中国的机器人外科学杂志 | ISSN 2096-7721 | CN 10-1650/R

华东地区首例经口入路腔镜甲状腺癌根治术中吲哚菁绿荧光甲状旁腺血管造影术(附手术视频)

Parathyroid gland angiography with indocyanine green fluorescence in transoral endoscopic thyroidectomy: the first case report in the east of China (with surgical video)

作者:汪正,伯红光,徐宇法,王星罗,吴丽,凌泽涛,殷照才,杨二龙,杨良根,沙瑞,蔡惠明,王子阳,陈斌,王亚兵,于昌盛

Vol. 5 No. 5 Oct. 2024 DOI: 10.12180/j.issn.2096-7721.2024.05.043 发布日期:2024-11-28
关键词:吲哚菁绿;荧光血管造影;甲状旁腺;腔镜甲状腺癌手术

作者简介:

本文报道了 2024 年 1 月 12 日于皖南医学院第一附属医院(弋矶山医院)甲乳外科完成的中国华东 地区首例经口入路腔镜甲状腺癌根治术中吲哚菁绿荧光甲状旁腺血管造影术。手术时长 120 min,术中甲状旁腺自 体荧光显影良好,供应血管吲哚菁绿荧光造影显示清晰。甲状旁腺及供应血管均精准保护。术后无手麻木、足麻木、 抽搐等低钙症状,无声音变化等并发症。术后 1~3 d 引流液分别为 60 mL、30 mL、10 mL,第 3 d 顺利拔除引流管。 甲状旁腺素、电解质均在正常范围。目前患者恢复良好,顺利出院。

On January 12, 2024, a case of parathyroid gland angiography with indocyanine green fluorescence in transoral endoscopic thyroidectomy was performed in the Department of Thyroid and Breast Surgery, the First Affiliated Hospital/Yijishan Hospital of Wannan Medical College, which was the first case in the east of China, with a total operative time of 120 min. During the surgery, the autofluorescence imaging of parathyroid gland was well developed, and supply vessels were clearly displayed by indocyanine green fluorescence imaging. The parathyroid gland and supply vessels were precisely protected. No complications such as numbness of hands and feet, convulsions or voice changes occurred after surgery. On the first, second and third day after surgery, the drainage fluid were 60 mL, 30 mL, and 10 mL respectively. The drainage tube was successfully removed on the third day, with normal levels of electrolyte and PTH. At present, the patient has recovered well and was discharged smoothly.

稿件信息

收稿日期:2024-01-18  录用日期:2024-05-27 Received Date: 2024-01-18  Accepted Date: 2024-05-27 基金项目:安徽省教育厅重大科研项目(2022AH040176);安徽省教育厅重点科研项目(2024AH051951);安徽省质量工程 教学研究项目(20230jyxm1220);安徽省级公共医疗卫生机构高层次人才基金(GCCRC2022013,GCCRC2022018) 

Foundation Item: Major Scientific Research Project of Anhui Provincial Department of Education (2022AH040176); Key Scientific Research Project of Anhui Provincial Department of Education (2024AH051951); Teaching Research Project of Anhui Provincial Department of Education(2023jyxm1220); Foundation for High-level Talents of Anhui Provincial Public Medical and Health Institutions (GCCRC2022013, GCCRC2022018) 

通讯作者:于昌盛,Email:yuchangsheng2022@126.com 

Corresponding Author: YU Changsheng, Email: yuchangsheng2022@126.com 

引用格式:汪正,伯红光,徐宇法,等. 华东地区首例经口入路腔镜甲状腺癌根治术中吲哚菁绿荧光甲状旁腺血管造影术(附手术视频) [J]. 机器人外科学杂志(中英文),2024,5(5):1008-1012. 

Citation: WANG Z, BO H G, XU Y F, et al. Parathyroid gland angiography with indocyanine green fluorescence in transoral endoscopic thyroidectomy: the first case report in the east of China(with surgical video)[J]. Chinese Journal of Robotic Surgery, 2024, 5(5): 1008-1012.

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