 68-year-old male with secondary hyperparathyroidism underwent preoperative localization with ultrasound and 99mTc-sestamibi, identifying a parathyroid gland posterior to the right thyroid lobe. Four-dimensional computed tomography revealed additional left-sided lesions, which were difficult to differentiate from thyroid nodules. Subtotal parathyroidectomy was performed using ICG angiography. Two left sided intrathyroidal parathyroid glands were visualised and excised without hemithyroidectomy. ICG facilitated real-time identification of highly perfused parathyroid tissue, guiding surgical decision-making, and preserving thyroid integrity. ICG Angiography represents a valuable adjunct in challenging parathyroid surgeries by enhancing intraoperative localisation and differentiation of parathyroid glands from thyroid tissue. Its ability to visualise parathyroid perfusion offers a promising tool for improving surgical outcomes and warrants further investigation into its correlation with parathyroid function.
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