Kang Kyung Ho
Department of Surgery, Ewha Womans University Seoul Hospital, Seoul, Korea.
J Minim Invasive Surg. 2022 Sep 15;25(3):89-90. doi: 10.7602/jmis.2022.25.3.89.
With vocal cord palsy, hypoparathyroidism is one of the two major complications after thyroid surgery. Traditional approaches to preserving the parathyroid glands during thyroid surgery include identifying the glands precisely and preserving their vasculature with the naked eye, which mainly depend on the experience and skill of the surgeon. Recently, a relatively new technique, fluorescence image-guided surgery, has been widely researched and is becoming increasingly popular. The authors present a video clip of transoral robotic total thyroidectomy, which shows the three typical statuses of the parathyroid glands after thyroid surgery (well-perfused, poorly or non-perfused, and congested) and explains how to deal with each status of the parathyroid glands.
声带麻痹是甲状腺手术后两大主要并发症之一。甲状腺手术中传统的甲状旁腺保留方法包括精确识别腺体并用肉眼保留其血管，这主要依赖于外科医生的经验和技能。最近，一种相对较新的技术——荧光图像引导手术，得到了广泛研究且越来越受欢迎。作者展示了一段经口机器人全甲状腺切除术的视频片段，该视频展示了甲状腺手术后甲状旁腺的三种典型状态（灌注良好、灌注不良或无灌注、充血），并解释了如何处理甲状旁腺的每种状态。
