Impact of autofluorescence-based identification of parathyroids during total thyroidectomy on postoperative hypocalcemia: a before and after controlled study

The clinical impact of intraoperative autofluorescence-based identification of parathyroids using a near-infrared camera remains unknown. In a before and after controlled study, we compared all patients who underwent total thyroidectomy by the same surgeon during Period 1 (January 2015 to January 20...

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Bibliographic Details
Published in:Surgery 2018-01, Vol.163 (1), p.23-30
Main Authors: Benmiloud, Fares, Rebaudet, Stanislas, Varoquaux, Arthur, Penaranda, Guillaume, Bannier, Marie, Denizot, Anne
Format: Article
Language:English
Subjects:
Adult
Aged
Controlled Before-After Studies
Engineering Sciences
Female
Humans
Hypocalcemia - etiology
Hypocalcemia - prevention & control
Male
Middle Aged
Optical Imaging
Parathyroid Glands - diagnostic imaging
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Thyroidectomy - adverse effects
Thyroidectomy - instrumentation
Transplantation, Autologous
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Summary:The clinical impact of intraoperative autofluorescence-based identification of parathyroids using a near-infrared camera remains unknown. In a before and after controlled study, we compared all patients who underwent total thyroidectomy by the same surgeon during Period 1 (January 2015 to January 2016) without near-infrared (near-infrared− group) and those operated on during Period 2 (February 2016 to September 2016) using a near-infrared camera (near-infrared+ group). In parallel, we also compared all patients who underwent surgery without near-infrared during those same periods by another surgeon in the same unit (control groups). Main outcomes included postoperative hypocalcemia, parathyroid identification, autotransplantation, and inadvertent resection. The near-infrared+ group displayed significantly lower postoperative hypocalcemia rates (5.2%) than the near-infrared− group (20.9%; P 
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2017.06.022