Contributions of fluorescence to endocrine surgery

Cir Esp (Engl Ed). 2018 Nov;96(9):529-536. doi: 10.1016/j.ciresp.2018.09.005. Epub 2018 Oct 14.
[Article in English, Spanish]

Abstract

The use of fluorescence in surgery has expanded and become widespread in recent years, which has led to a real technological phenomenon with the emergence of devices adapted for use in laparoscopic and robotic approaches. Fluorescence-guided surgery in the field of endocrine surgery is also on the rise. More and more articles describe its use in surgery of the thyroid, parathyroid and adrenal glands, although the series are still modest in size and protocols have not been standardized. There are currently several developing areas for the application of fluorescence in endocrine surgery, including the use of fluorescence with indocyanine green in adrenal gland surgery, the identification and prediction of parathyroid perfusion with indocyanine green, and autofluorescence of the parathyroid glands. The objective of this article is to review the current applications of fluorescence in endocrine surgery.

Keywords: Adrenal surgery; Autofluorescence; Autofluorescencia; Cirugía endocrina; Cirugía guiada por fluorescencia; Cirugía paratiroidea; Cirugía suprarrenal; Cirugía tiroidea; Endocrine surgery; Fluorescence-guided surgery; Indocyanine green; Parathyroid surgery; Thyroid surgery; Verde de indocianina.

Publication types

  • Systematic Review

MeSH terms

  • Coloring Agents
  • Endocrine Surgical Procedures / methods*
  • Endocrine System Diseases / diagnostic imaging*
  • Endocrine System Diseases / surgery*
  • Humans
  • Indocyanine Green
  • Optical Imaging*

Substances

  • Coloring Agents
  • Indocyanine Green