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Review
. 2020 Feb;9(Suppl 2):S147-S152.
doi: 10.21037/gs.2019.12.15.

Near-infrared fluorescence in robotic thyroidectomy

Liudmila Muraveika  1 , Emin Kose  2 , Eren Berber  2   3
Affiliations
Review

Near-infrared fluorescence in robotic thyroidectomy

Liudmila Muraveika et al. Gland Surg. 2020 Feb.

Abstract

New imaging techniques using near-infrared (NIR) fluorescence in combination with remote access thyroidectomy have been studied in endocrine surgery to determine their utility, with the goal of reducing potential complications. Indocyanine green (ICG) imaging is a safe adjunct to remote access thyroid surgery. Nevertheless, experience with ICG is limited, and the caveats surrounding the use of ICG imaging in conventional thyroid surgery exist in remote access surgery as well. This report describes the various remote access techniques and considers the advantages and potential disadvantages of ICG in remote access thyroidectomy.

Keywords: Near-infrared (NIR); endocrine surgical procedures; endoscopic thyroidectomy; robotic thyroidectomy.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Illustration showing the bilateral axillary breast approach.
Figure 2
Figure 2
Illustration showing the setup and instrumentation for a transaxillary thyroidectomy.
Figure 3
Figure 3
Illustration demonstrating the technique for the facelift approach for thyroidectomy.
Figure 4
Figure 4
Illustration demonstrating the technique for the transoral approach for thyroidectomy.
Figure 5
Figure 5
Illustrates thyroid with arrows pointing to the location of the parathyroid glands.
Figure 6
Figure 6
Illustrates the thyroid gland with arrow pointing to the inferior RLN after ICG administration. RLN, recurrent laryngeal nerve; ICG, indocyanine green.
Figure 7
Figure 7
Illustrates the thyroid gland with arrows pointing to the inferior parathyroids after ICG administration. ICG, indocyanine green.
See this image and copyright information in PMC

References

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