Bonnin-Pascual Jaime, Álvarez-Segurado Cristina, Jiménez-Segovia Marina, Bianchi Alessandro, Bonnin-Pascual Francisco, Molina-Romero Francesc Xavier, González-Argente Francesc Xavier
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitari Son Espases, Palma de Mallorca. España.
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitari Son Espases, Palma de Mallorca. España.
Cir Esp (Engl Ed). 2018 Nov;96(9):529-536. doi: 10.1016/j.ciresp.2018.09.005. Epub 2018 Oct 14.
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.
近年来，荧光技术在外科手术中的应用不断扩展并日益普及，这催生了适用于腹腔镜和机器人手术的设备，成为一种实实在在的技术现象。荧光引导手术在内分泌外科领域也呈上升趋势。越来越多的文章描述了其在甲状腺、甲状旁腺和肾上腺手术中的应用，尽管相关病例系列规模仍较小，且方案尚未标准化。目前，荧光技术在内分泌外科的应用有几个发展方向，包括在肾上腺手术中使用吲哚菁绿荧光、用吲哚菁绿识别和预测甲状旁腺灌注以及甲状旁腺的自体荧光。本文旨在综述荧光技术在内分泌外科的当前应用。
