Perfusion Assessment in Thyroid Surgery
Posted in Lectures on 28 August 2018
Jordi Vidal Fortuny
Head of the Thoracic and Endocrine Surgery Department
Hôpitaux Universitaires de Genève (HUG)
Hypocalcemia is one of the most feared complications in thyroid surgery. Indocyanine Green (ICG) fluorescence angiography allows for real-time intraoperative evaluation of parathyroid perfusion and is considered as a promising tool to reduce the postoperative hypocalcemia rate. In this lecture, Dr. Jordi Vidal focuses on this concept and provides an excellent literature review.
Studies published to date suggest that ICG is useful in identifying the glands, together with an excellent correlation between its perfusion and the postoperative parathyroid function. However, this procedure is still in its infancy, and high-quality studies are required to confirm if ICG should be considered as a routine assessment for thyroid surgery.
It has been accepted that what occurs at the hands of the surgeon has a direct impact on patient outcomes. In order to improve surgeon training and intraoperative performance, this lecture finishes with several operative videos.