Methods for the identification and preservation of parathyroid glands in thyroid surgery: a narrative review.

ABSTRACT:

Background and objective

Accurate intraoperative identification and viability assessment of the parathyroid glands (PGs) has always been a crucial but challenging aspect of thyroid surgery. The traditional method, naked-eye (NE) assessment, is significantly associated with the experience of the surgeon. Therefore, various methods have been developed to help surgeons protect PGs, with some benefits and limitations. Recently, near-infrared autofluorescence (NIRAF) and indocyanine green fluorescence imaging (ICGFI) have been demonstrated to be promising in the identification and viability assessment of PGs. Herein, we provide an overview of the methods of intraoperative identification and viability assessment of PGs, focusing on the application of NIRAF and ICGFI.

Methods

We pe

SUBMITTER: Pan B 

PROVIDER: S-EPMC10570973 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature