Contributions of Fluorescence to Endocrine Surgery

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 r...

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Bibliographic Details
Published in:Cirugia española (English ed.) 2018-11, Vol.96 (9), p.529-536
Main Authors: Bonnin-Pascual, Jaime, Álvarez-Segurado, Cristina, Jiménez-Segovia, Marina, Bianchi, Alessandro, Bonnin-Pascual, Francisco, Molina-Romero, Francesc Xavier, González-Argente, Francesc Xavier
Format: Article
Language:English
Subjects:
Adrenal surgery
Autofluorescence
Autofluorescencia
Cirugía endocrina
Cirugía guiada por fluorescencia
Cirugía paratiroidea
Cirugía suprarrenal
Cirugía tiroidea
Coloring Agents
Endocrine surgery
Endocrine Surgical Procedures - methods
Endocrine System Diseases - diagnostic imaging
Endocrine System Diseases - surgery
Fluorescence-guided surgery
Humans
Indocyanine Green
Optical Imaging
Parathyroid surgery
Thyroid surgery
Verde de indocianina
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Summary: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. El uso de la fluorescencia en cirugía se ha ampliado y difundido en los últimos años, lo que ha constituido un auténtico fenómeno tecnológico ligado a la aparición de dispositivos adaptados a su utilización en los abordajes laparoscópicos y robóticos. La cirugía guiada por fluorescencia en el campo de la cirugía endocrina está igualmente en auge. Cada vez son más los artículos que describen su uso en la cirugía de las glándulas tiroides, paratiroides y suprarrenal, aunque con series aun modestas y con protocolos diversos no estandarizados. Existen actualmente diversas áreas de desarrollo de la aplicación de la fluorescencia en cirugía endocrina. Cabe destacar el uso de la fluorescencia con verde de indocianina en cirugía suprarrenal, la identificación y predicción de la perfusión paratiroidea con verde de indocianina, y la autofluorescencia de las glándulas paratiroides. El objetivo de este artículo es revisar las actuales aplicaciones de la fluorescencia en cirugía endocrina.
ISSN:2173-5077
2173-5077
DOI:10.1016/j.cireng.2018.10.013