The impact of near-infrared autofluorescence on postoperative hypoparathyroidism during total thyroidectomy: a case–control study

Purpose Near-infrared autofluorescence is a new technology in thyroid surgery to better localize and preserve parathyroid glands. The purpose of this study is to assess if the adoption of NIR-AF can improve in short-, medium-, and long-term post-operative calcium and PTH levels compared to conventio...

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Bibliographic Details
Published in:Endocrine 2023-02, Vol.79 (2), p.392-399
Main Authors: Barbieri, Diego, Indelicato, Pietro, Vinciguerra, Alessandro, Salerno, Emilio, Battista, Rosa Alessia, Di Marco, Federico, Giordano, Leone, Luce, Francesca Lira, Bondi, Stefano, Trimarchi, Matteo, Bussi, Mario
Format: Article
Language:English
Subjects:
Calcium
Case-Control Studies
Diabetes
Dietary supplements
Endocrinology
Humanities and Social Sciences
Humans
Hypocalcemia
Hypocalcemia - etiology
Hypoparathyroidism
Hypoparathyroidism - diagnosis
Hypoparathyroidism - etiology
I.R. radiation
Internal Medicine
Medicine
Medicine & Public Health
multidisciplinary
Original Article
Parathyroid Glands - diagnostic imaging
Parathyroid Hormone
Postoperative Complications - diagnostic imaging
Postoperative Complications - etiology
Science
Surgery
Thyroidectomy
Thyroidectomy - adverse effects
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Summary:Purpose Near-infrared autofluorescence is a new technology in thyroid surgery to better localize and preserve parathyroid glands. The purpose of this study is to assess if the adoption of NIR-AF can improve in short-, medium-, and long-term post-operative calcium and PTH levels compared to conventional “naked eye” surgery in patients undergoing TT for benign or malignant conditions. Methods 134 patients undergone total thyroidectomy between January 2020 and June 2022; 67 were treated with conventional thyroidectomy, the other 67 underwent surgery adopting an autofluorescence detecting device. Results Significant differences were found between the two groups in percentage of patients with short-term hypocalcemia ( p  = 0.04) and short-term hypoparathyroidism ( p  = 0.011). Median short-term ( p  = 0.01) and medium-term ( p  = 0.03) PTH levels were significantly higher in autofluorescence group, while, short- ( p  = 0.001), medium- ( p  
ISSN:1559-0100
1355-008X
1559-0100
DOI:10.1007/s12020-022-03222-5