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 WANG Zheng;BO Hongguang;XU Yufa;WANG Xingluo;WU Li;LING Zetao;YIN Zhaocai;YANG Erlong;YANG Lianggen;SHA Rui;CAI Huiming;WANG Ziyang;CHEN Bin;WANG Yabing;YU Changsheng(Thyroid and Breast Surgery Department,the First Affiliated Hospital/Yijishan Hospital,Wannan Medical College,Wuhu 241000,China;Nanjing Nuoyuan Medical Devices Co.,LTD.,Nanjing 210000,China)

机构地区：[1]皖南医学院第一附属医院·弋矶山医院甲乳外科,安徽芜湖241000 [2]南京诺源医疗器械有限公司,江苏南京210000

出　　处：《机器人外科学杂志（中英文）》2024年第5期1008-1012,共5页Chinese Journal of Robotic Surgery

基　　金：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)。

摘　　要：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.

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 

分 类 号：R612[医药卫生—外科学] R653[医药卫生—临床医学]