Fluorescence imaging–guided robotic thyroidectomy and central lymph node dissection

Kim, Wan Wook; Choi, Jin Ah; Lee, Jeeyeon; Jung, Jin Hyang; Park, Ho Yong

doi:10.1016/j.jss.2018.05.071

Cited by 12 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In these cases, ICG may maintain a role by improving the surgical technique and by showing the presence of anomalies in the lymphatic drainage [ 32 ]. In this scenario, our study showed a higher number of pelvic lymph nodes removed during surgery for both EC or CC by using ICG-guided lymphadenectomy, confirming what has been already found for other non-gynecologic cancers [ 18 , 19 , 20 ]. Indeed, some authors analyzed the ICG-guided lymphadenectomy during robotic radical gastrectomy for gastric cancer and showed the absence of procedure-related complications [ 20 ].…”

Section: Discussionsupporting

confidence: 89%

“…Indeed, some authors analyzed the ICG-guided lymphadenectomy during robotic radical gastrectomy for gastric cancer and showed the absence of procedure-related complications [ 20 ]. Kim et al reported the ICG-guided central node dissection during robotic thyroidectomy [ 18 ]. Other authors evaluated this technique for the surgical treatment of medium-low rectal cancer, and showed even a reduction in blood loss [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…ICG is safe, cheap, and might also be helpful to obtain an accurate visualization of the lymphatic drainage during systematic pelvic lymphadenectomy and to guide the surgeon during the procedure [ 16 , 17 ]. Several studies have demonstrated an advantage of the ICG-guided lymphadenectomy in other types of cancer, by showing a higher number of lymph nodes removed with this technique when compared to the standard systematic lymphadenectomy (without ICG) [ 18 , 19 , 20 ]. As far as we know, there are no published studies about ICG-guided systematic pelvic lymphadenectomy in EC and CC.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

Chiofalo¹,

Laganà

Ghezzi

et al. 2023

IJERPH

View full text Add to dashboard Cite

Background: The aim of our study was to compare the number of lymph nodes removed during indocyanine green (ICG)-guided laparoscopic/robotic pelvic lymphadenectomy with standard systematic lymphadenectomy in endometrial cancer (EC) and cervical cancer (CC). Methods: This is a multicenter retrospective comparative study (Clinical Trial ID: NCT04246580; updated on 31 January 2023). Women affected by EC and CC who underwent laparoscopic/robotic systematic pelvic lymphadenectomy, with (cases) or without (controls) the use of ICG tracer injection within the uterine cervix, were included in the study. Results: The two groups were homogeneous for age (p = 0.08), Body Mass Index, International Federation of Gynaecology and Obstetrics (FIGO) stages (p = 0.41 for EC; p = 0.17 for CC), median estimated blood loss (p = 0.76), median operative time (p = 0.59), and perioperative complications (p = 0.66). Nevertheless, the number of lymph nodes retrieved during surgery was significantly higher (p = 0.005) in the ICG group (n = 18) compared with controls (n = 16). Conclusions: The accurate and precise dissection achieved with the use of the ICG-guided procedure was associated with a higher number of lymph nodes removed in the case of systematic pelvic lymphadenectomy for EC and CC.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

Chiofalo¹,

Laganà

Ghezzi

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…In thyroid surgery, a surgical method using f luorescence is currently being applied in the following procedures: (1) central lymph node dissection (CLND) through lymph node mapping by parenchymal injection of indocyanine green (ICG) and (2) evaluation of blood f low to the parathyroid gland (PTG) revealed by intravenous injection of ICG. We previously reported f luores-cence imaging-guided robotic thyroidectomy and CLND using lymph node mapping in patients with thyroid cancer [3].…”

Section: Introductionmentioning

confidence: 99%

Intraoperative assessment of parathyroid perfusion using indocyanine green angiography in robotic thyroidectomy

Park

Lee

Jung

et al. 2022

J Minim Invasive Surg

Self Cite

View full text Add to dashboard Cite

In recent da Vinci robot systems (Intuitive Surgical), near-infrared f luorescence imaging (Firef ly technology) has been used. With this technique, it is possible for surgeons to see important structures well beyond the limits of their eyes; hence, surgeons can safely operate and make critical decisions accurately using image-guided surgery. Because parathyroid glands (PTGs) are small and embedded in the surrounding tissues, such as lymph nodes and fat, it is often very hard for surgeons to identify PTGs. To preserve PTGs well, the surgeon must be able to accurately identify PTGs, preserve the vasculature surrounding, and maintain the perfusion to PTGs. Herein, we report an assessment of PTG perfusion using indocyanine green angiography in transoral robotic thyroidectomy.

show abstract

Video‐assisted parathyroid gland mapping with autofocusing

Kim

Lee

et al. 2019

Journal of Biophotonics

View full text Add to dashboard Cite

Preservation of the parathyroid gland (PTG) in neck endocrine surgery is important for regulating the amount of calcium in the blood and within the bones. Localization of the PTG has been attempted using various methods such as ultrasound, sestamibi, computerized tomography, magnetic resonance imaging and indocyanine green fluorescence imaging. These methods cannot be used during surgery, have high sensitivity or have PTG specificity. However, autofluorescence technique has shown high sensitivity and does not require exogenous contrast. In this study, a new optical system was designed and developed into a clinical system. The system enabled easier and faster focusing on the surgical area and high‐resolution video imaging while maintaining a clear image. The system was located above the head of the surgeon. The surgeon was able to see the real‐time autofluorescent image on the monitor next to the operating table at any time to locate the PTG. The PTG buried in the adipose tissue and connective tissue was located easily and accurately. The clinical trial conducted in this study consisted of 56 parathyroid cases in 26 patients. For the statistical results, the sensitivity and accuracy in this redesigned autofluorescent imaging system were 98.1% and 96.4%, respectively.

show abstract

Fluorescence imaging–guided robotic thyroidectomy and central lymph node dissection

Cited by 12 publications

References 20 publications

Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

Beyond Sentinel Lymph Node: Outcomes of Indocyanine Green-Guided Pelvic Lymphadenectomy in Endometrial and Cervical Cancer

Intraoperative assessment of parathyroid perfusion using indocyanine green angiography in robotic thyroidectomy

Video‐assisted parathyroid gland mapping with autofocusing

Contact Info

Product

Resources

About